NURS-FPX 8030 Full Course Assessment Papers 

NURS-FPX 8030 Full Course Assessment Papers 
NURS-FPX 8030 Full Course Assessment Papers 
NURS-FPX 8030 Assessment 2,  Evidenced Based Literature: Search and Organization   Sample solution
Evidenced Based Literature: Search and Organization
Falls and fall related injuries are one of the most common reported hospital related incidents and is a concern for patients, staff, and organizations (Ocker et al., 2020). Patient safety concerns related to falls include but are not limited, increase patient stay, bruising, fractures, physical and psychological trauma, and even death. The priority of health care institutions is to provide safe, efficient, and cost-effective healthcare. Preventing inpatient falls decreases medical expenses and shortens patients’ length of stay. Therefore, it is imperative for facility to adopt relevant evidenced based intervention regarding falls and fall related injuries.
This paper will review evidence of the effectiveness of 1:1 patient monitoring as a positive intervention to reduce falls and fall related injuries in a psychiatric setting. The following PICOT question will be used to help analyze the patient safety issue:
In a psychiatric hospital setting does placing a patient on a 1:1 reduce falls in comparison to Q 15-minute rounding over a 30-day period? (P) – in an adult inpatient psychiatric hospital setting, (I) – does placing a patient on a 1:1 reduce falls , (C) – compared to Q 15-minute rounding, (O) – affect patient fall rates. (T) – over a 30-day period from the previous year.
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Search for Literature
The beginning process in the search for literature is to identify the problem, which affects patient safety. The identified patient safety problem is falls and fall related injuries in an inpatient psychiatric setting. Once the problem was identified a PICOT question was formulated.  The following databases were used to search for literature related to the problem: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Elton B. Stephens Co. (EBSCO), Health and Medical Collection, Nursing and Allied Health, Google Scholars, OVID Nursing, PubMed, and SAGE Journals. The following key words were used in the search engine: “psychiatric,” “mental health,” “falls,” “fall prevention,” “bed alarms,” “q15 minute rounding,” “fall risk assessment,” “inpatient falls,” “fall related injuries,” “fall safety,” and “patient safety.” The search was limited to articles that were peer reviewed, published in the year 2019 and after, and within the United States of America (U.S.A). The articles chosen included quantitative and qualitative studies, systemic reviews, and quality improvement studies.

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Research Articles
The articles listed below were chosen because they met the criteria for inclusion and provided adequate evidence regarding patient safety as it relates to falls and fall related injuries in a psychiatric setting. The articles were relevant as they were peer reviewed and published within the past five years.  The articles were also available in full text either as PDF or a word document, which made it easily accessible for reference. The exclusion criteria included non-peer-reviewed articles, which were published more than five years ago, and research not conducted in the U.S.A. Patients with cognitive disorders such as dementia and Alzheimer’s were also excluded from the search criteria, as well as studies that took place in Long-Term-Care setting (LTC).
The selected articles are as follows:

Understanding design vulnerabilities in the physical environment relating to patient fall patterns in a psychiatric hospital: Seven years of sentinel events (Bayramzadeh et al., 2019).
Falls among psychiatric inpatients: A systematic review of literature (Carpels et al ., 2022).
Effect of antipsychotic drugs and orthostatic hypotension on the risk of falling in schizophrenic patients (Ferinauli et al., 2021).
Sitters as a patient safety strategy to reduce hospital falls: A systematic review (Greeley et al., 2020).
Perspectives: How to apply motivational interviewing for older adult fall prevention (Kiyoshi-Teo et al., 2023).
Preventing falls among behavioral health patients (Ocker et al., 2020).
Patient falls and injuries in US psychiatric care: Incidence and trends (Turner et al., 2020)

These articles were selected because they met inclusion criteria by providing evidenced based practice for managing falls in a psychiatric care setting. The selected articles are relevant because the research was conducted within the last five years, and include the interventions listed in the PICOT question. These articles are also peer-reviewed and published in reputable journals. A PRSIMA diagram was used to organize the data retrieved for the search criteria various data bases. The purpose of this diagram is to create a flow sheet entailing the number of articles searched, excluded and included before and after screening, as well as the articles deemed eligible for systematic review of the patient safety issue.
References
Bayramzadeh, S., Portillo, M., & Carmel-Gilfilen, C. (2019). Understanding design vulnerabilities in the physical environment relating to patient fall patterns in a psychiatric hospital: Seven years of sentinel events. Journal of the American Psychiatric Nurses Association, 25(2), 134-145.
