Factors Contributing to Falls in Hospitalized Patients: Post-Fall Aggregate Analysis Public Deposited

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  • March 19, 2019
Creator
  • Jones, Carla
    • Affiliation: School of Nursing
Abstract
  • Patient falls and related injuries are one of the most common hospital adverse events in the United States, with millions of patient affected annually. The impact of falls to the patient is considerable as it can affect each patient physically and emotionally, likewise affecting health care organizations through non-reimbursement of falls with injuries. Elimination of patient falls within hospitals continues to be multi-faceted and perplexing, and requires further analysis geared toward understanding commonalities in order to prevent and reduce falls. The aim of the project was to identify and analyze factors contributing to patient falls by performing an aggregate analysis of data about patients who fell while hospitalized at an academic medical center from January 2012 and March 2014. Data were obtained for all adult inpatients that fell from both nursing documentation and post-fall documentation forms. A secondary analysis of the aforementioned data was conducted using both content analysis and examination of the patterns that could be identified for those patients who fell. Content analysis was done to determine typologies of falls from the written descriptions of the fall. Factors from the fall descriptions and post fall documentation were used to develop the patterns. Outcomes included common causes of patients that fell to include patterns include: fell within the first 24 hours, were identified to be at risk for falling, and were unassisted while falling, and were not injured as a result of the fall. Overall, only half of the factors on the post fall documentation routinely were utilized but did align with created typologies from the fall descriptions.
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  • In Copyright
Advisor
  • Jones, Cheryl
  • Lynn, Mary
  • Mandelkehr, Larry
Degree
  • Doctor of Nursing Practice
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2014
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Place of publication
  • Chapel Hill, NC
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