Falls - Tailoring Interventions for Patient Safety (Falls TIPS)

• Falls with injury as a secondary outcome measure. [ Time Frame: 1/2009-6/2009 ] [ Designated as safety issue: Yes ]
  Is there a relationship between use of the FPTK and the incidence of Fall-related injury (secondary outcome measure)
• To evaluate the effectiveness of the FPTK prototype on documentation of planned and completed tailored interventions [ Time Frame: 1/2009-6/2009 ] [ Designated as safety issue: Yes ]
  Is there a difference in the frequency with which tailored fall prevention interventions are documented when professional and paraprofessional providers, patients and family members have access to the FPTK when compared to usual care?

The goal of our project is to prevent patient falls by translating an individual patient's fall risk assessment into a decision support intervention that communicates fall risk status, and creates a tailored evidence-based plan of care that will be accessible to members of the care team to prevent falls.

Patient falls are defined as "patients who experience an unplanned descent to the floor". Patient falls in hospitals are a key safety issue and represent the most frequently reported adverse event in acute care settings. Previous work related to fall risk assessment suggests that a large majority of falls (78%) occur as a result of the presence of physiological risk factors such as confusion, incontinence, poor balance and mobility problems. These falls are considered preventable and as such are classified as iatrogenic.

Phase 1 Specific Aim: To describe the current barriers, facilitators, and methods of fall risk communication in acute care settings (2 academic medical center and 2 community hospital units).

1. What fall risk communication exists within the context of patient care workflow that alerts nurses and other providers (physicians, physical therapists, pharmacists) regarding patients' fall risk status?

   • What should the elements of alerts be at the point of care to support fall risk communication to nurses and other interdisciplinary team members?
   • How should the alert be communicated to professional and paraprofessional providers, patients, and families?

2. What communication of actions to prevent falls exists within the context of patient care workflow that promotes use of a fall prevention plan of care?

   • Based on empirical data to reduce barriers and enhance facilitators, how can information systems be used to create and communicate a tailored evidence-based fall risk patient safety plan of care derived from the nursing fall risk assessment?
   • Based on the C-IC conceptual model, how should the tailored evidence-based fall risk patient safety plan of care be communicated to professional and paraprofessional providers, patients, and families?

Phase 2 Specific Aim: To develop a Fall Prevention Tool Kit (FPTK) prototype that includes 1) The Fall Risk Alert and Communication Plan that translates an individual patient's fall risk assessment into an interdisciplinary fall risk status communication and 2) The Patient Safety Plan of Care (PSPOC), that translates the individual patient's fall risk assessment into a decision support intervention that creates a tailored evidence-based plan of care to be used by professional and paraprofessional providers, patients, and family members across acute care settings.

The FPTK will be developed from fall risk assessment literature, evidence-based fall prevention guidelines and knowledge gained from Phase 1. FPTK components will target common risk communication/fall intervention requirements identified in Phase 1 across the four hospitals to facilitate testing the prototype in Phase 3 and to improve generalizability of our findings.

Phase 3 Specific Aim: To evaluate the effectiveness of the FPTK prototype on reducing patient falls.

1. Is the FPTK used to communicate fall risk status and facilitate adherence with the tailored patient safety plan of care recommendations?
2. Is there a relationship between use of the FPTK and the incidence of falls (primary outcome measure) and fall-related injury (secondary outcome measure)?
3. Is there a difference in the frequency with which tailored fall prevention interventions are documented when professional and paraprofessional providers, patients and family members have access to the FPTK when compared to usual care?

Phase 4 Specific Aim: To evaluate satisfaction with the FPTK prototype and to generate recommendations for improvement.

1. Are the interdisciplinary team members, paraprofessionals, patients and family members satisfied with the FPTK?
2. What components are most useful and what recommendations can be made to improve the perceived usefulness and ease of use of the FPTK? If the FPTK works, then one will see that: 1) the tool kit is used and those helpful and useful components will be identified, 2) those who use the tool kit are satisfied with its use, 3) there is a decrease in the incidence of falls and falls with injury.

• Experimental: 1
  One high-risk medical unit at each hospital will be randomly assigned to receive the fall prevention toolkit
  Intervention: Other: Fall Prevention Tool Kit prototype using a randomized design
• No Intervention: 2
  One high-risk medical unit at each hospital will be randomly assigned to receive usual care as it relates to fall prevention; i.e., receives no intervention.

Inclusion Criteria:

• 2 units per hospital for participation. One unit will be randomized to receive the intervention; the other will serve as a control. Inclusion Criteria: Non-specialty (medical) units and units with similar types of patients and fall rates (fall rates higher than hospital mean).
• Identify focus group/interview participants. Interdisciplinary staff members. Selection criteria: nurses, nursing assistants and other providers (12 total more heavily weighted w/nursing staff) to participate in the study focus groups.
• Patients who have fallen (4 patients at each hospital) for participation in phone interview.
• Patients for analysis must be adults admitted to intervention units.

Exclusion Criteria:

• Anyone who does not meet criteria above.

• Robert Wood Johnson Foundation
• Massachusetts General Hospital
• North Shore Medical Center