Evidence-based nursing research on hospital falls, patient safety protocols, and fall prevention
using PICOT framework.
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Institution
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, PICOT 2
Evidence-based nursing research on hospital falls, patient safety protocols, and fall prevention
using PICOT framework.
Introduction
Hospital experience is an essential element in the care delivery and healing process of
patients. Quality care in hospitals covers all aspects of patient safety from exposures and risks
that may prolong the sickness. Hospital fall is one of the major causes of injuries to patients.
Falls have been attributed to various injuries that patients are likely to incur during their
treatment. The annual fall rate in hospitals has increased in the United States because of various
factors that caregivers fail to address when interacting and providing care to the patients (Lee,
Lee, & Khang, 2013). In this case, adult and geriatric patients are more vulnerable to falls
compared to the other groups of patients.
Picot question: Does increasing the staff levels in hospitals reduce the cases of patients
falls compared to the provision of ambulatory assistive devices among the geriatric patients
during care delivery period?
According to the study conducted by Cox et al. (2015) and the data from the department
of health and human service, the annual fall rate in hospitals is estimated at 700,000 to 1,000,000
people per year. Falls have resulted in injuries such as internal bleeding, fractures, and laceration,
which increase pain and suffering to the patients, as well as increasing the medical costs.
Therefore, addressing issues associated with hospital falls should be a priority for the healthcare
institutions and the government. About 30% of the falls taking place in the inpatient department
causes injuries, and 5% of the injuries result in cases such as subdural hematoma, excessive
bleeding, and even death (Cox et al., 2015). Also, falls have been associated with the increased
hospital costs both to the facility and clients. Patients who fall and suffer serious injuries end up