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(Falen, Unruh, & Segal, 2011)
(Falen, Unruh, & Segal, 2011)
(Morello et al., 2013)
(Coussement, De Paepe, Schwendimann, Denhaerynck, Dejaeger, & Milisen, 2008)
(Falen, Unruh, & Segal, 2011)
(Levinson, 2010)
(Levinson, 2010)
(Voyer, Verreault, Mengue, & Azizah, 2007)
-Falls result in increased length of stay.
-The Medicare HAC policy fines hospitals and denies reimbursement for care associated with HACs.
-"Hospital care associated with adverse events and temporary harm events cost Medicare an estimated $324 million in October 2008."
-Shock absorbing floors to prevent injuries, but does it increase the number of falls?
(Voyer, Verreault, Mengue, Azizah, 2007)
(Latimer et al., 2013)
(Zecevic et al., 2012)
(Mion, 2012)
(Falen, Unruh, & Segal, 2011)
(Parkview, 2013)
Randallia - 2.7 falls/1,000 pt days
-Constant care - 2.5 falls/1,000 pt days
-Med/Surg & OB - 0 falls this year
PRMC - 1.2 falls/1,000 pt days
-7 Medical - 1.5 falls/1,000 pt days
-Ped/PICU - 0.3 falls/1,000 pt days
(Dibardino, Cohen, & Didwania, 2012)
(Tzeng, Yin, Anderson & Prakash, 2012)
(Bonuel, Manjos, Lockett, & Gray-Becknell, 2011)
Morse Fall Risk Scale
-0-125 point scale
-Low, moderate, high risk classifications
-Scoring basis:
-Fall Hx
-Diagnosis
-Ambulation status (cane/walker/etc.)
-IV fluid therapy
-Gait assessment
-Mental Status
(Swartzell, Fulton, & Friesth, 2013)
STRATIFY
-0-5 point scale
-2 or more points = "high risk"
-Scoring basis:
-Hx of falls
-Mental status
-Visual impairment
-Continence/frequency
-Ambulation status
(Swartzell, Fulton, & Friesth, 2013)
Hendrich II Fall Risk Model (HIIFRM)
-0-16 point scale
-5 points or more = "high risk"
-Scoring Basis:
-Confusion/Disorientation/Impulsivity
-Symptomatic Depression
-Dizziness/Vertigo
-Male gender
-Anti-epileptics
-Benzodiazepines
-Ambulation (Get Up & Go)
Swartzell, Fulton, & Friesth, 2013)
(Mion, 2012)
Pain - "Are you having any pain?"
Potty - "Do you need to use the restroom"
Position - "Are you comfortable?"
Possessions - Observe and "Do you have everything you need?"
Psychological - Assess orientation
(Berg, Sailors, Reimer, O'Brien, & Ward-Smith, 2011)
A-Activity What is the patient doing?
B-Bathroom Bathroom needs
C-Comfort Comfort needs
D-Dietary Is the patient hungry?
E-Environment Possessions in reach, decluttered floor, adequate lighting, etc
(Berg, Sailors, Reimer, O'Brien, & Ward-Smith, 2011)
Multifaceted approach that connects patient to caregiver using a variety of technological systems.
(Falen, Unruh, & Segal, 2011)
(Choi, Lawler, Boenecke, Ponatoski, & Zimring, 2011)
(Mion, 2012)
( Mion, 2012)
"An unplanned descent to the floor (or extension of the floor, e.g., trash can or other equipment) with or without injury. All types of falls are included, whether they result from physiological reasons or environmental reasons."
(NDNQI, 2013)
(NDNQI, 2013)
(NDNQI, 2013)
-Standardized definitions for reliability and validity.
-Unit based.
-Quarterly reporting.
-Data collection, compilation, analyzation.
-Quarterly reports posted to NDNQI website.
-Identifies problem areas.
-Nursing hours per patient day
-Catheter associated UTIs
-Hospital acquired pressure ulcers
-VAP
-Annual nursing survey
-Voluntary nursing turnover
-Falls
-Falls with injuries
(NDNQI, 2013)