Carpels, A., de Smet, L., Desplenter, S., & De Hert, M. (2022). Falls among psychiatric inpatients: A systematic review of literature. Alpha Psychiatry, 23(5), 217.
Ferinauli, F., Narulita, S., & Hijriyati, Y. (2021). Effect of antipsychotic drugs and orthostatic hypotension on the risk of falling in schizophrenic patients. Journal of Public Health Research, 10(2), jphr-2021.
Greeley, A. M., Tanner, E. P., Mak, S., Begashaw, M. M., Miake-Lye, I. M., & Shekelle, P. G. (2020). Sitters as a patient safety strategy to reduce hospital falls: A systematic review. Annals of Internal Medicine, 172(5), 317-324.
Kiyoshi-Teo H, Lemon E, Dennis A, Smith R, Northup-Snyder K. (2023) Perspectives: How to apply motivational interviewing for older adult fall prevention. American Journal of Lifestyle Medicine, 0(0). doi:10.1177/15598276231185551
Ocker SA, Barton SA, Bollinger N, Leaver CA, Harne-Britner S, Heuston MM. (2020) Preventing falls among behavioral health patients. Am J Nurs, 120(7):61-68. doi: 10.1097/01.NAJ.0000688256.96880.a3. PMID: 32590604.
Turner, K., Bjarnadottir, R., Jo, A., Repique, R. J. R., Thomas, J., Green, J. F., & Staggs, V. S. (2020). Patient falls and injuries in US psychiatric care: Incidence and trends. Psychiatric Services, 71(9), 899-905.
 
Appendix 1
PRISMA Diagram

 
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NURS-FPX 8030 Assessment 3, Critical Appraisal of Evidence-Based Literature SAMPLE SOLUTION
Introduction
This assessment focuses on the problem of falls in a psychiatric care setting and devising relevant interventions based on the analysis of current evidenced-based literature. “Patient falls are the most common adverse events reported in hospitals” (LeLaurin & Shorr, 2019). The sequelae to inpatient falls are physical and economic burdens to the patient’s, which can result in an increased risk for serious injuries and a decreased quality of life (Ocker et al., 2020). Falls also impact the healthcare organization as it, decrease quality patient care, and it increases the length of stay, which in turn increases hospital costs (LeLaurin & Shorr, 2019).  Therefore, it is important to investigate fall prevention strategies to mitigate this patient safety issue within a hospital care setting. However, this study will specifically focus on patients in a psychiatric care setting.
The following PICOT question will be used to help analyze the patient safety issue: In a psychiatric hospital setting does applying psychiatric specific interventions such as placing a patient on a 1:1 reduce falls and evaluating psychotropic medication in comparison to Q 15-minute rounding or no interventions over a 30-day period? (P) – in an adult inpatient psychiatric hospital setting, (I) – does placing a patient on a 1:1 and reevaluating their psychotropic medication reduce falls , (C) – compared to Q 15-minute rounding or no interventions at all, (O) – affect patient fall rates. (T) – over a 30-day period from the previous year. The following is the thesis statement: The impact of fall prevention strategies on reducing inpatient falls and fall-related injuries in a psychiatric care setting within a 30-day period.
Clinical Appraisal Tool
The process of critical appraisal of evidence is a detailed systematic examination of evidence to gauge a research paper’s trustworthiness, value, and relevance to a particular context or topic (CASP, n.d.). The appraisal of research is an important process because it ensures that health care providers make the best-informed decisions regarding patient care and safety through valid, credible, and relevant evidenced-based practices.  The clinical appraisal tool that will be utilized for this assessment is the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) tool. This tool will be used to evaluate the literature regarding fall interventions within a psychiatric hospital. The GRADE tool analyzes the literature based on the following criteria: the study’s design, risk of bias, inconsistencies, indirectness, imprecisions, and publication bias (Granholm et al., 2019).
This specific clinical appraisal tool was chosen because it is widely used and trusted as an evaluation tool in healthcare. According to Granholm et al. the GRADE tool is a de facto standard for premium quality systematic reviews, and it consists of trustworthy guidelines (2019). The GRADE tool segregates the articles into two domains strong and weak and it is then further categorized as high, moderate, low, and very low (Granholm et al., 2019). This method is particularly useful to evaluate this assessment’s PICOT question because it will help analyze articles with current fall risk protocols and interventions used in similar practice settings that have resulted in a significant decrease in inpatient falls.
