A hierarchical alarm model for elderly fall prevention sensors

17/05/2017

Source: Pervasive and Mobile Computing, 2017, online

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Date of publication: April 2017

Publication type: Journal article

In a nutshell: New technologies allow for automatic monitoring of hospitalised older people, helping clinical staff to supervise to reduce falls. This paper introduces a hierarchical model to predict alarming states in a sensor worn over clothes. The hierarchy predicts levels of danger to warn clinical staff of possible fall danger.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to  find your local NHS Library.


Preoperative Falls Predict Postoperative Falls, Functional Decline, and Surgical Complications

19/10/2016

Source: EBioMedicine, 2016, online

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Date of publication: August 2016

Publication type: Journal article

In a nutshell: Falls are common and linked to morbidity. This study’s objectives were to characterize postoperative falls, and determine whether preoperative falls independently predicted postoperative falls (primary outcome), functional dependence, quality of life, complications, and readmission. It concluded that falls are common after surgery, and preoperative falls herald postoperative falls and other adverse outcomes. A history of preoperative falls should be routinely ascertained.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Predictive Factors for Inpatient Falls among Children with Cerebral Palsy

19/10/2016

Source: Journal of Pediatric Nursing, 2016, online

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Date of publication: September 2016

Publication type: Journal article

In a nutshell: Inpatient falls are of significant concern. The aim of this prospective study was to determine the predictors of inpatient falls among children with cerebral palsy in a rehabilitation hospital. A total of 93 patients with cerebral palsy were assessed based on a variety of tests. The study found that children with cerebral palsy may experience inpatient falls, but further studies are required in order to develop prevention programs. For patients diagnosed with cerebral palsy, these results may help identify possible inpatient fallers on hospital admission.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Predictive factors for inpatient falls among children with cerebral palsy

19/10/2016

Source: Journal of Pediatric Nursing, 2016, online

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Date of publication: September 2016

Publication type: Journal article

In a nutshell: This prospective study looked into the predictors of inpatient falls among children with cerebral palsy in a rehabilitation hospital. It found that behavioural problems (according to the mother’s statement), inability to maintain a long sitting position, ability to balance unsupported on knees, a history of frequent falls and a negative Thomas test were likely to increase the risk of falls. These results may help identify possible inpatient fallers on hospital admission, though further studies are required to develop prevention programmes.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


The Nicklaus Children’s Hospital Humpty Dumpty Falls Prevention Program™

21/06/2016

Source: Nurse Leader, 2016, Vol 14 no 3 p. 212-218

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Date of publication: June 2016

Publication type: Journal article

In a nutshell: Nicklaus Children’s Hospital is in South Florida and is a licensed speciality hospital exclusively for children, with a mission to safeguard hospitalized children by keeping them safe from harm. The organization has gained international attention for its seminal work in preventing falls in the paediatric population, integrating the American Nurses Credentialing Center (ANCC) Magnet® Model and exemplary professional practice. The Humpty Dumpty Falls Prevention Program™ is an innovative, evidence-based tool that has become a standard of safe paediatric care, decreasing paediatric patient falls while evolving into a standard of care around the globe.

Length of publication: 6 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link fto find your local NHS Library.


Redevelopment of a new patient-centred fall prevention toolkit

23/05/2016

Source: Applied Ergonomics, 2016, Vol 56 p. 117-126

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Date of publication: September 2016

Publication type: Journal article

In a nutshell: An electronic decision support known as Fall TIPS (Tailoring Interventions for Patient Safety) has proven effective in decreasing hospital falls. A paper version was developed for those hospitals without the resources to implement the electronic version, though more work is needed to optimise the effectiveness of the paper version of the tool. This study looks back at the design, which included input from patients and clinical staff to increase its adoption as well as fall prevention best pracices. The redesigned paper toolkit included a clnical decision support system and increased ease of use compared to the original.

Length of publication: 9 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find yor local NHS Library.


