TY  - JOUR
PY  - 2019//
TI  - Individualized fall prevention program in an acute care setting: an evidence-based practice improvement
JO  - Journal of nursing care quality
A1  - Spano-Szekely, Lauraine
A1  - Winkler, Anne
A1  - Waters, Cathy
A1  - Dealmeida, Susana
A1  - Brandt, Kathy
A1  - Williamson, Marsha
A1  - Blum, Christina
A1  - Gasper, Lori
A1  - Wright, Fay
SP  - 127
EP  - 132
VL  - 34
IS  - 2
N2  - 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>
LA  - en
SN  - 1057-3631
UR  - http://dx.doi.org/10.1097/NCQ.0000000000000344
ID  - ref1
ER  -