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Utilizing a Daily Audit Tool to Reduce Patient Falls in a Hospital Setting
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Utilizing a Daily Audit Tool to Reduce Patient Falls in a Hospital Setting
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Utilizing a Daily Audit Tool to Reduce Patient Falls in a Hospital Setting
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Dissertation
Utilizing a Daily Audit Tool to Reduce Patient Falls in a Hospital Setting
2022
Overview
Objective: Implement a revised daily audit tool to promote delirium screening, mobility, and adequate nutrition to reduce patient falls, fall rate, falls with injury, and fall with injury rate at an academic medical center.Methods: Of nine medical-surgical units at an academic medical center, five medical-surgical units (intervention group) implemented a revision of a currently utilized daily audit tool, whereas four control units did not implement the intervention. The tool was utilized to audit completion of nursing interventions of delirium screening, mobilization of the patient, and improving nutrition intake.Results: Statistical testing using a paired samples t-test resulted in a range of P-values from .259 to .418 for all measures including totals falls (p=.259), fall rate (p=.321), total falls with injury (p=.328), and fall with injury rate (p=.418). Since P>.05, findings suggest lack of significance with the reduction of falls pre-intervention versus post-intervention. Statistical testing comparing post-intervention results for intervention units versus control units using an independent samples test resulted in P-values ranging from .377 to .720 for all measures including total falls (p=.720), fall rate (p=.602), falls with injury (p=.377), and falls with injury rate (p=.295). Since P>.05, statistical findings suggest the effects of the daily audit tool cannot be assumed to be correlated with a fall decrease from any measure.Conclusion: Although total falls and fall rates increased in frequency, falls with injury and fall with injury rates decreased in all sample units, pre-intervention versus post-intervention. The daily audit tool intervention results do not suggest a correlation to a decrease in falls; however, it is recommended to extend the project timeframe and increase the sample size for further analysis.
