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J Patient Saf. 2017 Feb 22. doi: 10.1097/PTS.0000000000000354. [Epub ahead of print]

Validating Fall Prevention Icons to Support Patient-Centered Education.

Author information

1
From the *Brigham and Women's Hospital, Boston, Massachusetts; †Montefiore Medical Center, Bronx, New York; ‡Healthcare Systems Engineering Institute at Northeastern University, Boston; and §John S. Dykes Illustration, Sudbury, Massachusetts.

Abstract

INTRODUCTION:

Falls with injury are the most prevalent hospital adverse event. The objective of this project was to refine fall risk and prevention icons for a patient-centric bedside toolkit to promote patient and nurse engagement in accurately assessing fall risks and developing a tailored fall prevention plan.

METHODS:

Eighty-eight patients and 60 nurses from 2 academic medical centers participated in 4 iterations of testing to refine 6 fall risk and 10 fall prevention icons. During individual interviews, participants rated their satisfaction with the degree to which that icon represented the concept on a 4-point Likert scale, enabling computation of a Content Validity Index (CVI), and provided comments and suggestions for improvement. After reviewing CVI scores and feedback, the research team consulted with the illustrator to revise the icons.

RESULTS:

Content Validity Index scores improved after icon modifications. Icons that depicted multiple concepts required further iterations to be acceptable.

DISCUSSION:

Using icons to depict an accurate and easy-to-interpret fall risk assessment and intervention plan for all care team members including patients and family to follow should lead to improved adherence with that plan and decreased falls.

CONCLUSIONS:

All 16 icons were refined and used to form the basis for a bedside fall prevention toolkit.

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