TY  - JOUR
PY  - 2018//
TI  - Falls prevention strategies for patients over 65 years in a neurology ward: a best practice implementation project
JO  - JBI database of systematic reviews and implementation reports
A1  - Comino-Sanz, Inés María
A1  - Sánchez-Pablo, Clara
A1  - Albornos-Muñoz, Laura
A1  - Beistegui Alejandre, Idoia
A1  - Jiménez De Vicuña Marin, Maider
A1  - Uribesalgo Pagalday, Larraitz
A1  - Gamarra Santa Coloma, Esther
SP  - 1582
EP  - 1589
VL  - 16
IS  - 7
N2  - OBJECTIVES: The aim of this project was to promote evidence-based practice with regard to fall prevention and management, by implementing the recommendations from the best available evidence to reduce fall rates. <br><br>INTRODUCTION: Falls are a main cause of disability in older people and the most common adverse event in all hospital patients. It is essential to implement the recommendations from evidence-based interventions to reduce these events. <br><br>METHODS: A pre and post implementation audit method was used in a neurology ward, which employed the Joanna Briggs Institute Practical Application of Clinical Evidence System (JBI PACES) and Getting Research Into Practice (GRiP) module. The 15-month project evaluated between 20-30 patients from a sample at each audit (baseline in April 2016 and during three follow-up cycles in December 2016, March 2017 and June 2017). The data were inputted into an informatics system from nursing records and audited according to evidence-based processes and outcomes criteria. <br><br>RESULTS: The baseline outcomes identified five barriers: incomplete fall registration, lack of an established fall prevention protocol for at-risk patients, limited knowledge about the fall prevention protocol, lack of a fall risk assessment scale and lack of multifactorial individual plans for fall prevention. Strategies were carried out and implemented following GRiP and all the criteria improved from baseline. <br><br>CONCLUSIONS: The project successfully increased evidence-based practice on falls and provided mechanisms for sustaining evidence-based practice changes. Further audits are needed to improve some outcomes.<p />  <p>Language: en</p>
LA  - en
SN  - 2202-4433
UR  - http://dx.doi.org/10.11124/JBISRIR-2017-003628
ID  - ref1
ER  -