Patient Fall Prevention Case Study

Improved Essays
In this study patient fall in the hospital is identified as the evidence. Based on the evidences available, it was decided to implement patient fall prevention strategy in 100 bed hospital. There is lot of literature available for the evidence of fall, reasons of fall, its consequences and strategies to prevent the fall in hospitals. On an average the rate of fall in hospitals is between 3 – 10 per 1000 patients. Out of total fall patients, injury was reported in 30 – 50 % patients and 1- 2% patients experience hip fractures. This fall percentage of the patient is during different activities and at different positions. At the time of ambulation 19 %, when coming out of the bed 11 %, while sitting and standing 9 %, and while using toilet 4 …show more content…
Also use of fall evidence to implement in practice already gave an idea of effective management of fall of patient. For implementation of patient fall strategy all the parameters are well established in different studies. These parameters include screening of patients for risk of fall, intervention for fall and injury prevention. These parameters are applied in this case to implement patient fall prevention strategy in the 100 bed hospital.
Stakeholders involved: Stakeholders involved in this process includes patient, family members, clinicians, nurses, ward boy, pharmacist and other healthcare staff. Other than these mentioned directly involved stakeholders for falls prevention, other stakeholders are top management of the hospital, external consultant to implement the strategy, administrative officer and financial officer of the hospital (Tzeng & Yin,
…show more content…
This topic is neglected because most of hospitals didn’t report fall cases anywhere due to safeguard reason. When patient is admitted to the hospital, most of the attention is used to give to the primary condition of the patient. Both family members and healthcare staff concerned about the primary condition of the patient. However, this fall and its subsequent consequences can be very serious and harmful to the patient. This fall can be prevented by the minimal efforts from the family members and healthcare staff. Consequences from this fall are alarming and disturbing the work of every stakeholder of the patient care. This patient fall leads to extra stress on everybody. Moreover, problem of this issue can be taken care very comfortably by taking extra care. Implementation of fall prevention strategy is also a value addition to the hospital, because this implementation fall strategy upgrades value of hospital both in terms of economic and social terms. Recently, lots of studies are supporting the importance of this fall condition in the elderly patients. There is lot of literature available containing causes, effects, consequences and prevention strategies for the fall of the patient (Oliver, Healey, & Haines,

Related Documents

  • Decent Essays

    Hi Yellow Team Case Study

    • 211 Words
    • 1 Pages

    The statistical data of falls during a particular period, the amount of expenses incurred for managing the injuries and other harm related to it, the effect of patient and family…

    • 211 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Maggie, If the patient is being admitted to a skilled nursing or long term care facility, I would have chosen The Hendrich II Fall Risk Model. This model focuses on older adults in an acute care, ambulatory, assisted living, long-term care facilities, to help them identify the risk for falls and to develop a plan that would reduce the number of fall at their facility. The Hendrich II Fall Risk Model looks at twelve different risks factors, such as, based gender, the level of confusion of the patient, if the they suffer with depression, dizziness or vertigo, as well as, their current prescribed medication. When looking at the patient score if they are at 5 or greater, they are at a higher risk for falls and precautions should be taken, for…

    • 156 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Although multifactorial fall risk assessment and management programs seem to be a reasonable and appealing approach for preventing falls and fall related injuries in the elderly, it is not backed by strong evidence. Present evidence implies that it may decrease the number of falls in the elderly by only a minimal amount. Evidence of its effects on other outcomes as in the rate of falls and injuries is inadequate. Rigorous interventions that provide actions to address risk factors rather than evidence with referrals could be more effective.…

    • 87 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    There are many risk factors for falling but a health care provider needs to know for the patient to be tested to find the cause and prevent further falls (Abraham & Cimino-Fiallos, 2016). Maria has had several instances with falling. She had broken her nose, left leg and right arm. Each instance she had to go to rehab in order to get stronger and able to walk with a cane and function on her own. Previous medical diagnosis such as arthritis, fractures, urinary incontinence and recent hospital discharges only risk factors for more falls in the future (Abraham & Cimino-Fiallos, 2016).…

    • 1805 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    Case Analysis Paper

    • 1103 Words
    • 5 Pages

    The residents fell in their apartments, why? What personnel, procedure, and equipment changes have contributed to the almost three-time increase in falls among residents living alone in their apartments (Primaris, n.d.)? What lack of current staff, processes, and equipment’s used within the facility has contributed to this increase in falls? Where did the resident fall, and what was occurring before the resident fell?…

    • 1103 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Elder Loss Research Paper

    • 277 Words
    • 2 Pages

    About one third of the elder population over the age of 65 falls each year [TPS+01]. The risk of an elderly falling increases with age, which also applies for people with neurodegenerative diseases, dementia, delirium, or psychotropic medication [HA10]. As a result, fall related injuries are the number one reason for emergency room visits, and it is also the leading cause of deaths among adults above the age of 65 [JS06].…

