An interdisciplinary momentary confluence of events model to explain, minimize, and prevent pediatric patient falls and fall-related injuries

J Spec Pediatr Nurs. 2013 Jan;18(1):4-12. doi: 10.1111/jspn.12009.

Abstract

Purpose: This article reviews theoretical, empirical, and clinical evidence to support the hypothesis that pediatric patient fall episodes are rarely predictable; rather, falls and fall-related injuries occur during the momentary convergence of child, parent, and caregiver human factors, and environmental, biomechanical, and system factors.

Conclusions: We propose an interdisciplinary pediatric fall and injury prevention model to guide future research toward interventions to prevent or minimize pediatric patient falls and injuries.

Practice implications: When falls and near miss falls occur, nurses' detailed descriptions of each model component are critical to discovery of more effective pediatric fall and injury prevention methods.

Publication types

  • Review

MeSH terms

  • Accident Prevention / methods*
  • Accidental Falls / prevention & control*
  • Accidental Falls / statistics & numerical data
  • Age Factors
  • Child
  • Child, Hospitalized / statistics & numerical data
  • Child, Preschool
  • Environment
  • Female
  • Humans
  • Interdisciplinary Communication
  • Male
  • Models, Theoretical*
  • Pediatrics
  • Prognosis
  • Risk Factors
  • Wounds and Injuries / etiology*
  • Wounds and Injuries / physiopathology