Retrospective Analysis of Factors Associated With a Revised Fall Prevention Bundle in Hospitalized Patients

Link to article at PubMed

J Nurs Adm. 2020 Nov;50(11):571-577. doi: 10.1097/NNA.0000000000000939.


OBJECTIVE: The study aims to describe factors associated and injuries sustained with inpatients who fell while hospitalized and identify the impact of a revised fall-prevention bundle.

BACKGROUND: Approximately 1 million falls occur in hospitals annually, accounting for approximately 70% of inpatient accidents. Inpatient falls can result in physical injury, increased patient mortality and morbidity, decreased quality of life, and increased length of stay and cost.

METHODS: We used a retrospective review of patient fall data for adult inpatients who fell while hospitalized.

RESULTS: After reeducation and implementation of all elements of a revised fall-prevention bundle, there were fewer falls per patient day. We identified additional characteristics indicating when patients were more likely to be injured in a fall.

CONCLUSIONS: A fall-prevention bundle is effective in decreasing inpatient falls and falls with injury. Raising awareness of additional factors may decrease risk of injuries during an inpatient fall.

PMID:33105333 | DOI:10.1097/NNA.0000000000000939

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