Implementation of Fall Preventions Over the Past 15 Years: Impact on Inpatient Injury and Insights for the Future.
J Nurs Care Qual
; 35(4): 365-371, 2020.
Article
en En
| MEDLINE
| ID: mdl-31972784
BACKGROUND: Hospital fall rates have changed minimally with preventive measures; however, the effect on injury rate is unclear. PURPOSE: The purpose was to determine whether fall-related injuries have changed over time. METHODS: A retrospective comparison was done of 1134 adult inpatient falls in 2017 to 1235 falls in 2001-2002 for injury and fall circumstances. Separate comparisons were made of patient characteristics by service line for 2017. RESULTS: Severe fall injuries declined from 6% to 2.4%. Elimination issues remained the most common circumstance (38.9% and 42%). In 2017, malnutrition (31.6%), low function (61.4%), fall history (26.3%), and use of high-risk medications (83.2%) were common in patients who fell. Predictors of falls with injury by patient population were as follows: surgery-male gender (P = .01), low function (P = .006), elimination issues (P = .04); oncology-low function (P = .04); and neurology-low function (P = .02). CONCLUSIONS: Severe fall-related injuries have decreased in the past 15 years. The most common circumstance for falls remains elimination issues.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Heridas y Lesiones
/
Accidentes por Caídas
/
Predicción
/
Pacientes Internos
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
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Risk_factors_studies
Límite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Revista:
J Nurs Care Qual
Asunto de la revista:
ENFERMAGEM
Año:
2020
Tipo del documento:
Article
Pais de publicación:
Estados Unidos