Annotative Bibliography
Bayramzadeh, S., Portillo, M., & Carmel-Gilfilen, C. (2019). Understanding design          vulnerabilities in the physical environment relating to patient fall patterns in a psychiatric                       hospital: Seven years of sentinel events. Journal of the American Psychiatric Nurses            Association, 25(2), 134-145.
The purpose of this study is to understand the influence that the physical environment has on patient falls within a psychiatric hospital setting. The method used was an exploratory case study design, where 7 years of retrospective data on patient falls was collected and analyzed regarding sentinel events. This data focused on extrinsic factors for falls with a specific focus on the physical environment. The results of the study yielded that 15 % of the falls were in relation to the patient environment, 39% of the falls occurred in the patient’s room, 22% in the bathroom, and 20% in the day room (Bayramzadeh et al., 2019). This study is important to the PICOT question because it addresses the need for further investigation and follow-up regarding how the environment influences psychiatric patients regarding falls. Systematic reviews are considered to be a moderate level of evidence. Therefore, according to the GRADE tool this article is ranked as moderate.
Carpels, A., de Smet, L., Desplenter, S., & De Hert, M. (2022). Falls among psychiatric                            inpatients: A systematic review of literature. Alpha Psychiatry, 23(5), 217.
The purpose of this study was to conduct a systematic review of falls among psychiatric inpatients regarding risk factors and consequences. The researchers used the following databases to help conduct their research: PubMed and Embase. A total of 18 articles were reviewed for this study. The results yielded that both intrinsic and extrinsic factor contributed to patients falls within a psychiatric care setting. Although there were similarities to other patient falls in non-psychiatric care settings there were some unique differences as well, which were specific to the psychiatric population such as, the use of psychotropic medication, psychotic symptoms, and acute mental state. This article is relevant to the PICOT question because it addresses the need for a focused review of fall prevention programs, that is specific to psychiatric hospitalized patients as their needs and assessments vary from geriatric patients.  Psychotropic medication and mood stabilizers have a sedative like affect, and can cause orthostatic hypotension, this in turn places a patient at an increased risk for falling (Ferinauli et al., 2022). The GRADE tool ranking for this article’s evidence of systematic review regarding falls and fall prevention is moderate. However, due to the lack of evidence regarding the topic its recommendations can be seen as weak.
Greeley, A. M., Tanner, E. P., Mak, S., Begashaw, M. M., Miake-Lye, I. M., & Shekelle, P. G.                (2020). Sitters as a patient safety strategy to reduce hospital falls: A systematic      review. Annals of Internal Medicine, 172(5), 317-324.
This article evaluates the role and effectiveness of 1:1 observation for fall risk patients. The study reviews the evidence regarding the effect of 1:1 observation and other interventions have on patient falls within a hospital setting. The researchers conducted a systematic review utilizing the GRADE tool. They graded the evidence from high, moderate, low, and very low. Over 1,800 potentially relevant articles were screened. Of the screened articles 19 publications were identified and met inclusion criteria. They further divided the observational studies into interventions with video monitoring, space specifically designated to occupy fall risk patients, intervention that included nursing assessments and tools, and miscellaneous sitter reduction interventions (Greeley et al., 2020). In conclusion further investigation needed to be conducted regarding the effectiveness of the intervention cost wise as well as reducing patient falls. This study is relevant to the PICOT question because it analyzes the effectiveness of 1:1 intervention as a fall reduction tool. The GRADE tool ranking for systematic review of evidence is moderate. However, the ranking for this article could be seen as weak because of the limitation in research regarding the intervention.
Ocker SA, Barton SA, Bollinger N, Leaver CA, Harne-Britner S, Heuston MM. (2020)     Preventing falls among behavioral health patients. American Journal Nursing, 120(7):61-               68. doi:10.1097/01.NAJ.0000688256.96880.a3. PMID: 32590604.
The study focus of this quality improvement study is on preventing falls among behavioral health patients. The purpose is to redesign a fall prevention program for psychiatric patients by utilizing the best evidence-based practice and quality improvement methods. The method used was to form a quality improvement team, which was specifically put together to conduct Root Cause Analyses (RCAs) on the falls with sentinel events. This team then gathered evidenced based interventions related to falls and implemented them on the patients placed on high risk for falls. The outcome of the study was that there were no further fall related injuries for the patients who had prior falls that led to serious injuries within a six-month time frame post interventions. This study is relevant to the PICOT question because it validates that a specific tailored fall prevention program reduces falls and fall related injuries. A quality improvement study is considered low ranking according to the GRADE tool because the evidence could be perceived as low quality and weak due to the study’s limitations, such as the study’s controlled population.
