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Hill-Rom® Clinical Resource Center

Helping you implement evidence-based programs with connected technologies

Hill-Rom® Clinical Resource Center

Fall Prevention

Fall Prevention

  • Fall Prevention and bathroom safety in the epilepsy monitoring unit
    Spritzer SD, et al. | Epilepsy & Behavior | 2015

    Falls are one of the most common adverse events in the epilepsy monitoring unit, however, little is known regarding effectiveness of specific interventions due to variation in protocols and procedures between institutions. Over the course of 12 years, Mayo Clinic Arizona initiated several interventions to decrease falls and improve patient and caregiver safety resulting in a trend of decreasing fall frequency. However, no specific intervention could be identified as having a high impact on fall rates until the MasterVest™ ceiling lift system was put in place for use in all EMU patients when out of bed. Over 15 months after adopting the ceiling lift system, no falls occurred; preventing an expected 2.13 falls a year.

  • Preventing Falls and Eliminating Injury at Ascension Health
    Lancaster, Ava D. | The Joint Commission Journal on Quality and Patient Data | 2007

    Ascension Health achieved a 9.9% system wide reduction in falls by improving their processes and integrating Hill-Rom’s VersaCare bed and bed exit alarm. In addition, the rate of falls with serious injury decreased by 6.4% during the same period. This article outlines the four key strategies and supporting tactics used to accomplish this outcome.

  • Pragmatic, Cluster Randomized Trial of a Policy to Introduce Low-Low Beds to Hospital Wards for the Prevention of Falls and Fall Injuries
    Haines TP, et al. | Journal of the American Geriatrics Society | 2010

    This 6-month randomized trial evaluates the efficacy of a policy to utilize low-low beds for the prevention of falls and fall injuries on wards that had not previously accessed low-low beds. Analysis of the data revealed that  a policy for the use of low-low beds did not appear to reduce fall injuries due to the lack of a significant difference in the rate of falls per 1,000 occupied bed days between intervention and control group wards.

  • Effects of Bed Height On the Biomechanics of Hospital Bed Entry and Egress
    Merryweather AS, et al. | Journal of WORK | 2015

    A large percentage of patient falls in hospitals occur near the bed, and yet little is known about the impact of bed height to fall risk. This study compared joint torques and angles during bed entry and egress at two heights. Twelve elderly adults (>55 year-old) with various ailments were selected who also had variety of strength and mobility limitations. Results show that at low bed height (38 cm), hip torque for bed entry was significantly higher, and hip, knee, and ankle flexion angles were significantly smaller. A full 50% of participants were unable to get out of the low bed without assistance. The authors conclude that low bed heights, which were were designed for the elderly with a high falling risk, pose safety risks for that population.

  • Inpatient fall prevention programs as a patient safety strategy: a systematic review.
    Miake-Lye IM, et al. | Annals of Internal Medicine | 2013

    This systematic review, including 4 meta-analyses involving 19 studies, shows that comprehensive fall prevention programs can help reduce the risk of inpatient falls by as much as 30%. Addressing the benefits and harms of fall prevention programs in an acute care setting, Miake-Lye identifies several factors crucial for the successful implemetation of the program including responsive leadership, staff engagement and pilot testing. 

  • Reducing patient falls: A call to action
    Jorgensen J | American Nurse Today | 2011

    Falls are the leading cause of injury-related deaths and the most common cause of injuries and hospital admissions in adults age 65 years and older. Fall-induced injuries result in prolonged hospitalization and staggering economic costs. The need for a comprehensive falls-reduction programs across the country has never been greater.

  • How to build a successful business case for a falls-reduction program
    Forte J | American Nurse Today | 2011

    Joan Forte examines the necessary components to  build a successful business case for a falls-reduction program. Following the nursing process of assess, plan, implement, and evaluate, this article guides nurses in creating a business case. 

