The effect of a nursing intervention on the incidence of older patient falls.
This paper describes the evaluation of a fall prevention protocol that combined the assessment of the mobility and confusion status of 2,023 patients aged 70 years and over and a toileting regimen for at risk patients who were both confused and having mobility problems. The six months' study was conducted in a 450 bed metropolitan teaching hospital and involved approximately 500 nursing staff in the hospital's medical and surgical wards. Almost five percent (4.7%) of patients in the study group fell; 13 patients fell more than once and the total number of falls was 112. Twenty-four percent of patients (n = 482) were assessed as being at risk of falling and 54% of falls (n = 61) occurred in the at risk group. Sixteen percent of these falls occurred in the sub-group who had been toileted according to the study protocol and 84% in the sub-group who had not been toileted according to the protocol. There were 53% fewer patient falls during shifts which complied with both the assessment and toileting protocol than during non-compliant shifts. Given the simplicity and effectiveness of the study protocol, the finding that it was not followed on 43% of shifts is of concern.
Bakarich
A
A
Flinders Medical Centre, South Australia.
McMillan
V
V
Prosser
R
R
D000058:Accidental Falls / Q000517:prevention & control*; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D003221:Confusion / Q000451:nursing*; D005260:Female; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000379:methods*; D006784:Hospitals, Teaching; D006801:Humans; D015994:Incidence; D008297:Male; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D015397:Program Evaluation; D014039:Toilet Training