scholarly journals Change Project Using a Fall Prevention Action Program to Decrease Falls on a Behavioral Health Unit

2021 ◽  
Author(s):  
◽  
Amy Shuptrine

Practice Problem: Fall rates are increasing in the behavioral health units of the East Texas hospital. Due to the worldwide COVID-19 pandemic, the units are short-staffed, which further supports the urgent need for a targeted intervention to reduce fall risk. PICOT: The PICOT question that guided this project was: “In adult behavioral health patients (P), what is the effect of the Edmonson Psychiatric Fall Risk Assessment Tool (I), compared with previous use of the Morse Fall Risk tool (C), on the fall rate (O), in 8 weeks (T)?” Evidence: Falls are the most reported incidents in acute care hospitals and falls of behavioral health patients are more challenging to mitigate than those of other patients. Evidence suggested that the Edmonson Psychiatric Fall Risk Assessment Tool aided in identifying and mitigating fall risks by tailoring care plans to individual patients. Intervention: The Edmonson Psychiatric Fall Risk Assessment Tool was completed on every patient over the age of 18 years, which was admitted, discharged, falling, or had a change in condition, while on the psychiatric unit. The risk assessment was used to determine the risks and other factors that contribute to the patient falling. Once the contributors were identified, the data was used to put interventions into place and revise each individualized care plan to decrease falls. Outcome: The intended outcome was to identify patients that were at substantial risk for falls using the EPFRAT tool, mitigate some of their risks, and therefore decrease falls. Conclusion: Continued emphasis on the fall risks of behavioral health patients will be paramount in the management and success of the continued improvement in patient outcomes.

Author(s):  
Francisco José Ariza-Zafra ◽  
Rita P. Romero-Galisteo ◽  
María Ruiz-Muñoz ◽  
Antonio I. Cuesta-Vargas ◽  
Manuel González-Sánchez

Author(s):  
Indri Hapsari Susilowati ◽  
Susiana Nugraha ◽  
Sabarinah Sabarinah ◽  
Bonardo Prayogo Hasiholan ◽  
Supa Pengpid ◽  
...  

Introduction: One of the causes of disability among elderly is falling. The ability to predict the risk of falls among this group is important so that the appropriate treatment can be provided to reduce the risk. The objective of this study was to compare the Stopping Elderly Accidents, Deaths, & Injuries (STEADI) Initiative from the Centers for Disease Control and Prevention (CDC) and The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) from the Johns Hopkins University. Methods: This study used the STEADI tool, JHFRAT, Activities-Specific Balance Confidence Scale (ABC), and The Geriatric Depression Scale (GDS). The study areas were in community and elderly home in both public and private sectors and the samples were 427 after cleaning. Results: The results for the STEADI and JHFRAT tools were similar where the respondents at highest risk of falling among women (STEADI: 49%; JHFRAT: 3.4%), in Bandung area (63.5%; 5.4%), in private homes (63.3%; 4.4%), non-schools (54.6%; 6.2%), aged 80 or older (64.8%; 6.7%) and not working (48.9%;3.3%). The regression analysis indicated that there was a significant relationship between the risk factors for falls in the elderly determined by the JHFRAT and STEADI tools: namely, region, type of home, age, disease history, total GDS and ABC averages. Conclusion: Despite the similarity in the risk factors obtained through these assessments, there was a significant difference between the results for the STEADI tool and the JHFRAT. The test strength was 43%. However, STEADI is more sensitive to detect fall risk smong elderly than JHFRATKeywords: Activities-Specific Balance Confidence scale, elderly, fall risk,The Johns Hopkins Fall Risk Assessment Tool, the Stopping Elderly Accidents, Deaths, & Injuries


2017 ◽  
Author(s):  
Miki Higaonna ◽  
Maki Enobi ◽  
Shizuka Nakamura

1996 ◽  
Vol 9 (4) ◽  
pp. 213-218 ◽  
Author(s):  
Suzanne MacAvoy ◽  
Teresa Skinner ◽  
Maria Hines

2018 ◽  
Vol 33 (1) ◽  
pp. 10-19 ◽  
Author(s):  
Stephanie S. Poe ◽  
Patricia B. Dawson ◽  
Maria Cvach ◽  
Margaret Burnett ◽  
Sowmya Kumble ◽  
...  

Author(s):  
Ather Nawaz ◽  
Jorunn Laegdheim Helbostad ◽  
Lorenzo Chiari ◽  
Federico Chesani ◽  
Luca Cattelani

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