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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 10
First page : ( 282) Last page : ( 286)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.02813.4

An Explorative Study to Prevent the Incidence of Inpatient Falls in a Tertiary Care Hospital

Ashok Kayalvizhi1,*, Khyathi G.V.2

1Postgraduate Student, Department of Hospital Administration, M S Ramaiah University of Applied Sciences

2Assistant Professor, Department of Hospital Administration, M S Ramaiah University of Applied Sciences

*Corresponding Author: Kayalvizhi Ashok, Postgraduate Student, Department of Hospital Administration, M S Ramaiah University of Applied Sciences, e-mail: kayaldent@yahoo.co.in

Online published on 23 December, 2019.

Abstract

Improving patient care has become a top priority among healthcare providers, with the overall interest to achieve patient satisfaction. The quality of patient care is the adoption of a system which is patient centred or patient oriented. One such area in the hospital for improvising the quality of patient care is the prevention of patient falls. The study was carried out in the inpatients wards of a tertiary care hospital in Bangalore for a period of five months, from March 2018 to July 2018 which was cross sectional study descriptive in nature. Data on inpatient falls was collected through hospital incidence report for three years. An observational checklist was prepared to check for patient safety compliance to environmental circumstances and a self-administered questionnaire to assess the level of knowledge of nurses on fall prevention. Data analysis was done by using Quality control tools such as Pareto's Chart, Cause and Effect Diagram and bar graphs to identify the gaps and analyse the root cause for inpatient falls in the hospital. As a result of data analysis, it was concluded that the major reasons for patient falls were due to patient related factors such as old age, weakness, loss of balance, impaired cognition and environmental factors such as wet bathroom floors, absence of patient call bells and bed rails not being raised. On the other hand evaluating the level of knowledge of nursing staffs on fall prevention revealed that 3.25% of the nurses had poor knowledge regarding the fall risk assessment, 31.33% of the nurses had less knowledge on risk factors and 15.25% were not aware of interventions for fall reduction. Overall the hospital had to improve on fall prevention strategies and conduct periodic training programs for nurses on fall prevention. An environmental safety checklist was prepared and Standard fall prevention guidelines was formulated and recommended to the hospital.

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Keywords

Inpatient falls, Environmental Circumstances, Risk Factors, Patient Safety Practices.

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