Evidence Based Practice : Patient fall Reduction Program - Research Paper Example

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This paper "Evidence Based Practice Paper: Patient fall Reduction Program" author's goal is to discuss some of the practices used in patient fall reduction programs, such as hourly rounding protocol. The paper in detail describes every point, using various examples…
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Evidence Based Practice Paper: Patient fall Reduction Program
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Download file to see previous pages Patient falls can be regarded ubiquitous, which necessitates nurses to seek fresh ways of solving the concern. Patient falls are serious challenges encountered in hospitals; indeed, some studies estimate that inpatient falls account for close to 70% of all inpatient accidents. Based on the risk of significant injury and the associated cost, reduction of falls within hospital settings shapes a major priority for fostering hospital quality and patient safety (Krauss, 2005). Falls among hospitalized patients have risen to become a persistent problem in healthcare settings with an incidence rate of 2.3-7 falls recorded per 1000 patients within American hospitals in which about 30-48% of the falls yield in injury costing hospitals over $4, 200 per fall.
Fitpatrick (2011) notes that close to 50% of hospitalized patients may be exposed to risk for falls, and close to half of the patients who fall suffer an injury. Falls among hospitalized patients can yield to negative impacts such as extended recovery times, extended hospital stays, extended time off work, and heightened costs for patients. The typical hospital stays for patients who sustain a fall when still in admission is 12.3 days longer and the sustained injuries can yield to a 61% increase in patient-care costs. The elderly are mostly susceptible to suffering severe injuries such as hip fractures and head trauma after sustaining a fall.
There are several means that diverse institutions have employed to assess inpatients for exposure to fall risks. As a result, some of the interventions that a majority of hospitals employ include side rails, illumination, call lights, bed alarms, and clutter free environment. The implementation of hourly rounding accompanied by the interventions outlined above can avail a holistic approach to safeguarding against inpatient falls (Perry, Potter, & Ostendorf, 2013). Hourly rounding helps patients to feel cared for and reassured and draws from evidence-based methodology and scripted tools such as documentation log, hourly reporting dashboard, competency checklist, and scheduled meetings between the shift leaders and nursing staff to review. The call light can be considered as a lifeline for hospitalized patients; nevertheless, it can also enforce considerable demands on nursing time. Implementation of hourly rounding delivers positive outcomes in minimizing falls and patient call usage, as well as enhanced patient satisfaction (Melnyk & Fineout-Overholt, 2011). Majority of studies has revealed a reduction in patient falls that are clinically and statistically significant, making hourly rounding one way of fostering clinical excellence. Excessive call light use frequently disrupts nurse workflow that has negative implications for quality care and nurse and patient satisfaction. The implementation of rounding fulfils mundane requests made through call lights, but also demonstrates nurse’s availability to the patient and his/her readiness to anticipate the patient’s needs (Christine, Amy, & Lyn, 2006). Hourly rounding with certain nurse actions is proactive, which allows nurses to manage both patient care and time efficiently. Instead of adding up to the ...Download file to see next pagesRead More
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