The fall accidents within the hospitals and home settings is one of the biggest issues, that the current Healthcare system encountered. Falls are leading cause of the patient’s injuries, increased treatment cost, prolonged hospital stay and compromised patient safety. It is also, the significant contributor to high rate of morbidy and mortality across the United States. Increasing rate of fall accidents leads to impaired or lost independence among the people who are 65 years and older. Patients safety and fall prevention within todays healthcare agencies became a preference issue to be solved by medical providers, including nurses. To ensure the patients’ safety and reduction of the fall accidents, can be very challenging for nurses and need constant fall prevention revision, based on new evidence -based practice (EBP) (Ambutas et al., 2017).
Based on the new data update from (CDC) about 800,000 patients yearly get hospitalized because of the injuries followed the fall accidents. In 2015 the healthcare treatment cost for falls events got over the 50,000,000 dollars. Major consequences of the falls are the hip fractures that rated up to 95%. The mortality rate increased by 30% from 2007 (10,000 deaths) to 2016 (30,000 deaths) (CDC, 2018).
There is a variant of the risk factors, that impact the health conditions of the patients and causing the falls. Chronic conditions such as, depression, diabetes, arthritis, history of stroke, cognitive impairment, heart diseases, asthma and other breathing issues can be the risk for falls.
The most susceptible population to falls are patients in hospitals and other medical institutions. The higher rate of the patients, who prone to falls are elderly people compared to other population because of their altered physical and health status. Chronic conditions may cause vertigo, gait problem, impaired LOC, confusion, and fatigue, which influence the body balance, and oftenly lead to falls (Paliwal et al., 2017). The care that patient obtain may negatively impact by nurse shortage, nurse- to- patient ratio, work overload and other common hospital settings.
Additionally, injuries caused by falls cause a financial concern for healthcare institutions. Hence, the one of the primary goals of healthcare organization is to reduce the fall- associated injuries. Some studies determined the correlations between cardiovascular diseases and high rate of injuries from falls. Hypertension, pacemaker treatment correlated with increased risk of rehospitalization, whereas the ischemic heart disease increase the risk of mortality, also followed by hip fracture surgeries in older people. These consequences are the factors, that impact the treatment and care cost for healthcare institutions (Harstedt, 2018).
Another issue observed within the medical settings is the overmedication or drug errors, that exacerbate the symptoms like confusion, lethargy, fatigue, hypotension, which lead to risk for falls, especially in elderly patients. Some drugs like psychotropic, antihypertnsive and cardiovascular (these medications termed FRID) have a great impact of the rate of higher risk for fall accidents, because of the adverse symptoms. Medical providers need to acknowledge the linkage between FRID utilization and falls as a sufficient value to modify the practice and conduct careful and rigorous drug overview (Bell et al., 2015).
According to Tzeng & Yin study, the most often adapted interventions to provide safety and prevent the falls among the patients were identified. The following interventions are the most consecutive among the registered nurses: bed brakes being locked, patients’ bed in the lowest position, call light being placed at a reachable distance, floor surfaces being kept clean, neat and dried, keeping the patient’s settings clear about the harmful things, lights being customized to daily routines, and completing the fall risk factors evaluation during hospitalization (Tzeng & Yin, 2017).
There is still the gap within the fall prevention practice that need the modification and update. Frequent rounding of the patients, especially at cardio-critical units with higher risk factors may improve the quality care and reduce the fall accidents (Fairhall et al., 2014).
Purpose of the Change Proposal