@article{ref1,
title="Individualized fall prevention program in an acute care setting: an evidence-based practice improvement",
journal="Journal of nursing care quality",
year="2019",
author="Spano-Szekely, Lauraine and Winkler, Anne and Waters, Cathy and Dealmeida, Susana and Brandt, Kathy and Williamson, Marsha and Blum, Christina and Gasper, Lori and Wright, Fay",
volume="34",
number="2",
pages="127-132",
abstract="BACKGROUND: A 245-bed community hospital established patient fall prevention as its patient safety priority. PROBLEM: The hospital's fall prevention program was not consistently effective. The baseline fall rate was 3.21, higher than the National Database of Nursing Quality Indicators' median of 2.91. APPROACH: An interprofessional fall prevention team evaluated the hospital's fall program using the evidence-based practice improvement model. A clinical practice guideline with 7 key practices guided the development of an individualized fall prevention program with interventions to address 4 fall risk categories and an algorithm to identify interventions. Interventions included nurse-driven mobility assessment, purposeful hourly rounding, and video monitoring for confused and impulsive fall-risk patients. OUTCOMES: The fall rate decreased to 1.14, with a 72% expense reduction based on decreased sitter usage. <br><br>CONCLUSIONS: An interprofessional team successfully reduced falls with an evidence-based fall prevention program.<p /> <p>Language: en</p>",
language="en",
issn="1057-3631",
doi="10.1097/NCQ.0000000000000344",
url="http://dx.doi.org/10.1097/NCQ.0000000000000344"
}