NRS490 Literature Review.docx - 1 Running head FALL PREVENTION AND A CULTURE OF SAFETY Fall Prevention and a Culture of Safety Literature Review Grand

NRS490 Literature Review.docx - 1 Running head FALL...

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1 Running head: FALL PREVENTION AND A CULTURE OF SAFETY Fall Prevention and a Culture of Safety: Literature Review Grand Canyon University: NRS-490-O504 February 23, 2020
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2 FALL PREVENTION AND A CULTURE OF SAFETY Fall Prevention and a Culture of Safety: Literature Review Patient safety is one of the biggest priorities for healthcare workers and falls are one of the most common patient safety issues in healthcare organizations (Coppedge et al, 2016). Patient falls are listed as a “never event” by the Centers for Medicare and Medicaid Services (CMS). Never events are defined as high cost, high volume events that could be prevented through the implementation of evidence-based protocols (King et al., 2018). Falls are a leading cause of injury in patients over the age of 65 and are the number one cause of unintentional death in patients 85 and older (Quigley, 2015). Patient falls are a multifactorial issue and not one fall prevention measure can prevent all falls. Falls can be due to physiological reasons where a fall risk can be anticipated such as unsteady gait, physiological reasons that may be unforeseen such as fainting and environmental factors such as tripping over equipment (King et al., 2018). With any fall comes the risk for injury or even death. Injuries sustained by an inpatient can lead to longer hospital stays and increased health care costs for the patient and the hospital (Leone & Adams, 2015). When establishing fall prevention protocols, it is important that all factors are taken into consideration (King et al., 2018). Many studies have been performed on fall prevention protocols and safety culture and their effects on fall rates in many different inpatient facilities with differing results. This paper will compare the research questions, sample populations, and study limitations of eight different studies that deal with fall prevention protocol implementation and safety culture development. Research Questions The main focus of most of the studies compared in this paper is to identify fall prevention interventions that can be used to decrease fall rates on inpatient units. Coppedge et al. (2016)
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3 FALL PREVENTION AND A CULTURE OF SAFETY researched the question on whether a standardized fall prevention communication tool could decrease fall rates. This tool improved multidisciplinary communication amongst the medical
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