Translating Fall Risk Status Into Interventions to Prevent Patient Falls: Falls TIPS (Tailoring Interventions for Patient Safety)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10,264
- 试验地点
- 4
- 主要终点
- The outcome measure will be rate of patients falls per 1000 patient days
研究概览
简要总结
The goal of our project is to prevent patient falls by translating an individual patient's fall risk assessment into a decision support intervention that communicates fall risk status, and creates a tailored evidence-based plan of care that will be accessible to members of the care team to prevent falls.
详细描述
Patient falls are defined as "patients who experience an unplanned descent to the floor". Patient falls in hospitals are a key safety issue and represent the most frequently reported adverse event in acute care settings. Previous work related to fall risk assessment suggests that a large majority of falls (78%) occur as a result of the presence of physiological risk factors such as confusion, incontinence, poor balance and mobility problems. These falls are considered preventable and as such are classified as iatrogenic.
Phase 1 Specific Aim: To describe the current barriers, facilitators, and methods of fall risk communication in acute care settings (2 academic medical center and 2 community hospital units).
- What fall risk communication exists within the context of patient care workflow that alerts nurses and other providers (physicians, physical therapists, pharmacists) regarding patients' fall risk status?
- What should the elements of alerts be at the point of care to support fall risk communication to nurses and other interdisciplinary team members?
- How should the alert be communicated to professional and paraprofessional providers, patients, and families?
- What communication of actions to prevent falls exists within the context of patient care workflow that promotes use of a fall prevention plan of care?
- Based on empirical data to reduce barriers and enhance facilitators, how can information systems be used to create and communicate a tailored evidence-based fall risk patient safety plan of care derived from the nursing fall risk assessment?
- Based on the C-IC conceptual model, how should the tailored evidence-based fall risk patient safety plan of care be communicated to professional and paraprofessional providers, patients, and families?
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 110 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •2 units per hospital for participation. One unit will be randomized to receive the intervention; the other will serve as a control. Inclusion Criteria: Non-specialty (medical) units and units with similar types of patients and fall rates (fall rates higher than hospital mean).
- •Identify focus group/interview participants. Interdisciplinary staff members. Selection criteria: nurses, nursing assistants and other providers (12 total more heavily weighted w/nursing staff) to participate in the study focus groups.
- •Patients who have fallen (4 patients at each hospital) for participation in phone interview.
- •Patients for analysis must be adults admitted to intervention units.
排除标准
- •Anyone who does not meet criteria above.
结局指标
主要结局
The outcome measure will be rate of patients falls per 1000 patient days
时间窗: 1/2009-6/2009
Specific Aim: To evaluate the effectiveness of the FPTK prototype on reducing patient falls. 1. Is the FPTK used to communicate fall risk status and facilitate adherence with the tailored patient safety plan of care recommendations? 2. Is there a relationship between use of the FPTK and the incidence of falls (primary outcome measure)?
次要结局
- Falls with injury as a secondary outcome measure.(1/2009-6/2009)
- To evaluate the effectiveness of the FPTK prototype on documentation of planned and completed tailored interventions(1/2009-6/2009)
研究者
Patricia C. Dykes
Research Program Director, Center for Patient Safety, Research and Practice
Brigham and Women's Hospital