Huey-Ming Tzeng1, Lynn S Jansen, Udoka Okpalauwaekwe, Srijesa Khasnabish, Brenda Andreas, Patricia C Dykes. 1. The University of Texas Medical Branch, Galveston (Dr Tzeng); University of Saskatchewan, Saskatoon, Saskatchewan, Canada (Dr Jansen and Mr Okpalauwaekwe), Saskatchewan Health Authority, Saskatchewan, Canada (Ms Andreas); and Department of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts (Dr Dykes and Ms Khasnabish).
Abstract
BACKGROUND: Falls are the leading cause of injury-related hospitalizations and deaths among older adults globally. LOCAL PROBLEM: About 24% of Canadian nursing home residents fall annually. This quality improvement project evaluated the impact of the Fall Tailoring Interventions for Patient Safety (TIPS) program on preventing falls and fall-related injuries among older adult nursing home residents in a subacute care unit in Canada. METHODS: We used the Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 guidelines for reporting. The intervention site is a 15-bed subacute care unit within a government-funded nursing home. INTERVENTION: The Fall TIPS program was adapted to a nursing home setting to prevent falls. It provides fall prevention clinical decision support at the bedside. RESULTS: The rates of falls and injuries decreased after implementing the Fall TIPS intervention. CONCLUSION: Engaging nursing home older adult residents in fall prevention is crucial in translating evidence-based fall prevention care into clinical practice.
BACKGROUND: Falls are the leading cause of injury-related hospitalizations and deaths among older adults globally. LOCAL PROBLEM: About 24% of Canadian nursing home residents fall annually. This quality improvement project evaluated the impact of the Fall Tailoring Interventions for Patient Safety (TIPS) program on preventing falls and fall-related injuries among older adult nursing home residents in a subacute care unit in Canada. METHODS: We used the Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 guidelines for reporting. The intervention site is a 15-bed subacute care unit within a government-funded nursing home. INTERVENTION: The Fall TIPS program was adapted to a nursing home setting to prevent falls. It provides fall prevention clinical decision support at the bedside. RESULTS: The rates of falls and injuries decreased after implementing the Fall TIPS intervention. CONCLUSION: Engaging nursing home older adult residents in fall prevention is crucial in translating evidence-based fall prevention care into clinical practice.
Authors: Linda Lapp; Kieren Egan; Lisa McCann; Moira Mackenzie; Ann Wales; Roma Maguire Journal: J Med Internet Res Date: 2022-09-06 Impact factor: 7.076