Volume 29, Issue 103 (December 2016)                   IJN 2016, 29(103): 1-12 | Back to browse issues page

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Shali M, Joolaee S, Vaskooi K, Bahrani N. Assessing the Patient Falls in Hospitals Affiliated to Tehran University of Medical Sciences. IJN 2016; 29 (103) :1-12
URL: http://ijn.iums.ac.ir/article-1-2345-en.html
1- PhD student in Nursing, Tehran University of Medical Sciences. Tehran, Iran
2- Associate Professor. Nursing Care Research Center. Iran University of Medical Sciences. Iranian Academy of Medical Sciences, Tehran, Iran. (*Corresponding author) Tel: 09122095002 Email: sjoolaee@yahoo.com
3- PhD student in Health service Management.Tehran University of Medical Sciences.Tehran. Iran
4- MS in Applied Statistics. Tehran University of Medical Sciences. Tehran. Iran
Abstract:   (13635 Views)


Background & Aims: Falling is one of the most common events that threats physical and psychological safety in patients, as well a factor that increases duration of hospitalization and treatment costs. The aim of the study was to investigate patient fallings kinds, characteristics and related factors to reduce risk factors in patients admitted to hospitals affiliated to Tehran University of Medical Sciences.

Material & Methods: In this descriptive study, 285 patients’ records were selected by cluster sampling method. Data were collected through a standard form including demographic and patient fall characteristics. Then data were analyzed by using SPSS software (v.16), chi-square test, and frequency tables.

Results: Our results showed that the majority of fallen patients were male with a mean age of 60 years, also the most of cases had bed falling (58.6%) in night (4Am-7Pm). In 35.8% of falling cases, there were no witness and 75.8% of patients were not able to rise after falling. Scratches, head injury, soft tissue injuries and fractures were the reported complications of the patients falling.

Conclusion: Given the high rate of falling patients’ incidence, it is essential to offer effective management strategies to provide more safety situation for patients.

Full-Text [PDF 763 kb]   (7032 Downloads)    
Type of Study: Research | Subject: nursing
Received: 2016/09/3 | Accepted: 2016/12/5 | Published: 2016/12/5

