Decreasing the incidence of falls in the nursing home in a cost-conscious environment: a pilot study
To evaluate the prevalence of falls and determine the effectiveness of three simple interventions in decreasing the number of falls in a frail nursing home population. Charts and records were reviewed to determine the prevalence of falls. Falls were tracked according to severity and time and place o...
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Published in | Journal of the American Medical Directors Association Vol. 4; no. 2; p. 95 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
United States
01.03.2003
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Subjects | |
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Abstract | To evaluate the prevalence of falls and determine the effectiveness of three simple interventions in decreasing the number of falls in a frail nursing home population.
Charts and records were reviewed to determine the prevalence of falls. Falls were tracked according to severity and time and place of occurrence. Interventions were made in three areas: (1) Environmental: Room furniture was repositioned. (2) Staffing: One additional staff member was added (by schedule change) at the time when the incidence of falls was highest. (3) Restorative activity program: A program was added at the time when the incidence of falls was high. Falls data were again collected after the intervention.
Before intervention, there were 479 falls resulting in 16 fractures; 221 (46%) of the falls occurred during the 3-11 shift and resulted in 63% (n = 10) of the fractures. After intervention, there were a total of 299 falls and 8 fractures. This represents a statistically significant 38% reduction in the total number of falls and a 50% reduction in the total number of fractures during this period. Additionally, falls on the evening and night shifts were significantly reduced from 221 to 115 falls and 91 to 29 falls, respectively.
Our interventions may have contributed to a decrease in the overall number of falls and resultant fractures. Our data suggest these simple, practical, and easy to implement methods may positively impact the number of falls in other institutions as well. |
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AbstractList | To evaluate the prevalence of falls and determine the effectiveness of three simple interventions in decreasing the number of falls in a frail nursing home population.
Charts and records were reviewed to determine the prevalence of falls. Falls were tracked according to severity and time and place of occurrence. Interventions were made in three areas: (1) Environmental: Room furniture was repositioned. (2) Staffing: One additional staff member was added (by schedule change) at the time when the incidence of falls was highest. (3) Restorative activity program: A program was added at the time when the incidence of falls was high. Falls data were again collected after the intervention.
Before intervention, there were 479 falls resulting in 16 fractures; 221 (46%) of the falls occurred during the 3-11 shift and resulted in 63% (n = 10) of the fractures. After intervention, there were a total of 299 falls and 8 fractures. This represents a statistically significant 38% reduction in the total number of falls and a 50% reduction in the total number of fractures during this period. Additionally, falls on the evening and night shifts were significantly reduced from 221 to 115 falls and 91 to 29 falls, respectively.
Our interventions may have contributed to a decrease in the overall number of falls and resultant fractures. Our data suggest these simple, practical, and easy to implement methods may positively impact the number of falls in other institutions as well. |
Author | Javed, Arshad Hofmann, Mary T Bankes, Patricia F Selhat, Marianne |
Author_xml | – sequence: 1 givenname: Mary T surname: Hofmann fullname: Hofmann, Mary T organization: Abington Memorial Hospital, Abington, Pennsylvania, and Stapeley Nursing Home, Philadelphia, Pennsylvania 19001, USA – sequence: 2 givenname: Patricia F surname: Bankes fullname: Bankes, Patricia F – sequence: 3 givenname: Arshad surname: Javed fullname: Javed, Arshad – sequence: 4 givenname: Marianne surname: Selhat fullname: Selhat, Marianne |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/12807581$$D View this record in MEDLINE/PubMed |
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SubjectTerms | Accidental Falls - prevention & control Accidental Falls - statistics & numerical data Aged Aged, 80 and over Frail Elderly - statistics & numerical data Homes for the Aged - economics Homes for the Aged - manpower Homes for the Aged - organization & administration Humans Incidence Nursing Homes - economics Nursing Homes - manpower Nursing Homes - organization & administration Pilot Projects Retrospective Studies Safety Management - methods United States - epidemiology |
Title | Decreasing the incidence of falls in the nursing home in a cost-conscious environment: a pilot study |
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