Falls In Hospitals
Research Summary and Ethical Considerations of “Factors Associated with Falls in Hospital Adults Patients”
Introduction
Falling is a crucial issue among the hospitals. Even the hospitals make all the efforts to prevent falls, falls still occur frequently and some repeatedly. According to Currie (2008), approximately 700000 to 1000000 individuals fall in the united states hospitals each year. A fall in a hospitalized patient is considered a never-event by Medicare and Medicaid services(CMS) (Cox et al., 2014) As the result, healthcare organizations are not reimbursed for these events which increase the financial burden of hospitals.
Background of study:
Falls can be categorized into accidental, unanticipated physiologic, anticipated physiologic …show more content…
(2014), the majority of the falls were categorized as anticipated physiologic falls, 54%; more than 25% of the fall were extrinsically driven and due to environmental hazards. In consequence, with the knowledge the various stratifications of falls, nursing staff can establish personalized and timely applications of safety approaches to potentially avert a particular type of fall; the strategies to recognize the environmental hazards and orient patients to the surroundings can prevent falls from accidental falls in clinical (Cox et al., 2014).
In addition,"factors, such as age (odds ratio [OR] = 1.17; p = 0.027; 95% confidence interval [CI], 1.01-1.35), narcotic/sedative use (OR =16.64; p = 0.01; 95% CI,2.96-93), and overnight shift (OR = 3-12; p = 0.00; 95% CI, 1.69-5.75) significantly and independently predicted the probability of a fall during the hospitalization" (Cox et al., 2014). Furthermore, "patients’ diagnosis such as cardiovascular comorbidities (OR = 0.10; p = 0.001; 95% CI, 1.01-1.35) and neuro/ musculoskeletal (OR = 0.233, p = 0.000; 95% CI, 0.145-0.373, evening shift(OR = 0.011; p = 0.035; 95% CI, 0.00-0.729), implementation of fall prevention strategies (OR = 0.12; p = 0.00; 95% CI, 0.06-0.26) and a high RN to unlicensed assistive personnel staffing ratio (OR = 0.19; p = 0.001; 95% CI, 0.06-0.58) indicated a decreased probability of a fall through the hospitalization" (Cox et al., 2014). Findings from this study support the multi-etiologic nature of falls for inpatients and aid the efforts of the staff to prevent falls in future clients. From the evidence of the study, results can indicate that evidence-based fall prevention intervention can be effective modalities that can decrease fall occurrence for inpatients and the presence of RNs is indispensable to fall prevention setting (Cox et al.,
Introduction
Falling is a crucial issue among the hospitals. Even the hospitals make all the efforts to prevent falls, falls still occur frequently and some repeatedly. According to Currie (2008), approximately 700000 to 1000000 individuals fall in the united states hospitals each year. A fall in a hospitalized patient is considered a never-event by Medicare and Medicaid services(CMS) (Cox et al., 2014) As the result, healthcare organizations are not reimbursed for these events which increase the financial burden of hospitals.
Background of study:
Falls can be categorized into accidental, unanticipated physiologic, anticipated physiologic …show more content…
(2014), the majority of the falls were categorized as anticipated physiologic falls, 54%; more than 25% of the fall were extrinsically driven and due to environmental hazards. In consequence, with the knowledge the various stratifications of falls, nursing staff can establish personalized and timely applications of safety approaches to potentially avert a particular type of fall; the strategies to recognize the environmental hazards and orient patients to the surroundings can prevent falls from accidental falls in clinical (Cox et al., 2014).
In addition,"factors, such as age (odds ratio [OR] = 1.17; p = 0.027; 95% confidence interval [CI], 1.01-1.35), narcotic/sedative use (OR =16.64; p = 0.01; 95% CI,2.96-93), and overnight shift (OR = 3-12; p = 0.00; 95% CI, 1.69-5.75) significantly and independently predicted the probability of a fall during the hospitalization" (Cox et al., 2014). Furthermore, "patients’ diagnosis such as cardiovascular comorbidities (OR = 0.10; p = 0.001; 95% CI, 1.01-1.35) and neuro/ musculoskeletal (OR = 0.233, p = 0.000; 95% CI, 0.145-0.373, evening shift(OR = 0.011; p = 0.035; 95% CI, 0.00-0.729), implementation of fall prevention strategies (OR = 0.12; p = 0.00; 95% CI, 0.06-0.26) and a high RN to unlicensed assistive personnel staffing ratio (OR = 0.19; p = 0.001; 95% CI, 0.06-0.58) indicated a decreased probability of a fall through the hospitalization" (Cox et al., 2014). Findings from this study support the multi-etiologic nature of falls for inpatients and aid the efforts of the staff to prevent falls in future clients. From the evidence of the study, results can indicate that evidence-based fall prevention intervention can be effective modalities that can decrease fall occurrence for inpatients and the presence of RNs is indispensable to fall prevention setting (Cox et al.,