WK3AssgnPenderC.doc - 1 Falls on Inpatient Psychiatric Unit Carol Pender Walden University 2 Falls on Inpatient Psychiatric Unit In the United States

WK3AssgnPenderC.doc - 1 Falls on Inpatient Psychiatric Unit...

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1 Falls on Inpatient Psychiatric Unit Carol Pender Walden University
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. Falls on Inpatient Psychiatric Unit In the United States, Falls and related injuries in hospitals have become a huge concern for Healthcare Facilities. As reported by The joint commission (2015) Falls contributes to 30-50% of the in-hospital damage coupled with further treatment and adding 6.3 days longer in the hospital 63 % end in death, cost roughly $14,000, and is the 10 th sentinel incident reported to their sentinel event database. Conversely, falls among psychiatric patients are more demanding to address in contrast to falls involving medical-surgical patients, which is related to the patient's mental health disease process. Abraham, (2016) “fall prevention is a pressing subject for research because injury from patients falls become a disease burden” (Abraham, 2016 pg. 2). In the hospital psychiatric unit the administrator, manager, nurse educator, and assistant Nurse Manager has been struggling to address the problem of falls. Currently the facility is using Th e John Hopkins Falls Risk Assessment Tool (JHFRAT) that Klinkenberg & Potter (2017) report is not accurate in identifying fall risk and is weak in clinical setting. This paper plan to address and identify successful interventions among psychiatric patients. Presented in literature that has addressed falls in psychiatric patients, conducts a root-cause analysis, and offer suggestions on how to decrease falls amongst these patient population. Problem Statement The nurse educator provided the data showing 81 falls Within the last fiscal year falls among 52 patients on the psychiatric units. It is the organization priority to look at, identify and address these falls, to date the leaders informed writer during interview that for the past three years there has been an increase in falls on the unit tracked by using the data in the Patient Safety Net (PSN), a reporting tool the hospital used for sentinel events. 2
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Fall is preventable, and it has been the number one concern of healthcare facilities. The agency for healthcare research and Quality (AHRQ), (2013) defines fall as the unpredicted descend to the floor that may or may not result in injury. Morse (2009) goes deeper by explaining that there are three different types of falls. First is anticipated physiological falls, which is predictable in patients who because of age or from weakness due to a disease process. Secondly, accidental falls defined as any fall that occurs for no reason with patient having low fall risk. Thirdly, is the unanticipated physiological fall because it's from a seizure syncope or just when a knee goes out. However, Abraham (2016) first stressed in his study that there is a lack of research on patient falls on inpatient psychiatric unit; also, falls are more recurrent due to the likelihood for patients to be out of bed, attending therapy groups, and days activities.
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