  • Components of a comprehensive fall-risk assessment
    Kulik C | American Nurse Today | 2011

    Up to 50% of hospital patients are at risk for falls, and falling may result in injuries and prolonged hospital stays. Identifying patients who are at risk for falls by utilizing a comprehensive fall-risk program can significantly improve a hospital's fall rate. This article discusses the specific components of a fall-risk program including improved communication and education, regular reevaluation, mobility monitoring, and maintaing a safe enviroment.

  • Focusing on staff awareness and accountability in reducing falls
    Payson C | American Nurse Today | 2011

    Integrating fall prevention into a hospital's overall patient-centered care model holds staff members accountable for patient safety. By increasing accountability and awareness, a consistent approach to reducing falls and patient injuries is achieved. This article discusses the steps to achieve transparency and understanding of fall prevention and patient safety expectations amongst hospital employees. 

  • Creating a culture of safety: Building a sustainable falls-reduction program. The Magnet™ Model's five components can serve as the program's framework
    Wexler SS | American Nurse Today | 2011

    In order to create a culture of safety that sustains a fall-prevention program necessary for Joint Commission Accreditation, the authors recommend facilities utilize the Magnet™ Model of the Amercian Nurses Credentialing Center. This model puts the patient and family at the center of care and focuses on a nurse-patient relationship of postive and individualized treatment. 

  • Current and emerging innovations to keep patients safe. Technological innovations play a leading role in falls-prevention programs.
    Quigley P | American Nurse Today | 2011

    This article discusses the critical role technological innovation plays in healthcare organizations to promote patient safety and support fall-prevention programs. Various technologies are discussed including gait belts, bed and chair alarms, smart beds, mobility devices, walkers, and wheeelchairs. 

  • The Cost of Serious Fall-Related Injuries at Three Midwestern Hospitals
    Wong CA, et al. | Joint Commission Journal on Quality and Patient Safety | 2011

    This study was conducted using data from Barnes-Jewish Hospital, a 1,300-bed tertiary care teaching hospital located in St. Louis; Christian Hospital, a 493-bed acute care hospital located in north St. Louis County; and Missouri Baptist Medical Center, a 489-bed acute care hospital located in west St. Louis County.

  • Preventing Falls and Falls Related Injuries in Hospitals
    Oliver D, et al. | Clinical Geriatric Medicine | 2010

    The majority of hospital beds in the developed nations are occupied by older people, many of whom have been admitted because of mobility problems, falls or injury from falls.  With the population aging and projected increases in the number of people surviving with functional impairment, cognitive impairment or multiple long-term conditions, these trends are likely to continue making fall prevention a very pressing risk management challenge for hospitals and a real threat to patient safety.

  • Serious Falls in Hospitalized Patients: Correlates and Resource Utilization
    Bates DW, et al. | American Journal of Medicine | 1995

    In this retrospective chart review study of 62 cases, Bates, et al, found a strong correlation between falls and a 12 day increase in hospital LOS (71%) as well as a $4233 higher cost of care per patient (61%) in 1995 dollars.

  • A Cost-Effective Analysis of a Proposed National Falls Prevention Program
    Wu S, et al. | Clinical Geriatric Medicine | 2010

    This recent study showed that all falls are costly to the healthcare system.  A single fall, without injury, cost $2500 while a single fall, with serious injury, cost $27000 in 2010 dollars.  This study suggests that a nationally funded fall prevention program would be cost-effective for CMS under specific funding parameters.

  • Advances in Patient Safety Fall and Injury Prevention
    Currie L | Agency for Healthcare Research and Quality | 2008

    Chapter 10 of "Patient Safety and Quality: An Evidence-Based Handbook for Nurses" focuses on fall and injury prevention.  It provides a comprehensive overview of the problem of falls, research in the space and interventions studies to the date of publication.  Of note, Currie provides evidence-based practice recommendations worthy of review.

  • AGS/BGS Clinical Practice Guideline: Prevention of Falls in Older Persons
    American Geriatric Society | 2010

    This multidisciplinary clinical practice guideline discusses barriers to and describes recommendations for the prevention of falls in the elderly in clinical practice.

  • Fall Prevention Program

    Inpatient falls are a driver of morbidity and mortality and lead to large unreimbursed expenses. Learn how our expert clinicians can help you design, implement and measure a Fall Prevention Program today.