Turner, K., Bjarnadottir, R., Jo, A., Repique, R. J. R., Thomas, J., Green, J. F., & Staggs, V. S.     (2020). Patient falls and injuries in US psychiatric care: Incidence and trends. Psychiatric Services, 71(9), 899-905
The purpose of this study was to evaluate and estimate the number of falls whether complete, assisted, and/or injurious within U.S psychiatric centers within a 6-year time span. The research was conducted by studying data collected by the National Database of Nursing Quality Indicators (NDNQI). The quantitative study consisted of a sample size of 1,159 units in 720 hospitals. The study was limited to adult and geriatric psychiatric units. The data conclude that falls remain a persistent patient safety issue in psychiatric care setting, which warrants interventions in psychiatric care that target multilevel fall risk factors, including those of patients, providers, and environments (Turner et al., 2020). According to Carpels et al. hospitalized psychiatric inpatients experience 13-25 falls per 1000 patient days as compared to 4 falls per 1000 patient days in a medical surgical unit (2022). This research relates to the PICOT question because it validates the need for a fall prevention programs within a psychiatric care setting due to the high prevalence of falls and fall related injuries within this community based on the data collected by NDNQI. The study had a number of limitations such as the sample size was limited to data collected in the NDNQI, also the data collected to take into account explainable trends in falls such as behavioral falls. Overall due to the studies limitation the evidence can be regarded as weak.
Proposed Interventions
It is imperative hospitals continually evaluate their fall prevention program to ensure patients are receiving the most up-to-date evidence-based care and technology. From the systematic review finding the following fall prevention interventions and protocol will be discussed: the reevaluation of psychotropic medication/polypharmacy, and 1:1 observation as a fall reduction intervention. According to Greeley et al. there are various forms to 1:1 monitoring that can be implemented as a fall prevention intervention such as video monitoring, assisted device monitoring, as well as an actual 1:1 sitter (2020).  Staff that continually monitor high risk fall patients are able intervene and prevent a fall at the time of occurrence, such as breaking the fall or assisting the patient in falling as to prevent injury. Although, this method may reduce the number of falls and fall related injuries it is not cost effective and difficult to maintain if staffing is an issue within an organization (Greeley et al., 2020). Secondly, monitoring the use of polypharmacy in psychiatric inpatients can reduce falls and fall related injuries (Ferinauli et al., 2021). According to the study falls have been directly related to orthostatic hypotension due to the use of psychotropic medications and sedative medications (Ferinauli et al.,). Therefore, it is important that providers properly review and manage prescribed medications to reduce the risk and incidence of falls within a psychiatric care setting. The proposed intervention can help in reducing falls and fall related injuries amongst psychiatric inpatients, by implementing a plan specific protocol that takes into consideration issues which are contributing factors and unique to the behavioral health population. A successful fall prevention program implements various interventions to successfully prevent and mitigate fall risks within an organization (Ocker et al., 2020).
Conclusion
To decrease the incidence and prevalence of falls within a psychiatric care setting, adequate fall prevention interventions and assessment tools must be developed and implemented within a timely manner. Although there has been extensive evidenced-based research conducted on the elderly population regarding falls and fall interventions, gaps still exist within the psychiatric care setting (Carpels et al., 2019). It is in the best interest of all stakeholders that these gaps are filled to provide optimum quality patient care that ensures patient and staff safety. Studies have shown the complex fall prevention protocol such as additional staffing, expertise, and added resources can possibly reduce fall risk (Appeadu & Bordoni, 2020). Therefore, it is in an organizations best interest to invest and allocate resources to fall prevention and management (Appeadu & Bordoni, 2020).
References
Appeadu, M. K., & Bordoni, B. (2020). Falls and fall prevention in the elderly.
Bayramzadeh, S., Portillo, M., & Carmel-Gilfilen, C. (2019). Understanding design          vulnerabilities in the physical environment relating to patient fall patterns in a psychiatric                       hospital: Seven years of sentinel events. Journal of the American Psychiatric Nurses            Association, 25(2), 134-145.
Carpels, A., de Smet, L., Desplenter, S., & De Hert, M. (2022). Falls among psychiatric                            inpatients: A systematic review of literature. Alpha Psychiatry, 23(5), 217.
