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J Spec Pediatr Nurs. 2011 Apr;16(2):130-9. doi: 10.1111/j.1744-6155.2011.00277.x.

Development, implementation, and evaluation of a comprehensive fall risk program.

Author information

1
Department of Quality and Patient Safety, The Children's Hospital, Aurora, Colorado, USA. neiman.jenae@tchden.org

Abstract

PURPOSE:

The purpose was to develop and implement I'M SAFE, a comprehensive patient fall-risk assessment tool linked to a tiered-intervention falls prevention program.

DESIGN AND METHOD:

A fall-risk evaluation tool was incorporated into electronic nurse documentation along with risk-specific nursing interventions.

RESULTS:

Intrinsic fall rates declined significantly (preimplementation: .67 falls/1,000 patient days; postimplementation: .51 falls/1,000 patient days, p = .015) and has been sustained 2 years following implementation.

PRACTICE IMPLICATIONS:

The I'M SAFE tool identifies patients at increased risk for falls. When linked to a multidisciplinary fall prevention program, the incidence of preventable falls can be reduced. The program's impact has persisted across two facilities.

[Indexed for MEDLINE]

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