Topic > Patient Safety: Hospital Falls - 1246

If patient safety is the most important issue in healthcare settings, then why do hospital falls continue to be the most reported accidental fall (Tzeng & Yin, 2009)? Over the years, hospitals continue to make changes to reduce the risk of accidents and increase the quality of patient safety. Thanks to research studies and improvements, patient falls still account for the majority of reported incidents in hospitals (Tzeng and Yin, 2008). According to Tzeng & Yin (2008), “fall prevention programs apparently do not effectively reduce inpatient fall rates due to human factors and ergonomics in a hospital setting (p.179, para. 2). The two studies reviewed in this paper were conducted with the hope of reducing the high rate of falls among hospitalized patients. In a qualitative study “Nursing Solutions to Prevent Inpatient Falls in Hospital Patient Rooms,” Huey-Ming Tzeng and Chang-Yi Yin's purpose was to promote understanding and prevention of inpatient falls. The research took place between February and April 2007 in a 32-bed adult acute care unit at a Michigan medical center. The basis was individual participation in a 45-60 minute interview with nine current nursing staff members and their opinions on five main causes of hospital falls. Twenty-four potential solutions identified from nurse interviews and intervention strategies to prevent patient falls were used to collect and analyze data for useful and cost-effective fall prevention strategies (Tzeng, & Yin, 2008). Huey-Ming Tzeng and Chang -Yi Yin also conducted an exploratory study, “Relationship between call light use and response time and inpatient falls in intensive care settings,” to determine whether t.... .. half of the paper ...... and Yin have differently done studies to find ways to reduce the high rate of falls in healthcare facilities. The call light response time study does not appear to have any impact on patient fall rate; however, this was only one study conducted in one healthcare facility. I believe including nurses in fall prevention programs makes sense. Falls will always be a risk in healthcare facilities but input to prevent them should also come from those who spend more time with patients. Nurses are those who assess, diagnose, plan, implement and evaluate the needs of their patients. Their knowledge and opinions are important. Work Cited Huey-Ming Tzeng, PhD, RN, Chang-Yi Yin, Nursing Solutions to Prevent Inpatient Falls in Hospital Patient Rooms. Nurs Econ. 2008;26(3):179-187. View at: http://www.medscape.com/viewarticle/576954