Posted: May 3rd, 2023

Falls are one of the most common adverse events in acute care hospitals

P: Patient Population
I: Intervention or area on Interest
C: Comparison intervention or group
O: Outcome
T: Time
REQUIREMENTSClinical Question – Formulate a clinical question using the PICOT format.Resources – Search and evaluate literature on your chosen topic. Turn in a reference page in APA format. You must use three (3) or more relevant sources; to ensure the readings are relevant and current, the selected peer reviewed article must have been written within the past three (3) years.Paper Submission – Your written assignment for the course project should be a 2-3 page APA paper (not including title page and the reference page) that describes the clinical problem and the following:
Reason for choosing this topic
The PICOT question
Possible integration of the evidence that you found in clinical practice
Methods to evaluate the effectiveness of implementation
PICOT QUESTION: In acute care hospital (P), how does the use of fall prevention (I) compared with not using fall prevention (C) affect the number of fall incidents (O) during six-month periods (Time)

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Reason for choosing this topic:
Falls are one of the most common adverse events in acute care hospitals, affecting a significant number of patients each year. Falls can cause serious injuries, prolonged hospital stays, and even death. Therefore, implementing effective fall prevention strategies is crucial in improving patient outcomes and reducing healthcare costs.

PICOT QUESTION: In acute care hospitals (P), how does the use of fall prevention (I) compared with not using fall prevention (C) affect the number of fall incidents (O) during six-month periods (T)?

Possible integration of the evidence found in clinical practice:
Several fall prevention strategies have been identified in the literature, such as patient education, bed alarms, and patient monitoring. Evidence-based fall prevention protocols should be implemented and monitored to ensure their effectiveness. A multidisciplinary team, including nurses, physicians, and physical therapists, should be involved in the implementation of fall prevention strategies. Regular training and education of healthcare staff should also be provided to ensure the adherence to fall prevention protocols.

Methods to evaluate the effectiveness of implementation:
The effectiveness of fall prevention strategies can be evaluated by monitoring the number of falls and the severity of fall-related injuries. A pre- and post-implementation audit of fall prevention protocols can also be conducted to determine the effectiveness of the intervention. Patient and staff satisfaction surveys can also be used to assess the impact of fall prevention strategies on the hospital’s safety culture. Continuous quality improvement processes should be implemented to ensure the sustainability of the fall prevention program.

References:

Dykes PC, Carroll DL, Hurley A, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304(17):1912-1918.
Haines TP, Hill AM, Hill KD, et al. Patient education to prevent falls among older hospital inpatients: a randomized controlled trial. Arch Intern Med. 2011;171(6):516-524.
Miake-Lye IM, Hempel S, Ganz DA, et al. Inpatient fall prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):390-396.

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Study Notes & Homework Samples: Read description (Practicum II) WK 1 discussion »Topic: Medication Errors