Acute care patient falls: evaluation of a revised fall prevention program following comparative analysis of psychiatric and medical patient falls

06/10/2010

Source: Applied Nursing Research, article in press, August 2010

Follow this link for the abstract

Date of publication: August 2010

Publication type: Journal article

In a nutshell: This study investigated inpatient falls on psychiatric and medical wards in a U.S. community hospital before, during and after changes were made to the hospital’s Fall Assessment and Prevention Policy. The study results showed an increase in the number of medical patient falls despite revisions to the fall policy and a reduction in psychiatric inpatient falls. Most medical falls involved geriatric patients whereas psychiatric patients who fell were mostly female and under the age of 65. Non-compliance will falls prevention procedures relating to the use of non-skid gripper socks, bed exit alarms and the routine review of patient medication profiles were contributing factors to medical patient falls.  As a result of the study which included a survey of nursing staff, the hospital has expanded its falls prevention education programme and uses Patient Safety Attendants to monitor patients at high risk of falling. Patient rounding by nurses and nursing assistants has also been introduced to help further reduce falls.

Length of publication: 7 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.


Influence of medications and diagnoses on fall risk in psychiatric inpatients

18/08/2010

Source: American Journal of Health-System Pharmacy, 2010, 67(15) p. 1274 – 80

Follow this link for the abstract

Date of publication: August 2010

Publication type: Journal article

In a nutshell: This retrospective case-control study set out to identify risk factors for falls in adult psychiatric inpatients. The study examined 774 patients who had fallen, over 50% of whom were female. The median age of patients was 60. The results highlighted specific medications associated with an increased falls risk; however several drugs which were previously considered high risk were not found to be linked to an increased risk of patient falls. Falls were also reported to be more common in patients with bipolar disorder, dementia and Alzheimer’s disease.

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.

Acknowledgement: NeLM News Service, 26 July 2010