1. Kerzman H, Chetrit A, Brin L, Toren O. Characteristics of falls in hospitalized patients. J Adv Nurs. 2004;47(2):223-9. [DOI:10.1111/j.1365-2648.2004.03080.x] [PMID]
2. Rutledge D, Donaldson N, Pravikoff D. ABC's of Minimizing Fall risk assessment and prevention in healthcare facilities. Online J Clin Innov. 2011;1(9):1-33.
3. Coussement J, De Paepe L, Schwendimann R, Denhaerynck K, Dejaeger E, Milisen K. Interventions for preventing falls in acute‐and chronic‐care hospitals: a systematic review and meta‐analysis. J Am Geriatr Soc. 2008;56(1):29-36. [DOI:10.1111/j.1532-5415.2007.01508.x] [PMID]
4. An FR, Xiang YT, Lu JY, Lai KY, Ungvari GS. Falls in a psychiatric institution in Beijing, China. Perspect Psychiatr Care. 2009;45(3):183-90. [DOI:10.1111/j.1744-6163.2009.00220.x] [PMID]
5. Baker R, Norton P, Flintfloy V, Blais R, Brown A, Cox J. the cacadian advers events study: the incidence of advers events among hospital patient in canada. CMAJ. 2004;170:98-104. [DOI:10.1503/cmaj.1040498] [PMCID]
6. Salarvand S, Birjandi M. Assessing related factors with falling in older adults living in Khoramabad. Bimonthly Iran Journal of Nursing. 2009;21:51-60.
7. Victor C, Dickinson A, Narayanan V, Simpson CM, Griffiths C, Humphrey D. Falling in acute mental health settings for older people: who falls, where, when and why? J Gerontol Geriatr Res. 2014;3(173):1-8.
8. Roach S. Introductory Gerontological Nursing. 3rd ed. Philadelphia: Lippincott; Williams & Wilkins; 2001.
9. Locatelli F, Del Vecchio L. Peginesatide as a new approach for treating anemia of CKD patient: is it like a falling star? Taylor & Francis; 2013;14(10):1277-80
10. Tinetti ME, Kumar C. The patient who falls:"It's always a trade-off". JAMA. 2010;303(3):258-66. [DOI:10.1001/jama.2009.2024] [PMID] [PMCID]
11. Luxton T, Riglin J. Prevention falls in older people: a multi-agency approach. J Nurs Older People. 2008;15:18-21. [DOI:10.7748/nop2003.] [PMID]
12. Page A. Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington DC: The National Academies Press; 2008.
13. Aiken LH, Sermeus W, den KV, DMS, Busse R, McKee M. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States. BMJ 2012;344:1-14. [DOI:10.1136/bmj.e1717] [PMID] [PMCID]
14. Teng CI, Dai YT, Lotus Shyu YI, Wong MK, Chu TL, Tsai YH. Professional Commitment, Patient Safety, and Patient‐Perceived Care Quality. J Nurs Scholarsh. 2009;41(3):301-9. [DOI:10.1111/j.1547-5069.2009.01289.x] [PMID]
15. Akbari Kamrani AA, Azadi F, Foroughan M, Siadat S, Kaldi AR. [Characteristics of falls among institutionalized elderly people]. Iranian journal of Ageing. 2007;1(2):101-5.
16. Morsea JM, Morsea RM, Tylko SJ. Development of a Scale to Identify the Fall-Prone Patient. Canadian Journal on Aging/La Revue canadienne du vieillissement 1989;8(4): 366-77. [DOI:10.1017/S0714980800008576]
17. von Heideken Wågert P, Gustafson Y, Kallin K, Jensen J, Lundin-Olsson L. Falls in very old people: The population-based Umeå 85+ Study in Sweden. Arch Gerontol Geriatr. 2009;49(3):390-6. [DOI:10.1016/j.archger.2008.12.005] [PMID]
18. Pu-Lin Y, Zhao-Hui Q, Jing S, Zhang J, Mei-Zhe X, Zheng-Lai W, et al. Prevalence and related factors of falls among the elderly in an urban community of Beijing. Biomed Environ Sci. 2009;22(3):179-87. [DOI:10.1016/S0895-3988(09)60043-X]
19. Ghanbary A, Salehi Dehno N, Moslemi Haghighi F, Torabi M. [The prevalence and correlates of falling down in the older adults over 55 years in Shiraz]. Iranian Journal of Ageing. 2013;8(1):64-70.
20. Crandall M, Duncan T, Mallat A, Greene W, Violano P, Christmas AB, et al. Prevention of fall-related injuries in the elderly: An Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg. 2016;81(1):196-206. [DOI:10.1097/TA.0000000000001025] [PMID]
21. Theodos P. Fall prevention in frail Elderly nursing Home residents, A challenge case management; part 1. J lippincott's case manage. 2003;8:246-51. [DOI:10.1097/00129234-200311000-00006]
22. Salarvand S, Birjandi M, Shamshiri M. [Assessing prevalence of fallings and their relation with chronic conditions for older people living in Khoramabad, Iran]. The Horizon of Medical Sciences. 2008;13(4):59-65.
23. White HK. Long-Term Care in North Carolina. N C Med J. 2014;75(5):320-5. [DOI:10.18043/ncm.75.5.320]
24. Chuang Y-H, Abbey JA, Yeh Y-C, Tseng J, Liu MF. As they see it: A qualitative study of how older residents in nursing homes perceive their care needs. Collegian. 2015;22(1):43-51. [DOI:10.1016/j.colegn.2013.11.001]
25. Raoufi S. [The characterize of Alighoodarz elderly patient falling in 2006]. Aflak. 2006;2(4,5):48-54.
26. Nam KY, Lee S, Yang EJ, Kim K, Jung SH, Jang S-N, et al. Falls in Korean polio survivors: Incidence, consequences, and risk factors. J Korean Med Sci. 2016;31(2):301-9. [DOI:10.3346/jkms.2016.31.2.301] [PMID] [PMCID]
27. Shekelle PG. Nurse–patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5_Part_2):404-9.
28. Sheikh S, Akbari Kamrani AA, Karimlo M, Fadayevatan R. [Comparison between the Risky agents correspond to fall in elderly people of urban and rural regions of Zabol]. Iranian Journal of Ageing. 2013;8(3):44-52.
29. Dykes PC, Carroll DL, Hurley AC, Benoit A, Middleton B. Why do patients in acute care hospitals fall? can falls be prevented? The Journal of nursing administration. 2009;39(6):299-304. [DOI:10.1097/NNA.0b013e3181a7788a] [PMID] [PMCID]
30. Stevens JA, Rudd RA. Circumstances and contributing causes of fall deaths among persons aged 65 and older: United States, 2010. J Am Geriatr Soc. 2014;62(3):470-5. [DOI:10.1111/jgs.12702] [PMID] [PMCID]
31. Stanhope M, Lancaster J. Foundations of nursing in the community: Community-oriented practice: Elsevier Health Sciences; 2013.
32. Bemis-Dougherty A, Delaune MF. Reducing patient falls in inpatient settings. PT-ALEXANDRIA-. 2008;16(5):36.
33. Teo JS, Briffa NK, Devine A, Dhaliwal SS, Prince RL. Do sleep problems or urinary incontinence predict falls in elderly women? Aust J Physiother. 2006;52(1):19-24. [DOI:10.1016/S0004-9514(06)70058-7]

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