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J Spec Pediatr Nurs · Apr 2011
Development, implementation, and evaluation of a comprehensive fall risk program.
- Jenae Neiman, Michael Rannie, Jodi Thrasher, Karen Terry, and Michael G Kahn.
- Department of Quality and Patient Safety, The Children's Hospital, Aurora, Colorado, USA. neiman.jenae@tchden.org
- J Spec Pediatr Nurs. 2011 Apr 1;16(2):130-9.
PurposeThe purpose was to develop and implement I'M SAFE, a comprehensive patient fall-risk assessment tool linked to a tiered-intervention falls prevention program.Design And MethodA fall-risk evaluation tool was incorporated into electronic nurse documentation along with risk-specific nursing interventions.ResultsIntrinsic fall rates declined significantly (preimplementation: .67 falls/1,000 patient days; postimplementation: .51 falls/1,000 patient days, p = .015) and has been sustained 2 years following implementation.Practice ImplicationsThe I'M SAFE tool identifies patients at increased risk for falls. When linked to a multidisciplinary fall prevention program, the incidence of preventable falls can be reduced. The program's impact has persisted across two facilities.© 2011, Wiley Periodicals, Inc.
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