Slade, S. C., Carey, D. L., Hill, A. M., & Morris, M. E. (2017). Effects of falls prevention interventions on falls outcomes for hospitalized adults: protocol for a systematic review with meta-analysis. BMJ Open, 7(11), e017864.
The authors begin by asserting that hospital falls are a significant public health problem that contributes to accidental and unintentional injury, which ultimately leads to hospitalization. They are also associated with readmissions, more extended hospital stay, and poor patient outcomes. The author argues that the prevention of falls in the care setting begins by identifying the risk factors. It also suggests a plethora of factors such as patient self-management, evidence-based practice, and environmental modification as appropriate means of preventing the hospital falls. The source will be helpful to the essay for two primary reasons. First, it will explain the rationale of hospital falls, and secondly, it will mention a plethora of strategies that will prevent hospital falls from happening, thus keeping patients safe.
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Hempel, S., Newberry, S., Wang, Z., Booth, M., Shanman, R., Johnsen, B. ... & Ganz, D. A. (2013). Hospital fall prevention: a systematic review of implementation, components, adherence, and effectiveness. Journal of the American Geriatrics Society, 61(4), 483-494.
The authors acknowledge that the in-hospital falls are a major clinical, regulatory, and legal problem in the care setting. It also appreciates the failure of the Center for Medicare and Medicaid Services to reimburse hospitals for patients who experience hospital falls with trauma. The authors' first primary argument asserts that with a majority of the US population aging, fall prevention should be considered more than ever before. Secondly, the author notes that frail patients are more likely to fall than the non-frail ones. Also, the consequences of falls are severe and cannot be ignored. Thirdly, the authors believe that the prevention of falls in acute care settings can be a significantly difficult thing to achieve. The compressed acuity associated with the patients placed a huge burden on the staff to ensure that patients are safe. It, therefore, requires proper leadership and cooperation from all the staff members. The source will address a host of factors that make it challenging to achieve fall prevention in the acute care setting.
Vonnes, C., & Wolf, D., (2017). Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. BMJ Open Qual, 6(2), e000038.
The authors discuss the problem of falls in the context of medical oncology units. According to the authors, the falls come as a result of the older patient's response to opiates, anxiolytics, and chemotherapy protocols. The oncology patient has an increased risk of injury from the falls due to advanced age, thrombocytopenia, and coagulopathy. The authors argue that through programs such as the Fall Risk and Prevention Agreement, it is possible to prevent patients from experiencing falls. It also explains that the agreement between the nurses and the patients can help in limiting the falls. Thirdly, the authors believe that patients and their families can play a crucial role in the prevention of the falls if they are increasingly incorporated in the discussion. During the admission process, a collaborative approach between the nurses, patients, and the families will help in establishing preventive mechanisms against falls. In developing the essay, the article will emphasize the importance of engaging patients and families as a strategy for fall prevention.
Dykes, P. C., Carroll, D. L., Hurley, A., Lipsitz, S., Benoit, A., Chang, F. ... & Middleton, B. (2010). Fall prevention in acute care hospitals: a randomized trial. Jama, 304(17), 1912-1918.
According to the article, falls are responsible for injury and death to people of all ages. However, the risk of falls significantly increases with age. Another factor that increases the risk of falls is hospitalization. The article follows a research model that seeks to investigate whether the fall prevention tool kit (FPTK), with the help of the health information technology, can play a crucial role in decreasing patient falls in the care facilities. The study found out that the use of a fall prevention tool kit in the care setting can help in the reduction of incidences of patient falls. As a public health problem, the authors conclude by asserting that hospitalization plays a role in heightening cases of falls due to illness, unfamiliar environment, and treatment. The article further says that the falls are not only devastating to the patient but also the clinicians and the entire health care system. The article will be valuable in demonstrating technological advances in limiting hospital falls in the care setting.
Phelan, E. A., Aerts, S., Dowler, D., Eckstrom, E., & Casey, C. M. (2016). Adoption of evidence-based fall prevention practices in primary care for older adults with a history of falls. Frontiers in public health, 4, 190.
The article opens its discussion by asserting that falls are a major cause of injury and death among people aged 65 years and above. The authors continue by mentioning the far-reaching consequences of hospital falls, including the loss of independence, predisposition to injury, hospitalization, decreased mobility, and nursing home placement. The first argument that the authors make regards the financial costs of hospital falls. Based on research, accident falls contribute to over two million visits to the emergency department. The care related to hospital falls causes the hospitals to use an additional $30 billion per year. The second argument made by the author regards the continued increase in the incidences of falls in many care facilities. The source will assist in providing the scope of falls in the country, its financial implications, and how the risks can be reduced using evidence-based approaches.
