Retrospective analysis of patient falls as a basis for evidence-based practice

Jana Horová 1,2, Iva Brabcová 2, Nina Müllerová 3
1University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, České Budějovice, Czech Republic 2University of West Bohemia in Pilsen, Faculty of Health Care Studies, Plzeň, Czech Republic 3University Hospital in Pilsen, Plzeň, Czech Republic

Korespondenční autor: Jana Horová (jhorova@kos.zcu.cz)

ISSN 1804-7181 (On-line)

Full verze:
Full version

Submitted:2. 7. 2018
Accepted: 22. 10. 2018
Published online: 31. 12. 2018

Summary

Aims: The aim of this work was to perform a five-year retrospective analysis of patient falls at the Regional University Hospital, as a basis for preventive programme implementation based on the evidence-based practice. Methods: The obtained data were processed by quantitative research methods. Descriptive statistics were obtained from patient fall report forms that were completed mandatorily over a five-year period. In the next phase, data correlation was performed, and areas in which the preventive anti-fall programmes are performed were determined at the significance level of 5%. The Stata of version 13 was used. The SPSS Answer Tree of version 3.1 was used to identify risk groups. Results: The Regional University Hospital is one of the largest healthcare facilities in the Czech Republic, with 1,729 beds and 4,480 employees. The analysis included a total of 2,280 patient falls that occurred over the fiveyear period. The data obtained by the descriptive statistics were correlated with the fall-risk area (chi-squared test). The statistically significant relationships seemed to be: year of monitoring, department, type of ward, age, mental condition, medication use, antipsychotics, cardiovascular drugs, diuretics, medication category, circumstances of fall, patient cooperation, patient mobility and post-fall development. Conclusion: The processing of patient fall incidence information as one of the most common adverse events in a hospital is relevant for national and transnational comparison. It may be an inspirational incentive for a more effective programme to prevent falls and fall-related injuries in other healthcare facilities.

Keywords: Adverse event; Evidence-based practice; Fall; Hospital; Patient; Retrospective analysis

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