Patient falls reduction in a hospital: influence of environmental and organizational changes

Translated title of the contribution: Redução das quedas de doentes num hospital: a influência das alterações do envolvimento ambiental e organizacional

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Patient falls in hospitals have mostly multifactorial causes. Research is mainly centred in the identification of patient (intrinsic) risk factors. Other risk factors from the physical and organizational environment are frequently unrecognized, that doesn't allow identifying the potential risk that they can have on falls. This research aims to understand the influence of environmental and organizational hospital changes in the reduction of patient's falls. In order to achieve this objective, we analysed information from a hospital falls database from 2012 to 2014. There has been a total 361 falls recorded during 2012-2014. Falls occur mainly in General Internment (37%), followed by Department of Surgery (15%) and Emergency Room (13%). During this period (2012-2014) nevertheless the increasing of patient safety hospital reports there was a falls reduction of 55%. Patient health conditions contributed to the reduction in 46%, (OR=0.505; CI 95%= 0.254-1.005, p=0.052). Patient falls related with environmental and organizational risk factors have a reduction of 67% (OR=1.968; CI 95%= 1.077-3.597, p=0.028). Facilities changes and equipment renewal contributed positively to falls reduction during this period. Patient's falls may be also be reduced if at organizational level there are specific preventive measures for patients with a high risk of falling.

Translated title of the contributionRedução das quedas de doentes num hospital: a influência das alterações do envolvimento ambiental e organizacional
Original languageUnknown
Title of host publicationSHO2016: INTERNATIONAL SYMPOSIUM ON OCCUPATIONAL SAFETY AND HYGIENE
EditorsP Arezas, JS Baptista, MP Barroso, P Carneiro, P Cordeiro, N Costa, R Melo, AS Miguel, G Perestrelo
PublisherPORTUGUESE SOC OCCUPATIONAL SAFETY & HYGIENE
Pages257-259
Number of pages3
Publication statusPublished - 2016
Event12th International Symposium on Occupational Safety and Hygiene of Portuguese-Society-of-Occupational-Safety-and-Hygiene(SHO) - Guimaraes, Portugal
Duration: 23 Mar 201624 Mar 2016

Conference

Conference12th International Symposium on Occupational Safety and Hygiene of Portuguese-Society-of-Occupational-Safety-and-Hygiene(SHO)
CountryPortugal
CityGuimaraes
Period23/03/1624/03/16

Keywords

  • Patient Safety
  • Falls
  • Ergonomics
  • Environmental and Organizational hospital risk factors

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