Experimental identification of potential falls in older adult hospital patients

21/04/2016

Source: Journal of Biomechanics, 2016, online

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Date of publication: February 2016

Publication type: Journal article

In a nutshell: Patient falls within hospitals are mainly preventable, but are a serious source of incidents among older patients. This study seeks to identify possible extrinsic or situational factors related to falls, which is lacking in literature, such as patient motions, environmental design factors in bathrooms, and clinician zones in a patient’s room. Results suggest that only motion-related factors contribute significantly to falls in the bathroom, whereas only pushing and pulling contribute in the clinician zone. Future work includes updating environmental design factors associated with these motions in a patient’s room and performing motion capture experiments using the new setup.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Patient perceptions with falls during hospitalization and after discharge

14/03/2016

Source: Applied Nursing Research, 2016, Vol 31 p. 79-85

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Date of publication: August 2016

Publication type: Journal article

In a nutshell: This study aims to describe the perceptions of hospitalised older people around their falls risk and fall prevention strategies received while hospitalised, and any instructions they received to prevent possible falls after discharge.

Length of publication: 6 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Fall risk assessment: retrospective analysis of Morse Fall Scale scores

14/03/2016

Source: Applied Nursing Research, 2016, Vol 31 p. 34-40

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Date of publication: August 2016

Publication type: Journal article

In a nutshell: The Morse Fall Scale is used in several care settings for fall risk assessment and supports the implementation of preventive nursing interventions. This study aims to analyse its scores to compare patient characteristics, diagnoses and lengths of stay, looking at elderly female patients in Portugal. There were no statistical differences in Morse Fall Scale score between the first and the last assessment.

Length of publication: 6 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Unintentional injuries treated in emergency departments among older people

16/12/2015

Source: Journal of Safety Research, 2015, online

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Date of publication: December 2015

Publication type: Journal article

In a nutshell: In the USA, unintentional injuries among older adults, and especially falls-related injuries, are an increasing public health concern. In 2011, 65% of these injuries were due to falls, which increased with age and peaked at the ≥ 100 age group. Prevention efforts to reduce falls and resulting injuries among adults aged ≥ 65 years have the potential to increase well-being and reduce health care spending. Increasing knowledge about fall risk factors and broadly disseminating evidence-based injury and fall prevention programs in both clinical and community settings must be priorities.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full ext of the article. Follow this link to find your local NHS Library.


Fall rates in hospital rehabilitation units after individualised education programmes

15/05/2015

Source: The Lancet, 2015, online

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Date of publication: April 2015

Publication type: Journal article

In a nutshell: Falls are the most frequent adverse events that are reported in hospitals. The effectiveness of individualised falls-prevention education for patients were examined, supported by training and feedback for staff, delivered as a ward-level programme. Eight rehabilitation units in general hospitals in Australia participated. Individualised patient education programmes combined with training and feedback to staff added to usual care were found to reduce the rates of falls and injurious falls in older patients in rehabilitation hospital-units.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Are Interprofessional Roundtable Debriefings Useful in Decreasing ED Fall Rates?

15/05/2015

Source: Journal of Emergency Nursing, 2015, online

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Date of publication: April 2015

Publication type: Journal article

In a nutshell: There are more than one million patient falls each year in the United States. Falls are known to be a sign of poor health, are a marker of a decline in function, and are associated with a decline in morbidity. The objective of this study was to determine the effectiveness of a Falls Roundtable intervention for reducing the rates of patient falls in an urban academic trauma centre emergency department. The Falls Roundtable incident debriefing intervention alone does not appear to be an effective tool for fall prevention in the ED setting but may serve as an integral component of a multifaceted fall-reduction strategy.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Developing a fall-reduction programme for lower-extremity joint arthroplasty patients

15/01/2015

Source: Anesthesiology Clinics, 2014, Vol 32 no 4 p. 853-864

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Date of publication: December 2014

Publication type: Journal article

In a nutshell: Total joint arthroplasty patients are at increased risk for post-operative falls, but by working as a team, people of different specialities can provide a multidisciplinary approach that is associated with greater success in implementing interventions and reducing fall rates. These interventions are an integral part of patient care, and are necessary for long-term changes. Multicomponent interventions addressing specific risk factors are also essential to a successful fall reduction programme.

Length of publication: 11 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Brief pain inventory could help those at risk of falls

16/10/2014

Source: Geriatrics and Gerontology International, online 28 August 2014

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Date of publication: August 2014

Publication type: Journal article

In a nutshell: This study aimed to investigate the relationship between chronic musculoskeletal pain and falls, which are common in community-dwelling older adults. Another aim was to determine the discriminative validity of the Brief Pain Inventory to differentiate between non-fallers, any fallers and recurrent fallers. The BPI was found to be useful to differentiate in such a way in clinical settings.

Length of publication: 1 page

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.