Dewidar, O., Lotfi, T., Langendam, M. W., Parmelli, E., Parkinson, Z. S., Solo, K., … &
Schünemann, H. J. (2023). Good or best practice statements: Proposal for the
operationalisation and implementation of GRADE guidance. BMJ Evidence-Based Medicine, 28(3), 189-196.
Ferinauli, F.,   Narulita, S., & Hijriyati, Y. (2021). Effect of antipsychotic drugs and orthostatic   hypotension on the risk of falling in schizophrenic patients. Journal of Public Health                 Research, 10(2), jphr-2021.
Greeley, A. M., Tanner, E. P., Mak, S., Begashaw, M. M., Miake-Lye, I. M., & Shekelle, P. G.                (2020). Sitters as a patient safety strategy to reduce hospital falls: A systematic      review. Annals of Internal Medicine, 172(5), 317-324.
LeLaurin, J. H., & Shorr, R. I. (2019). Preventing Falls in Hospitalized Patients: State of the science. Clinics in Geriatric Medicine, 35(2), 273–283. https://doi.org/10.1016/j.cger.2019.01.007
Ocker SA, Barton SA, Bollinger N, Leaver CA, Harne-Britner S, Heuston MM. (2020)     Preventing falls among behavioral health patients. American Journal Nursing, 120(7):61-               68. doi:10.1097/01.NAJ.0000688256.96880.a3. PMID: 32590604.
Turner, K., Bjarnadottir, R., Jo, A., Repique, R. J. R., Thomas, J., Green, J. F., & Staggs, V. S.     (2020). Patient falls and injuries in US psychiatric care: Incidence and trends. Psychiatric Services, 71(9), 899-905
What is critical appraisal? – CASP – Critical Appraisal Skills Programme. CASP. (n.d.). https://casp-uk.net/what-is-critical-appraisal/
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NURS-FPX 8030 Assessment 4 sample Solution
Introduction
Falls are the second most leading cause of unintentional injury deaths worldwide (WHO, n.d.). To improve the facility’s fall rates regarding falls and fall-related injuries, interventions and strategies must be evaluated and improved. The following interventions will be assessed for their effectiveness by using the following tools as a means of evaluation: Root Cause Analysis (RCA) and Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT). If the rates of falls and fall-related injuries decrease, this improves patient safety and satisfaction, as well as decreases cost expenditures hospital wide (Strini et al., 2021).
Root Cause Analysis
The RCA tool was created by Sakichi Toyoda. He developed this method by using a technique known as the 5-Whys. The technique was developed to discover errors within his company’s manufacturing process by asking why five times (Francis, 2021). Once the cause of the errors was identified he was able to develop solutions to the problems and mitigate the chances of it occurring again (Francis, 2021). This method was so effective it is utilized worldwide in healthcare, construction, engineering, and education (Francis, 2021). By completing a RCA for each fall, pertinent information is derived regarding who, what, when, where, and how the fall occurred. Once this data is accumulated and analyzed the facility could then devise a specific action plan of evidence-based intervention that is data driven and patient specific. An RCA is used to understand the cause of an adverse event and to help identify flaws within the system to be corrected to prevent future occurrences from happening again (Harkness, 2019). A study conducted by Brullo et al. concluded that RCAs were integral in implementing effective fall prevention intervention because it allowed the organization to establish evidenced-based interventions that were driven by hospital data (2022). This tool is useful for evaluating 1:1 patient monitoring as a fall intervention because it provides quantitative data regarding falls and fall rates which can be drilled down further to analyze and evaluate patients placed on 15-minute monitoring vs 1:1 monitoring for falls, as well as their rate and frequency of falls to compare the effectiveness of the two interventions. Therefore, if patients placed on 1:1 monitoring are falling at a frequency less than patients placed on monitoring every 15 minutes one can conclude that the 1:1 monitoring is effective at preventing falls.
