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Effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments

PURPOSE: Falls are a common adverse event experienced by elderly in hospitals. This study assessed the effects of a fall prevention program on the rate of fallers, the patient safety culture, and patient-perceived safety. MATERIALS AND METHODS: Two orthopedic departments in different towns in Norway...

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Autores principales: Røyset, Bodil, Talseth-Palmer, Bente A, Lydersen, Stian, Farup, Per G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339647/
https://www.ncbi.nlm.nih.gov/pubmed/30697039
http://dx.doi.org/10.2147/CIA.S191832
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author Røyset, Bodil
Talseth-Palmer, Bente A
Lydersen, Stian
Farup, Per G
author_facet Røyset, Bodil
Talseth-Palmer, Bente A
Lydersen, Stian
Farup, Per G
author_sort Røyset, Bodil
collection PubMed
description PURPOSE: Falls are a common adverse event experienced by elderly in hospitals. This study assessed the effects of a fall prevention program on the rate of fallers, the patient safety culture, and patient-perceived safety. MATERIALS AND METHODS: Two orthopedic departments in different towns in Norway participated in the study. A comprehensive, multifactorial fall prevention program was implemented in one of the departments, the other one was used for control. The changes in the outcomes in the two departments from before to after the intervention were compared. All patients above 64 years of age admitted to the two departments in a 1-year period before and after the intervention were included. All employees at the two departments were invited to participate in surveys measuring the patient safety culture, and a selection of the patients reported patient-perceived safety. The primary outcome was the rate of fallers. Secondary outcomes were the employees’ perceived patient safety culture (measured with the Safety Attitudes Questionnaire) and patient-perceived safety (measured with Norwegian Patient Experience Questionnaire). RESULTS: Falls were registered in 114 out of 3,143 patients (3.6%) with 17,006 days in the hospital. Ten patients had two falls, giving a fall rate of 7.3 falls/1,000 days in the hospital. The number of fallers before and after the intervention in the intervention department were 37/734 (5.04%) and 31/735 (4.22%), P=0.46, and in the control department, 25/811 (3.08%) and 21/863 (2.43%), P=0.46. The difference between the changes in the two departments was not statistically significant; 0.17% (95% CI: −2.49 to 2.84; P=0.90). There were also no significant differences in the changes in patient safety culture and patient-perceived safety. CONCLUSION: The fall prevention program revealed no significant effect on the rate of fallers, the patient safety culture, or patient-perceived safety.
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spelling pubmed-63396472019-01-29 Effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments Røyset, Bodil Talseth-Palmer, Bente A Lydersen, Stian Farup, Per G Clin Interv Aging Original Research PURPOSE: Falls are a common adverse event experienced by elderly in hospitals. This study assessed the effects of a fall prevention program on the rate of fallers, the patient safety culture, and patient-perceived safety. MATERIALS AND METHODS: Two orthopedic departments in different towns in Norway participated in the study. A comprehensive, multifactorial fall prevention program was implemented in one of the departments, the other one was used for control. The changes in the outcomes in the two departments from before to after the intervention were compared. All patients above 64 years of age admitted to the two departments in a 1-year period before and after the intervention were included. All employees at the two departments were invited to participate in surveys measuring the patient safety culture, and a selection of the patients reported patient-perceived safety. The primary outcome was the rate of fallers. Secondary outcomes were the employees’ perceived patient safety culture (measured with the Safety Attitudes Questionnaire) and patient-perceived safety (measured with Norwegian Patient Experience Questionnaire). RESULTS: Falls were registered in 114 out of 3,143 patients (3.6%) with 17,006 days in the hospital. Ten patients had two falls, giving a fall rate of 7.3 falls/1,000 days in the hospital. The number of fallers before and after the intervention in the intervention department were 37/734 (5.04%) and 31/735 (4.22%), P=0.46, and in the control department, 25/811 (3.08%) and 21/863 (2.43%), P=0.46. The difference between the changes in the two departments was not statistically significant; 0.17% (95% CI: −2.49 to 2.84; P=0.90). There were also no significant differences in the changes in patient safety culture and patient-perceived safety. CONCLUSION: The fall prevention program revealed no significant effect on the rate of fallers, the patient safety culture, or patient-perceived safety. Dove Medical Press 2019-01-15 /pmc/articles/PMC6339647/ /pubmed/30697039 http://dx.doi.org/10.2147/CIA.S191832 Text en © 2019 Røyset et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Røyset, Bodil
Talseth-Palmer, Bente A
Lydersen, Stian
Farup, Per G
Effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments
title Effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments
title_full Effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments
title_fullStr Effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments
title_full_unstemmed Effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments
title_short Effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments
title_sort effects of a fall prevention program in elderly: a pragmatic observational study in two orthopedic departments
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6339647/
https://www.ncbi.nlm.nih.gov/pubmed/30697039
http://dx.doi.org/10.2147/CIA.S191832
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