  • Interventions for Preventing Falls in Older People in Care Facilities and Hospitals
    Cameron, ID, et al. | The Cochrane Collaboration | 2013

    This review included 60 randomised controlled trials involving 60,345 participants. Forty-three trials (30,373 participants) were in care facilities, and 17 (29,972 participants) in hospitals. Despite the large number of trials, there was limited evidence to support any one intervention.

  • Health Care Protocol: Preventing of Falls (Acute Care)
    Degelau J, et al. | Institute for Clinical Systems Improvement | 2008

    According the the National Center for Injury Prevention and Control, falls are a leading cause of hospital-acquired injury, and frequently prolong or complicate hospital stays. Falls are the most common adverse event reported in hospitals. The Institute for Clinical Systems Improvement (ICSI) Prevention of Falls Protocol  includes recommendations for a risk assessment for falls in hospitalized patients, and focuses on the strategies and interventions required for the prevention of falls and eventual elimination of falls with injury in acute care settings. The target population is adult patients in an acute care setting.

  • VA NCPS Toolkit
    Quigley P | Veterans Affairs (VA) | 2014

    The 2014 VA NCPS Falls Toolkit is designed for all facilities whether they already have a falls prevention program or would like to start one. There are several ways to use this toolkit. You can start on one of the scenarios listed below and turn to specific sections that you think will address your needs. You can also use the toolkit to develop information packets for patients and staff about falls and fall prevention.

  • Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
    Ganz DA, et al. | cy for Healthcare Research and Quality (AHRQ) | 2013

    The 2013 AHRQ Hospital Fall Prevention Toolkit is a wonderful resource for those looking for a comprehensive resource to get started.  The toolkit provides evidence-based practices for fall prevention and injury reduction.  AHRQ specifically recommends developing care plans/goals, using a systematic approach or repeated assessment and adjustment and including robust analysis in a quality improvement program.

  • How-to Guide: Reducing Patient Injuries From Falls
    Boushon B, et al. | Institute for Healthcare Improvement | 2012

    The How-to Guide: Reducing Patient Injuries from Falls presents a promising new approach developed within the Transforming Care at the Bedside (TCAB) initiative. In 2006, eight hospitals with strong leadership commitment to a culture of innovation and a special interest in reducing injury from falls received RWJF grants to test, and measure comprehensive changes aimed at reducing patient injury from falls on medical and surgical units. In 2007, these hospitals continued to test innovations in falls and injury prevention in hospitals through a second IHI Falls Collaborative. During this time, key components for reducing falls-related injuries were specified for organization-level and unit-level programs. Unit-level strategies focused on assessment, intervention, and communication about fall risks, injury risks, and management.

     

  • Best Practice for Falls Reduction: A Practical Guide
    American Nurse Today | 2011

    This special report contains articles written by key thought leaders in fall prevention.  The document provides a review of programs, care processes, assessment methods and outcomes associated with fall prevention strategies.

  • Beyond the Falling Star: Sustained Decreases in Falls and Injuries with Targeted Bed Exit Alarm, Staff Education Icons, and Patient Education Video
    Cuttler, et al. | CALNOC | 2015

    Fall injuries among hospitalized inpatients are one of the most common hospital-acquired conditions. This study aimed to improve patient and staff awareness of falls through "falling star" icons and staff and patient education videos while, also examining the relationship between fall reduction and use of an integrated three-mode-bed-exit alarm. Over the course of 1,000 patient days, serious fall injuries were reduced by 58%. The patient education video and individualized "falling star" icons were associated with decreases in falls and fall-related injury.   

  • West Branch Regional Medical Center Reduces Fall Rate by 55% and Reduces Annual Fall-Related Costs by an Estimated 70%
    2016

    West Branch Regional Medical Center implemented initiatives to help reduce the number of patient falls by reinforcing prevention protocols and integrating 35 Hill-Rom® Advanta™ 2 beds. The fall rate decreased by 55% and the injury fall rate decreased by 27% with an estimated decrease in annual fall-related costs by 70%.