Edmonson Psychiatric Fall Risk Assessment Tool
The EPFRAT is a fall risk assessment tool that is specifically for fall evaluation in psychiatric patients. The EPFRAT is a user-friendly assessment tool that considers unique risk factors that are clinically relevant and specific to psychiatric patients (Lilly et al., 2020). The EPFRAT was created by Deborah Edmonson to help consider and assess the unique risk factors related to psychiatric patients and falls (Edmonson et al., 2011). This tool measures age, ambulatory status, medication, hydration, sleep pattern, and psychiatric diagnosis as part of its fall assessment. According to a study conducted by Mathew et al. the implementation of the EPFRAT decreased patient falls by 0.52 per 1,000 patient care days (2020). This tool is relevant to the intervention because it specifically evaluates the targeted population of psychiatric patients and their unique risk factors related to falls. The alternative fall risk assessment that is commonly used is the Morse Fall Scale (MFS). Although the MFS is effective at assessing a patient’s risk for falls, the EPFRAT is more user-friendly and more relevant than the MFS in detecting psychiatric inpatients at high risk for falls (Mathew et al., 2020).
Similarities and Differences
Similarly, to this assessment other studies have been conducted which utilized the EPFRAT fall assessment tool to evaluate psychiatric patients at risk for falls. A quality improvement project used a root cause analysis methodology to assess patient records of falls to develop tailored evidenced-based interventions for patients at risk for falls (Brullo et al. 2022). Several other studies utilized different tools to evaluate patient at risk for falls such as the Morse Fall Scale (MFS) Tool. This fall risk assessment tool is not specific to psychiatric patient and is broadly used to assess all patients at risk for falls (Mathew et al., 2020). Therefore, the target population and demographics differ. Furthermore, other studies consider patients with advanced age and dementia when assessing their risk for falls. The STRATIFY scale is another fall risk assessment tool that is also widely used to predict the risk of falls in hospitalized patients (Strini et al., 2021). However, the tool is widely criticized due to its reduced specificity, and its inapplicability to other health care diagnoses such as rehabilitation from traumatic brain injuries or its use in patients under 65 years old (Strini et al., 2021).
Conclusion
The issue of falls and fall-related injuries within the healthcare setting is not only a relevant issue, but a worldwide issue. There are many attributing factors related to falls. Therefore, it is imperative that healthcare organizations create a plan of action that is specific to their patient population. Various appraisal tools may be used to assess the effectiveness of fall prevention interventions, as well as establish the contributing factors. Case in point an RCA allows one to single out trends and drill down the cause of a fall as opposed to blaming staff for the occurrence of the falls (Brullo et al., 2022). Although these tools could be used to assess these interventions there is limited data regarding the use and effectiveness of these interventions.
References
Brullo, J., Rushton, S., Brickner, C., Madden-Baer, R., & Peng, T. (2022). Using root cause analysis to inform a falls practice change in the home care setting. Home healthcare now, 40(1), 40-48.
Edmonson, D., Robinson, S., & Hughes, L. (2011). Development of the Edmonson Psychiatric Fall Risk Assessment Tool. Journal of Psychosocial Nursing and Mental Health Services, 49(2), 29–36. https://doi.org/10.3928/02793695-20101202-03
Francis, D. M. (2021). Using root cause analysis to help students examine social problems. Teaching Journalism & Mass Communication, 11(1), 61-64.
Harkness, T. & Pullen, R. (2019). Quality improvement tools for nursing practice. Nursing Made Incredibly Easy!, 17 (3), 47-51. doi: 10.1097/01.NME.0000554602.68360.ed.
Mathew, L., Steigman, D., Driscoll, D., Moran-Peters, J. A., Fischer, I. M., Cordle, P., Hyde, V. M. B., & Eckardt, S. (2020). Making fall risk assessment clinically relevant in an adult psychiatric setting. Journal of Psychosocial Nursing and Mental Health Services, 58(2), 21–26. https://doi.org/10.3928/02793695-20191106-01
Strini, V., Schiavolin, R., & Prendin, A. (2021). Fall risk assessment scales: A systematic literature review. Nursing Reports (Pavia, Italy), 11(2), 430–443. https://doi.org/10.3390/nursrep11020041
World Health Organization. (n.d.). Falls. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/falls
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Hospital Policy
Psychotropic Medication Reevaluation Patient Fall Prevention Policy
Purpose:
Patient falls are a major public health and patient safety issue common across different healthcare institutions. Falls prevalence is higher among older adults and patients with different psychiatric conditions since they are at an increased risk (Turner et al., 2020). According to Bates et al. (2023), there is a huge gap in healthcare since patient falls are associated with increased care costs, length of hospital stay, poor healthcare outcomes, and life quality of the patient-reported experiences. The causes of increased patient fall among psychiatric patients include unsteady gait, use of psychiatric medications, history of falls, and psychiatric conditions symptoms such as confusion a