PATIENT CENTERED FALL PREVENTION
Patient-Centered
Fall Prevention
C493: Task 1
WGU RN to BSN
1
, A1 & A1a
The Problem & Explanation
What is the problem? Impact on patient Impact on hospital
• Preventable inpatient falls
among the elderly • Increased risk of morbidity & • Loss of reimbursement from
mortality Centers for Medicare &
• All patients on an Medicaid
Orthopedic & post-op unit • Risk of fractures, possible
are at high risk for falls surgery, extended stay in • Loss of confidence in care
hospital, requiring physical & and safety from the patient,
• Current practice is clinician- occupational therapies family & the community
centered fall prevention & is
less effective due to minimal • Impaired immobility causing • Lower satisfaction ratings on
patient influence on pressure injuries, pneumonia & the end of hospital stay
interventions used, resulting blood clots survey
in minimal patient • Decreased autonomy
participation
2
, A2 & A2a
Investigation: Studies
Avanecean et al. Kiyoshi-Teo et al. Ambutas, Lamb & Tzeng & Yin
(2017) Quigley (2017)
(2018) (2015)
• Systematic review of the • Qualitative research • Quality improvement • A study that compared
effectiveness of fall article that assessed study that evaluated clinician-centered fall
prevention & the patients fall risk scores & areas of improvement prevention vs. patient-
reduction of falls perceptions of fall risk for the current practice centered for
of fall prevention effectiveness in reducing
• Fall prevention is most • Fall prevention programs
falls
effective when patient were more effective • More active participation
interventions were when patients were by RN and CNA staff was • Patient-centered fall
individualized involved in the fall more effective at prevention strategies
prevention plan of care preventing falls rather were more effective
than standardized fall because they
prevention strategies encouraged the patient
to take a more proactive
role in their care
3
Patient-Centered
Fall Prevention
C493: Task 1
WGU RN to BSN
1
, A1 & A1a
The Problem & Explanation
What is the problem? Impact on patient Impact on hospital
• Preventable inpatient falls
among the elderly • Increased risk of morbidity & • Loss of reimbursement from
mortality Centers for Medicare &
• All patients on an Medicaid
Orthopedic & post-op unit • Risk of fractures, possible
are at high risk for falls surgery, extended stay in • Loss of confidence in care
hospital, requiring physical & and safety from the patient,
• Current practice is clinician- occupational therapies family & the community
centered fall prevention & is
less effective due to minimal • Impaired immobility causing • Lower satisfaction ratings on
patient influence on pressure injuries, pneumonia & the end of hospital stay
interventions used, resulting blood clots survey
in minimal patient • Decreased autonomy
participation
2
, A2 & A2a
Investigation: Studies
Avanecean et al. Kiyoshi-Teo et al. Ambutas, Lamb & Tzeng & Yin
(2017) Quigley (2017)
(2018) (2015)
• Systematic review of the • Qualitative research • Quality improvement • A study that compared
effectiveness of fall article that assessed study that evaluated clinician-centered fall
prevention & the patients fall risk scores & areas of improvement prevention vs. patient-
reduction of falls perceptions of fall risk for the current practice centered for
of fall prevention effectiveness in reducing
• Fall prevention is most • Fall prevention programs
falls
effective when patient were more effective • More active participation
interventions were when patients were by RN and CNA staff was • Patient-centered fall
individualized involved in the fall more effective at prevention strategies
prevention plan of care preventing falls rather were more effective
than standardized fall because they
prevention strategies encouraged the patient
to take a more proactive
role in their care
3