    • 277 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    What if hospitals begin turning away patients that have a high risk for fall? The high risk would include the elderly, especially Alzheimer’s, stroke patients who have balance problems, or the ones that are taking certain medications that could affect them physically. As part of the health care team, all patients are welcome and should not be turned away due to high risk for…

    • 1446 Words
    • 6 Pages
    Improved Essays
  • Decent Essays

    Having tubes in place, such as IV lines or catheters. Some additional risk factors for falls in a hospital include: • Having vision problems. • Having altered mental status. • Having trouble with balance.…

    • 669 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Acute Rehab Case Study

    • 1526 Words
    • 6 Pages

    How Study to be Conducted This study will focus on protecting patients from fall and fall-related injuries after stroke in an Acute Rehab Unit. At first it would identify the patients who are at great risk of fall currently and after going back to the community. The Morse Fall Risk Assessment (MFA) tool will be used to initially identify fall risk patients in the unit. CDC’s Injury Center has created a tool kit, called STEADI (Stopping Elderly Accidents Deaths and Injuries).…

    • 1526 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Fall Prevention

    • 682 Words
    • 3 Pages

    Purpose of Study or Research Focus The current rate for falls after orthopedic surgery is 1-3 falls per 1000 patients per day. These fall result in a financial loss for the hospitals as well as a decrease in the health and wellbeing of the patient (Clarke, Timm, Goldberg, & Hattrup, 2011). Hospitals employ numerous ways to determine if a patient is a fall risk. There are also many interventions used with the purpose of fall prevention.…

    • 682 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Elderly Fall Case Studies

    • 317 Words
    • 2 Pages

    In order to determine a potential diagnosis of a new elderly patient with a recent fall as nurses we must take into consideration many factors that might of contributed to the fall. Some of the factors and symptoms that can potential contribute to an elderly falling are: dementia, hypotension, poor vision, muscle weakness, labyrinthitis, fever, confusion, UTI’s, dizziness, certain medications, unsecure rugs/carpets, dim lights and tripping on the stairs. Before we even look at the symptoms and factors we must first gather all the correct information in regards to the fall either from the patient or their caregiver. We must ask the patient how the fall happened? What they where doing at the moment?…

    • 317 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Evidence Based Project

    • 252 Words
    • 2 Pages

    The main difference between the research and evidence-based practice projects is that the evidence-based projects test the knowledge, while the research projects create new knowledge or verify the current knowledge. The research uses scientific methods to build new knowledge, whereas the evidence- based project (EBP) applies the new awareness into decision-making. The research provides a scientific foundation for practice through investigation, exploration, and discovery. The EBP brings about changes in practice through application and integration of the new evidence (Conner, 2014). As per the research, the use of restraints can reduce the patient falls and keep them safe.…

    • 252 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The hospital defines patient falls by five different types and reports their data of falls to the National Database for Nursing Quality Indicators to provide an external benchmark comparison. This provides a standard of excellence, which nursing care and patient safety measures can be measured and compared with other hospitals to see how they rank locally and nationally. The NDNQI enables action planning and intervention for specific units needing improvement with quality indicators and outcomes including adverse events like falls subject to the CMS nonpayment rule. The common findings in all three peer review articles are the importance of a patient safety culture, integration of ongoing assessment, communication and evaluation with the role…

    • 218 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    Fall is one of the common problems in the hospital. It can be due to various reasons such as accident, related to medical condition such as vasovagal, dizziness related to postural hypotension or physical condition such as leg amputation, swollen or sore feet or negligence of the patient or carer including nurses. However, whatever is the cause of fall it can be reduced or prevented by appropriate assessment and interventions. In relation with the situation I experienced the incident can be prevented by proper assessment and good communication with the patient (Lovallo, Rolandi, Rossetti, & Lusignani, 2010).…

    • 777 Words
    • 4 Pages
    Decent Essays
  • Superior Essays

    Inpatient Falls Prevention

    • 1563 Words
    • 7 Pages

    Prevention of Inpatient Falls Patient falls remain the most common adverse event in acute care facilities, with 2%-15% of hospitalized patients reported to fall at least once. Falls can lead to pain, loss of function, fear of further falls and even death (Tanaka, Sakuma, Ohtani, Toshiro, Matsumura, & Morimoto, 2012). An increased focus is being placed on inpatient falls because of morbidity, mortality, increased cost of care, and lack of reimbursement (Cumbler, Simpson, Rosenthal, & Likosky, 2013). The National Database of Nursing Quality Indicators (NDNQI) defines a fall as “an unplanned descent to the floor with or without injury to the patient” (Miake-Lye, Hempel, Ganz, & Shekelle, 2013).…

    • 1563 Words
    • 7 Pages
    Superior Essays