Journal of Nursing Administration:
doi: 10.1097/NNA.0b013e3182378d53

Breaking the Fall

Johnson, Joyce E. PhD, RN, NEA-BC, FAAN; Veneziano, Teresa MSN, RN; Green, Jacqueline MSN, RNAPN-C; Howarth, Eileen BSN, RN; Malast, Tracey MSN, RN; Mastro, Kari MSN, RN, NEA-BC; Moran, Annlouise MSN, RN; Mulligan, Lori MSN, RN; Smith, Alicia MBA, RN

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Objective: The Helping Hands program is a nurse-directed falls prevention program designed to support a hospital-wide culture of safety and reduce harm from falls.

Background: Patient falls and the associated morbidity and mortality represent a significant risk for patients and healthcare facilities. Age-adjusted fatalities from falls increased significantly from 1993 to 2003. By 2020, the annual cost of injuries from falls is expected to exceed $40 billion.

Methods: Components of the Helping Hands falls prevention program worked synergistically to support the development of a culture of safety at Robert Wood Johnson University Hospital. The program consisted of nursing assessment of fall risk with the Johns Hopkins Fall Risk Assessment Tool; reviews of fall risk and intervention efficacy; creation of communication mechanisms, reporting processes, and change champion roles; engagement of patients and families in falls prevention; increased public awareness of fall risk through signage; nursing interventions; and utilization of nursing performance improvement analysts.

Results: Over 3 years, 65% (N = 7,900) of more than 12,000 patients assessed were at risk of falling. Most falls caused no or little harm, and at 3 years of follow-up, total falls decreased by 16.6 %, and severe falls accounted for 0.009 % (n = 2) of all falls.

Conclusions: The data offer a hopeful perspective on the role of nursing engagement in developing a hospital-wide culture of safety and protecting patients from permanent harm caused by fall events.

© 2011 Lippincott Williams & Wilkins, Inc.



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