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Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers
INTRODUCTION: Falls are a frequent reason geriatric patients visit the emergency department (ED). To help providers, the Geriatric Emergency Department Guidelines were created to establish a standard of care for geriatric patients in the ED. We conducted a survey of emergency providers to assess 1)...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Department of Emergency Medicine, University of California, Irvine School of Medicine
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7390582/ https://www.ncbi.nlm.nih.gov/pubmed/32726252 http://dx.doi.org/10.5811/westjem.2020.4.43387 |
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author | Davenport, Kathleen Cameron, Amy Samson, Margot Sri-on, Jiraporn Liu, Shan W. |
author_facet | Davenport, Kathleen Cameron, Amy Samson, Margot Sri-on, Jiraporn Liu, Shan W. |
author_sort | Davenport, Kathleen |
collection | PubMed |
description | INTRODUCTION: Falls are a frequent reason geriatric patients visit the emergency department (ED). To help providers, the Geriatric Emergency Department Guidelines were created to establish a standard of care for geriatric patients in the ED. We conducted a survey of emergency providers to assess 1) their knowledge of fall epidemiology and the geriatric ED guidelines; 2) their current ED practice for geriatric fall patients; and 3) their willingness to conduct fall-prevention interventions. METHODS: We conducted an anonymous survey of emergency providers including attending physicians, residents, and physician assistants at a single, urban, Level 1 trauma, tertiary referral hospital in the northeast United States. RESULTS: We had a response rate of 75% (102/136). The majority of providers felt that all geriatric patients should undergo screening for fall risk factors (84%, 86/102), and most (76%, 77/102) answered that all geriatric patients screened and at risk for falls should have an intervention performed. While most (80%, 82/102) answered that geriatric falls prevention was very important, providers were not willing to spend much time on screening or interventions. Less than half (44%, 45/102) were willing to spend 2–5 minutes on a fall risk assessment and prevention, while 46% (47/102) were willing to spend less than 2 minutes. CONCLUSION: Emergency providers understand the importance of geriatric fall prevention but lack knowledge of which patients to screen and are not willing to spend more than a few minutes on screening for fall interventions. Future studies must take into account provider knowledge and willingness to intervene. |
format | Online Article Text |
id | pubmed-7390582 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Department of Emergency Medicine, University of California, Irvine School of Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-73905822020-07-31 Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers Davenport, Kathleen Cameron, Amy Samson, Margot Sri-on, Jiraporn Liu, Shan W. West J Emerg Med Geriatrics INTRODUCTION: Falls are a frequent reason geriatric patients visit the emergency department (ED). To help providers, the Geriatric Emergency Department Guidelines were created to establish a standard of care for geriatric patients in the ED. We conducted a survey of emergency providers to assess 1) their knowledge of fall epidemiology and the geriatric ED guidelines; 2) their current ED practice for geriatric fall patients; and 3) their willingness to conduct fall-prevention interventions. METHODS: We conducted an anonymous survey of emergency providers including attending physicians, residents, and physician assistants at a single, urban, Level 1 trauma, tertiary referral hospital in the northeast United States. RESULTS: We had a response rate of 75% (102/136). The majority of providers felt that all geriatric patients should undergo screening for fall risk factors (84%, 86/102), and most (76%, 77/102) answered that all geriatric patients screened and at risk for falls should have an intervention performed. While most (80%, 82/102) answered that geriatric falls prevention was very important, providers were not willing to spend much time on screening or interventions. Less than half (44%, 45/102) were willing to spend 2–5 minutes on a fall risk assessment and prevention, while 46% (47/102) were willing to spend less than 2 minutes. CONCLUSION: Emergency providers understand the importance of geriatric fall prevention but lack knowledge of which patients to screen and are not willing to spend more than a few minutes on screening for fall interventions. Future studies must take into account provider knowledge and willingness to intervene. Department of Emergency Medicine, University of California, Irvine School of Medicine 2020-07 2020-07-10 /pmc/articles/PMC7390582/ /pubmed/32726252 http://dx.doi.org/10.5811/westjem.2020.4.43387 Text en Copyright: © 2020 Davenport et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Geriatrics Davenport, Kathleen Cameron, Amy Samson, Margot Sri-on, Jiraporn Liu, Shan W. Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers |
title | Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers |
title_full | Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers |
title_fullStr | Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers |
title_full_unstemmed | Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers |
title_short | Fall Prevention Knowledge, Attitudes, and Behaviors: A Survey of Emergency Providers |
title_sort | fall prevention knowledge, attitudes, and behaviors: a survey of emergency providers |
topic | Geriatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7390582/ https://www.ncbi.nlm.nih.gov/pubmed/32726252 http://dx.doi.org/10.5811/westjem.2020.4.43387 |
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