Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized Controlled Trial

JAMA Network Open
Patricia C DykesDavid Westfall Bates

Abstract

Falls represent a leading cause of preventable injury in hospitals and a frequently reported serious adverse event. Hospitalization is associated with an increased risk for falls and serious injuries including hip fractures, subdural hematomas, or even death. Multifactorial strategies have been shown to reduce falls in acute care hospitals, but evidence for fall-related injury prevention in hospitals is lacking. To assess whether a fall-prevention tool kit that engages patients and families in the fall-prevention process throughout hospitalization is associated with reduced falls and injurious falls. This nonrandomized controlled trial using stepped wedge design was conducted between November 1, 2015, and October 31, 2018, in 14 medical units within 3 academic medical centers in Boston and New York City. All adult inpatients hospitalized in participating units were included in the analysis. A nurse-led fall-prevention tool kit linking evidence-based preventive interventions to patient-specific fall risk factors and designed to integrate continuous patient and family engagement in the fall-prevention process. The primary outcome was the rate of patient falls per 1000 patient-days in targeted units during the study period. The se...Continue Reading

Associated Clinical Trials

References

Jun 6, 2009·The New England Journal of Medicine·Sharon K InouyeMary E Tinetti
Jun 11, 2009·The Journal of Nursing Administration·Patricia C DykesBlackford Middleton
Jul 28, 2010·Journal of Clinical Nursing·Robert J LuceroLinda H Aiken
Nov 3, 2010·Applied Nursing Research : ANR·Diane L CarrollAnn C Hurley
Nov 4, 2010·JAMA : the Journal of the American Medical Association·Patricia C DykesBlackford Middleton
Jul 5, 2012·The Journal of Bone and Joint Surgery. American Volume·Grant R LohseMichael J Lee
Dec 6, 2014·The Journal of Nursing Administration·Joanne SpetzCarolyn Aydin
Apr 24, 2015·Medical Care·Ann Kutney-LeeLinda H Aiken
May 18, 2016·Applied Ergonomics·Zachary KatsulisPatricia C Dykes
Feb 24, 2017·Journal of Patient Safety·Wai Yin LeungPatricia C Dykes
Oct 21, 2017·Oncology Nursing Forum·Chasity Burrows Walters, Elizabeth A Duthie
Feb 17, 2018·BMJ Open Quality·Sasha J CuttlerLauren Cuttler
Jun 6, 2018·Nursing Administration Quarterly·Joanne T Clavelle
Jan 8, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Zoe BurnsPatricia C Dykes

❮ Previous
Next ❯

Citations

Feb 27, 2021·Nursing Management·Patricia C Dykes, Ann C Hurley
Aug 26, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Bronwyn NewmanReema Harrison
Aug 31, 2021·Journal of the American Geriatrics Society·Patricia C DykesJason Adelman
Sep 11, 2021·Scientific Reports·Tomoko NakanishiKoichiro Usuku
Sep 10, 2021·Journal of the American Medical Informatics Association : JAMIA·Saba AkbarFarah Magrabi

❮ Previous
Next ❯

Clinical Trials Mentioned

NCT02969343

Software Mentioned

SAS
TIPS
Fall TIPS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Psychiatric Services : a Journal of the American Psychiatric Association
Kea TurnerVincent S Staggs
The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
B J VellasR N Baumgartner
The Journal of Bone and Joint Surgery. American Volume
Grant R LohseMichael J Lee
Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA
M WangT Winzenberg
© 2021 Meta ULC. All rights reserved