
@article{ref1,
title="Implementation of fall preventions over the past 15 years: impact on inpatient injury and insights for the future",
journal="Journal of nursing care quality",
year="2020",
author="Taylor, Beth and Tymkew, Heidi and Vyers, Kara and Taylor, Madeline and Roney, Wilhelmina and Costantinou, Eileen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Hospital fall rates have changed minimally with preventive measures; however, the effect on injury rate is unclear. <br><br>PURPOSE: The purpose was to determine whether fall-related injuries have changed over time. <br><br>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. <br><br>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). <br><br>CONCLUSIONS: Severe fall-related injuries have decreased in the past 15 years. The most common circumstance for falls remains elimination issues.<p /> <p>Language: en</p>",
language="en",
issn="1057-3631",
doi="10.1097/NCQ.0000000000000468",
url="http://dx.doi.org/10.1097/NCQ.0000000000000468"
}