title: Evaluation of Nursing Actions Documented in EHRs for Patients Falls Against Clinical Practice Guidelines in a Korean Tertiary Hospital.
abstract: OBJECTIVE
  Many fall prevention strategies have been used for reducing fall rates. The purpose was to evaluate fall prevention nursing against clinical practice guidelines and effectiveness of preventing strategies according to risk group.
  
  
  METHODS
  We developed fall survey form after securing consistencies (Fleiss Kappa = .83). The EHRs of 447 events from June 1, 2014 to May 31, 2015 were reviewed. Descriptive statistics and Chi-square test were used for statistical tests.
  
  
  RESULTS
  There were recorded 'Keep bed with brakes locked' in 272 patients (60.9%). Compared with clinical practice guidelines, 'instruction of patients to ask for help actively' and 'keep patients care areas uncluttered.' actions were few in EHRs. There were significant differences between risk groups in 28 nursing actions.
  
  
  CONCLUSIONS
  This study shows that fall prevention strategies according to risk groups are insufficient to prevent falls. Instruction about critical time that patients should ask for help should be considered.
authors.affiliation: Department of Nursing, Asan Medical Center, Seoul, Korea.
authors.forename: Youngshin
authors.initials: Y
authors.lastname: Lee
authors.affiliation: Department of Nursing, Asan Medical Center, Seoul, Korea.
authors.forename: Eunju
authors.initials: E
authors.lastname: Choi
authors.affiliation: Department of Nursing, Asan Medical Center, Seoul, Korea.
authors.forename: Eunjung
authors.initials: E
authors.lastname: Yang
authors.affiliation: Department of Nursing, Asan Medical Center, Seoul, Korea.
authors.forename: Jihui
authors.initials: J
authors.lastname: Kim
authors.affiliation: Department of Nursing, Asan Medical Center, Seoul, Korea.
authors.forename: YeonHee
authors.initials: Y
authors.lastname: Kim
authors.affiliation: College of Nursing, Seoul National University, Seoul, Korea.
authors.forename: Hyeoun-Ae
authors.initials: HA
authors.lastname: Park
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control* / Q000706:statistics & numerical data*; D057286:Electronic Health Records / Q000592:standards / Q000706:statistics & numerical data*; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006801:Humans; D009732:Nursing Care / Q000592:standards* / Q000706:statistics & numerical data; D009737:Nursing Records / Q000592:standards / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D015995:Prevalence; D056910:Republic of Korea / Q000453:epidemiology; D012307:Risk Factors; D062606:Tertiary Care Centers / Q000592:standards / Q000706:statistics & numerical data