Solutions for Preventing Patient Falls in Hospitals: A Scoping Review
Background and Aim: Patient falls are common in hospitals, leading to financial loss and potential harm to patients, staff, and the organization. They can often be prevented with proper planning. This study aims to identify strategies to prevent patient falls and provide evidence to develop safety i...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | fas |
| Published: |
Tehran University of Medical Sciences
2024-03-01
|
| Series: | پیاورد سلامت |
| Subjects: | |
| Online Access: | http://payavard.tums.ac.ir/article-1-7665-en.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850283650506031104 |
|---|---|
| author | Marziyeh Najafi Roya Rajaee Hojjat Rahmani Behrooz Pouragha Nazanin Sheikh Mohammadi Ghasem Rajabi Vasokolaei |
| author_facet | Marziyeh Najafi Roya Rajaee Hojjat Rahmani Behrooz Pouragha Nazanin Sheikh Mohammadi Ghasem Rajabi Vasokolaei |
| author_sort | Marziyeh Najafi |
| collection | DOAJ |
| description | Background and Aim: Patient falls are common in hospitals, leading to financial loss and potential harm to patients, staff, and the organization. They can often be prevented with proper planning. This study aims to identify strategies to prevent patient falls and provide evidence to develop safety initiatives.
Materials and Methods: Our review used the Arksey and O’Malley scoping review model to identify strategies for preventing patient falls. We conducted searches with relevant keywords in the PubMed and Web of Science databases until May 25, 2024. In the final stage, we consulted with 18 experts using the Delphi method to gather their opinions. The data were analyzed using the thematic analysis method.
Results: Out of the 4202 studies initially found, 19 articles were chosen. The solutions to prevent patient falls can be grouped into six general categories: planning (which includes quality improvement programs, establishment of patient safety culture, patient fall prevention guidelines and programs), physical space (involving patient room design and the location of treatment staff), equipment (such as monitoring and alarms, pressure sensors, and standard beds), human resources (including communication networks between nurses and other treatment staff, as well as factors like self-efficacy and responsiveness of nurses, and their motivation and job satisfaction), training (covering education and patient participation, training of nurses and treatment staff, and electronic training), and control of executive processes (involving evaluation of risk factors and process control). The highest level of agreement among the members was on the equipment dimension (9.76), and the lowest was on the human resources dimension (8.65).
Conclusion: Patient falls are a common safety concern in hospitals and can be prevented with proper planning. Each hospital should use a combination of prevention methods tailored to its specific conditions. |
| format | Article |
| id | doaj-art-68c07dcb5dc74488ae9d7845fc73f1ac |
| institution | OA Journals |
| issn | 1735-8132 2008-2665 |
| language | fas |
| publishDate | 2024-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | پیاورد سلامت |
| spelling | doaj-art-68c07dcb5dc74488ae9d7845fc73f1ac2025-08-20T01:47:44ZfasTehran University of Medical Sciencesپیاورد سلامت1735-81322008-26652024-03-011817083Solutions for Preventing Patient Falls in Hospitals: A Scoping ReviewMarziyeh Najafi0Roya Rajaee1Hojjat Rahmani2Behrooz Pouragha3Nazanin Sheikh Mohammadi4Ghasem Rajabi Vasokolaei5 Ph.D. in Healthcare Service Management, School of Public Health, Alborz University of Medical Sciences, Karaj, Iran Ph.D. Candidate in Healthcare Service Management, School of Management and Medical Information Sciences, Karman University of Medical Sciences, Kerman, Iran Associate Professor, Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Associate Professor, Department of Health Service Management, School of Public Health, Alborz University of Medical Sciences, Karaj, Iran Master of Science in Health Informatics, Statistics and Information Technology, Alborz University of Medical Sciences, Karaj, Iran Ph.D. in Healthcare Service Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran Background and Aim: Patient falls are common in hospitals, leading to financial loss and potential harm to patients, staff, and the organization. They can often be prevented with proper planning. This study aims to identify strategies to prevent patient falls and provide evidence to develop safety initiatives. Materials and Methods: Our review used the Arksey and O’Malley scoping review model to identify strategies for preventing patient falls. We conducted searches with relevant keywords in the PubMed and Web of Science databases until May 25, 2024. In the final stage, we consulted with 18 experts using the Delphi method to gather their opinions. The data were analyzed using the thematic analysis method. Results: Out of the 4202 studies initially found, 19 articles were chosen. The solutions to prevent patient falls can be grouped into six general categories: planning (which includes quality improvement programs, establishment of patient safety culture, patient fall prevention guidelines and programs), physical space (involving patient room design and the location of treatment staff), equipment (such as monitoring and alarms, pressure sensors, and standard beds), human resources (including communication networks between nurses and other treatment staff, as well as factors like self-efficacy and responsiveness of nurses, and their motivation and job satisfaction), training (covering education and patient participation, training of nurses and treatment staff, and electronic training), and control of executive processes (involving evaluation of risk factors and process control). The highest level of agreement among the members was on the equipment dimension (9.76), and the lowest was on the human resources dimension (8.65). Conclusion: Patient falls are a common safety concern in hospitals and can be prevented with proper planning. Each hospital should use a combination of prevention methods tailored to its specific conditions.http://payavard.tums.ac.ir/article-1-7665-en.pdffallpreventionpatient safetyhospital error |
| spellingShingle | Marziyeh Najafi Roya Rajaee Hojjat Rahmani Behrooz Pouragha Nazanin Sheikh Mohammadi Ghasem Rajabi Vasokolaei Solutions for Preventing Patient Falls in Hospitals: A Scoping Review پیاورد سلامت fall prevention patient safety hospital error |
| title | Solutions for Preventing Patient Falls in Hospitals: A Scoping Review |
| title_full | Solutions for Preventing Patient Falls in Hospitals: A Scoping Review |
| title_fullStr | Solutions for Preventing Patient Falls in Hospitals: A Scoping Review |
| title_full_unstemmed | Solutions for Preventing Patient Falls in Hospitals: A Scoping Review |
| title_short | Solutions for Preventing Patient Falls in Hospitals: A Scoping Review |
| title_sort | solutions for preventing patient falls in hospitals a scoping review |
| topic | fall prevention patient safety hospital error |
| url | http://payavard.tums.ac.ir/article-1-7665-en.pdf |
| work_keys_str_mv | AT marziyehnajafi solutionsforpreventingpatientfallsinhospitalsascopingreview AT royarajaee solutionsforpreventingpatientfallsinhospitalsascopingreview AT hojjatrahmani solutionsforpreventingpatientfallsinhospitalsascopingreview AT behroozpouragha solutionsforpreventingpatientfallsinhospitalsascopingreview AT nazaninsheikhmohammadi solutionsforpreventingpatientfallsinhospitalsascopingreview AT ghasemrajabivasokolaei solutionsforpreventingpatientfallsinhospitalsascopingreview |