TITLE

Effect of a Multidisciplinary Fall Risk Assessment on Falls Among Neurology Inpatients

AUTHOR(S)
Leep Hunderfund, Andrea N.; Sweeney, Cynthia M.; Mandrekar, Jayawant N.; Johnson, Leann M.; Britton, Jeffrey W.
PUB. DATE
January 2011
SOURCE
Mayo Clinic Proceedings;Jan2011, Vol. 86 Issue 1, p19
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE: To evaluate whether the addition of a physician assessment of patient fail risk at admission would reduce inpatient fails on a tertiary hospital neurology inpatient unit. PATIENTS AND METHODS: A physician fall risk assessment was added to the existing risk assessment process (clinical nurse evaluation and Hendrich II Fall Risk Model score with specific fall prevention measures for patients at risk). An order to select either "Patient Is" or "Patient is not at high risk of fails by physician assessment" was added to the physician electronic admission order set. Nurses and physicians were instructed to reach consensus when assessments differed. Full implementation occurred in second-quarter 2008. Pre implementation (January 1, 2006, to March 31, 2008) and post implementation (April 1, 2008, to December 31, 2009) rates of falls were compared on the neurology inpatient unit and on 6 other medical units that did not receive intervention. RESULTS: The rate of falls during the 7 quarters after full implementation was significantly lower than that during the 9 preceding quarters (4.12 vs 5.69 falls per 1000 patient-days; P=.04), whereas the rate of fails on other medical units did not significantly change (2.99 vs 3.33 fails per 1000 patient-days; P=.24, Poisson test). The consensus risk assessment at admission correctly identified patients at risk for falls (14/325 at-risk patients fell vs 0/147 low-risk patients; P=.01, χ2 test), but the Hendrich II Fall Risk Model score, nurse, and physician assessments Individually did not. CONCLUSION: A multidisciplinary approach to fall risk assessment is feasible, correctly identifies patients at risk, and was associated with a reduction In inpatient falls.
ACCESSION #
57844406

 

Related Articles

  • Decreasing inpatient falls: A retrospective analysis with clinical nurse specialist-led interventions. Cioffi, Cheryl; Plumadore, Jennifer; Clark, Karen // Journal of Hospital Administration;Apr2013, Vol. 2 Issue 2, p38 

    Objective: To identify and analyze associations between characteristics and factors collected on the 'Post Fall Huddle/Event Report' form used by Nursing and Risk Management for all inpatient falls. Inpatient falls were defined as any hospitalized patient that had a fall event during their stay....

  • Falls in Hospitalized Children. Razmus, Ivy; Wilson, David; Smith, River; Newman, Elana // Pediatric Nursing;Nov/Dec2006, Vol. 32 Issue 6, p568 

    Purpose: To identify risk factors in hospitalized children using two validated adult fall risk scales. Methods: For each fall patient identified, a non-fall patient was matched for chronological age and year of hospitalization. The retrospective chart review coded the presence or absence of risk...

  • A Randomized Controlled Trial of a CPR and Intubation Video Decision Support Tool for Hospitalized Patients. El-Jawahri, Areej; Mitchell, Susan; Paasche-Orlow, Michael; Temel, Jennifer; Jackson, Vicki; Rutledge, Renee; Parikh, Mihir; Davis, Aretha; Gillick, Muriel; Barry, Michael; Lopez, Lenny; Walker-Corkery, Elizabeth; Chang, Yuchiao; Finn, Kathleen; Coley, Christopher; Volandes, Angelo // JGIM: Journal of General Internal Medicine;Aug2015, Vol. 30 Issue 8, p1071 

    BACKGROUND: Decisions about cardiopulmonary resuscitation (CPR) and intubation are a core part of advance care planning, particularly for seriously ill hospitalized patients. However, these discussions are often avoided. OBJECTIVES: We aimed to examine the impact of a video decision tool for CPR...

  • Medicine and books. Sadzot, B. // BMJ: British Medical Journal (International Edition);1/6/96, Vol. 312 Issue 7022, p65 

    Reviews the book `Management of Neurological Disorders,' by Ed C.M. Wiles.

  • A preliminary study on the relation between thunderstorms and mortality of in-patients. Q-f. Deng; C-c. Zhou; J-f. Xu; R-b. Tang // Journal of Public Health Medicine;Sep2003, Vol. 25 Issue 3, p246 

    Background The aim of this study was to investigate the association between thunderstorms and mortality of in-patients. Methods Data for in-patients and deaths in internal medicine departments from four hospitals in Shanghai were collected and grouped according to meteorological conditions....

  • Neurocysticercosk: some of the essentials. Garcia, Hector H.; Gonzalez, Armando E.; Tsang, Victor C. W.; Gilman, Robert H. // Practical Neurology (BMJ Publishing Group);Oct2006, Vol. 6 Issue 5, p288 

    The article discusses the diagnosis and management of human neurocysticercosis. Cysticercosis infection seemed to occur early in life with age specific seroprevalence values peaking between five and 15 years of age. The study has specified that an estimated 75 million individuals in Latin...

  • Congenital Cytomegalovirus Infection: Clinical Outcome. Boppana, Suresh B.; Ross, Shannon A.; Fowler, Karen B. // Clinical Infectious Diseases;Dec2013 Supplement 4, Vol. 57, pS178 

    Congenital cytomegalovirus (CMV) infection is a leading cause of hearing loss and neurologic disabilities in children worldwide. Infants with symptomatic congenital CMV infection at birth are at significantly increased risk for developing adverse long-term outcomes. The vast majority of infants...

  • Metals and Oxidative Damage in Neurological Disorders (Book Review). Wolf, Stewart // Integrative Physiological & Behavioral Science;Oct-Dec99, Vol. 34 Issue 4, p286 

    Reviews the book `Metals and Oxidative Damage in Neurological Disorders,' edited by James R. Connor.

  • Anesthetic management of a patient with narcolepsy by combination of total intravenous and regional anesthesia: a case report. Takekawa, Daiki; Kushikata, Tetsuya; Kitayama, Masato; Hirota, Kazuyoshi // JA Clinical Reports;7/14/2017, Vol. 3 Issue 1, p1 

    Narcolepsy is a neurological disease characterized by excessive daytime sleepiness, cataplexy, and/or a sudden loss of muscle tone due to malfunction of the orexinergic system, which may cause delayed emergence from general anesthesia. We report a successful anesthetic management of 24-year-old...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics