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Fall prevention in a pediatric unit: a best practice implementation project.

Nydjia Lawrence1,2, Robin Christian1,2, Michelle Palokas1,2

  • 1School of Nursing, University of Mississippi Medical Center, Jackson, MS, USA.

JBI Evidence Implementation
|April 24, 2024
PubMed
Summary
This summary is machine-generated.

Implementing evidence-based practices (EBPs) improved nurse communication for pediatric fall prevention. However, using validated assessment tools for fall risk remains a challenge. Further research is needed to assess long-term effectiveness.

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Area of Science:

  • Pediatric Patient Safety
  • Healthcare Quality Improvement
  • Evidence-Based Practice Implementation

Background:

  • Inpatient falls are a significant pediatric safety concern, contributing to extended hospital stays and increased costs.
  • A pediatric unit experienced one to two falls monthly, highlighting a need for improved prevention strategies.

Purpose of the Study:

  • To implement and evaluate evidence-based practices (EBPs) for pediatric fall prevention in a hospital unit.
  • To address gaps in current practices and promote adherence to fall prevention guidelines.

Main Methods:

  • Utilized the JBI Evidence Implementation Framework for a systematic approach.
  • Conducted baseline and follow-up audits to assess compliance with EBPs.
  • Identified barriers and implemented strategies to promote the adoption of EBPs.

Main Results:

  • Baseline audit showed 0% compliance with using validated assessment tools for fall risk.
  • Nurse-to-nurse communication during shift handover improved from 69% to 82% compliance.
  • Compliance with validated assessment tools remained at 0% in the follow-up audit.

Conclusions:

  • The project successfully improved specific aspects of pediatric fall prevention, notably nurse communication.
  • Identified critical areas, such as the use of validated assessment tools, requiring further intervention.
  • Emphasized the need for ongoing evaluation of interventions to ensure sustained improvements in patient safety.