title: [Hospital falls, improvement strategy for reducing their incidence].
abstract: OBJECTIVE
  To evaluate the evolution of falls with the implemented measures to improve the attention of patients at risk and to reduce the number of falls. To know the characteristics of patients who have suffered fall-related injuries.
  
  
  METHODS
  All the falls registered between 2008 and 2013 have been analyzed to determine the evolution of these and to describe the implemented measures through the electronic clinical history at University Hospital of Fuenlabrada. The incidence of falls in hospitalized patients has been estimated and the evolution with the chi square test has been studied. The frequencies of the characteristics of patients who fall has been presented: age, length of stay, performed activity, patient companion, mobility level, state of consciousness.
  
  
  RESULTS
  445 registered falls happened. 2009 is the year with the highest number of falls, 86 patients fell of a total of 15,819 discharged patients (0.55%). The statistic drops until 2013, where 55 patients fell out of 15,052 discharged patients (0.37%). This difference was not statistically significant.
  
  
  CONCLUSIONS
  The deployment of an assessment about fall risk at admission has helped to identify individualized risk factors. Furthermore, the awareness and alerts to the nursing staff have helped to consider fall prevention as a rutinary procedure, hence appropriate measures can be implemented on the most vulnerable patients.
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España. Electronic address: mariaeloisa.garcia@salud.madrid.org.
authors.forename: M Eloisa
authors.initials: ME
authors.lastname: García-Huete
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España.
authors.forename: Tomás
authors.initials: T
authors.lastname: Sebastián-Viana
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España.
authors.forename: Isabel
authors.initials: I
authors.lastname: Lema-Lorenzo
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España.
authors.forename: Mónica
authors.initials: M
authors.lastname: Granados-Martín
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España.
authors.forename: Nuria
authors.initials: N
authors.lastname: Buitrago-Lobo
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España.
authors.forename: M del Pilar
authors.initials: Mdel P
authors.lastname: Heredia-Reina
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España.
authors.forename: Margarita
authors.initials: M
authors.lastname: Merino-Ruiz
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España.
authors.forename: Esther
authors.initials: E
authors.lastname: Ventosa-Hernández
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Gutiérrez-Fernández
authors.affiliation: Hospital Universitario de Fuenlabrada , Fuenlabrada, Madrid, España.
authors.forename: M Luisa
authors.initials: ML
authors.lastname: Mota-Boada
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D006760:Hospitalization; D006801:Humans; D015994:Incidence; D009740:Nursing Staff; D012307:Risk Factors
keywords: Caídas; Electronic health records; Epidemiology, Hospital; Epidemiología; Falls; Historia clínica electrónica; Hospital