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NURS FPX6414 Assessment 1 Conference Poster Presentation

Abstract 

Every healthcare professional works to raise the bar on care delivery in the hopes of bettering the results for their patients. The best outcome may be achieved by ensuring that patients’ safety is prioritized and maintained at all times. Falls are the leading cause of unintentional mortality among senior citizens in the United States, defined as those aged 65 and over (CDC, 2020). Every year, elderly people who have been injured in falls make 2.8 million trips to emergency rooms for treatment (CDC, 2020).

The elderly have an increased risk of falling due to a number of factors, including confusion, mobility issues, and the urgent need to urinate. In addition, senior patients are at an increased risk of experiencing falls while in the hospital, which may occasionally result in deadly injuries (LeLaurin & Shorr, 2019). Between 700,000 and 1 million hospitalized patients fall each year, according to the Agency for Healthcare Research and Quality (LeLaurin & Shorr, 2019). According to epidemiological research, the number of falls occurring for every 1000 bed days is between 3.5 and 9.5. (LeLaurin & Shorr, 2019). The elderly have an increased risk of falling due to a number of factors, including confusion, mobility issues, and the urgent need to urinate.

NURS FPX6414 Assessment 1 Conference Poster Presentation

The investigation that was carried out by Galet et al., 2018 had the participation of 931 patients (Galet et al., 2018). There were a total of 931 patients, and of them, 633 had the highest risk of falling as a result of either mental or physical impairments, as well as incontinence (Galet et al., 2018). Even a single fall might potentially lengthen the patient’s stay in the hospital. An informatics team at OhioHealth devised a solution to help minimize the number of patients who have fallen, the Schmid tool (Lee et al., 2019). This approach is employed with the goals of identifying individuals who are at a high risk of falling and creating suitable therapies to lower that risk. When determining a patient’s fall risk, every aspect of their mobility, mental condition, ability to eliminate waste, previous falls, and drugs currently being taken are taken into consideration. In order to evaluate the Schmid tool with the intention of improving patient safety and the overall quality of the outcomes, data will be utilized in combination with informatics models. 

Introduction 

About 2.8 million adults each year visit the emergency department due to fall-related injuries (LeLaurin & Shorr, 2019). 

Every year, between 700,000 and 1,000,000 hospitalized patients have falls (LeLaurin & Shorr, 2019). 

Falls lead to longer hospital stays leading to high expenses of care. 

Scmid tool is used to identify patients who are at high risk of falls. 

NURS FPX6414 Assessment 1 Conference Poster Presentation

When determining a patient’s fall risk, every aspect of their mobility, mental condition, ability to eliminate waste, previous falls, and drugs currently being taken are taken into consideration.

In order to evaluate the Schmid tool with the intention of improving patient safety and the overall quality of the outcomes, data will be utilized in combination with informatics models. 

Analyzing the Use of the Informatics Model 

It is common practice to utilize the Schmid fall risk scale to assess a patient’s vulnerability to falls. The likelihood of a patient experiencing a fall is classified into one of four broad categories used by nurses. First, is flexibility. In this set of choices, you have four possibilities. There is a numerical indicator before each selection group. Patients may be classified as mobile (0) if they are able to walk alone, mobile (1) if they need an aid, unstable (1b), or immobile (0a) if they cannot walk at all. Cognition is the second. 0 means alert, 1a means sometimes confused, 1b means always confused, and 0b means unresponsive (Amundsen et al., 2020). Disposal comes in at number three. Patients may be classified as being either (0a) completely independent, (1a) completely independent but with frequency, (1b) requiring help, or (1c) incontinent. History of previous falls is the fourth classification. No fall (0), a fall before hospitalization (1), and a fall in the hospital (2). The fifth group is drugs, which come last. There are a variety of medications in this category, starting with (1a) anticonvulsant drugs, moving on to (1b) psychotropic, (1c) tranquilizers, (1d) hypnotics, and finally ending with (0) nothing at all (Amundsen et al., 2020).

Literature Review 

Although hospital falls have been on the decline for some time, they still represent a serious issue for hospitals today. Hospitals report patient falls as the leading cause of harm to patients. Patients (increased injury and fatality rates and worse quality of life) and healthcare providers (increased expenses) bear substantial harm from in-hospital falls (increased lengths of stay, medical care costs, and litigation). Medicare and Medicaid no longer cover fall-related injuries for hospitalization reimbursement as of 2008 (LeLaurin & Shorr, 2019). Due to the enormous financial burden, it is essential that hospitals take every precaution to avoid patient falls (LeLaurin & Shorr, 2019).

According to clinician anecdotes, older patients with traumatic injuries (falls or other traumas) are often readmitted with fall injuries. According to the findings of this study, the number of fatalities and hospitalizations caused by injuries sustained in falls among the elderly has been rising steadily over the last decade (Galet et al., 2018). Re-admissions after a previous fall are on the rise, which is a startling trend. This tendency is expected to continue as the population ages, highlighting the need of social support networks and fall prevention initiatives for the elderly (Galet et al., 2018).

The Centers for Disease Control and Prevention report that falls are the primary cause of injury and mortality among those 65 and older in the United States (CDC, 2020). The elderly population in the United States is particularly vulnerable to the negative health effects of falls due to their prevalence and high expense. Yet, falls are avoidable and not always a natural consequence of becoming older (CDC, 2020).

NURS FPX6414 Assessment 1 Conference Poster Presentation

Conclusion 

With the assistance of a detailed approach such as the one mentioned above, it is feasible to reduce the number of falls that occur in hospitals. Previous research has shown that falls are the leading cause of death in the United States. The informatics model was used at every stage of the development process as a guiding concept for the Schmid tool that was being created for quality improvement. It was discovered that employing our fall risk assessment and fall scorecards resulted in a considerable reduction in the number of falls that occurred.

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