Factors Associated with Injuries after Inpatient Falls in a Tertiary Hospital
10.22650/JKCNR.2017.23.2.202
- Author:
Moon Suk CHO
1
;
Hyang Yuol LEE
Author Information
1. Senior Professional Advisor, Seoul National University Bundang Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Accidental Falls;
Injuries;
Inpatients
- MeSH:
Accidental Falls;
Cross-Sectional Studies;
Diagnostic Tests, Routine;
Electronic Health Records;
Humans;
Inpatients;
Logistic Models;
Risk Factors;
Tertiary Care Centers
- From:
Journal of Korean Clinical Nursing Research
2017;23(2):202-210
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In this study an investigation was done of injuries from inpatient falls and diagnostic tests and treatment after falls to identify what factors affect the occurrence of injury from inpatient falls in a tertiary hospital. METHODS: Data for this cross-sectional study were retrieved for 428 fall events from data reported between January 1 and December 31, 2015 and were retrieved from the patient-safety reporting system in the hospital's electronic health records. A multivariate logistic regression model was developed with STATA 13.0. RESULTS: Of the patients, 197 (46.0%) had physical injuries due to falls, 119 (27.8%) were given further diagnostic tests, and 358 (83.6%) received treatment including close observation after inpatient falls. Logistic-regression results identified that age, department, and risk factors had significant impact on injuries from falls. CONCLUSION: identified that age, department, and risk factors had significant impact on injuries from falls. Conclusion: Findings indicate that to reduce the severity of injury after inpatient falls, each hospital should regularly evaluate identified factors, design fall-prevention practices specialized for elders and vulnerable patients, and initiate environmental and equipment innovations.