De-Implementing Fall Prevention Alarms in Hospitals
University of Florida
Summary
This is a Hybrid II de-implementation study to reduce use of fall prevention alarms in hospitals. The intervention consists of tailored, site-specific approaches for three core implementation strategies: education, audit/feedback and opinion leaders. Hospital units will be randomized to low-intensity or high-intensity coaching for the implementation of the tailored strategies.
Description
Inpatient falls result in significant physical and economic burdens to patients (increased injury and mortality rates and decreased quality of life) as well as to medical organizations (increased lengths of stay, medical care costs, and litigation). The Centers for Medicare \& Medicaid Services (CMS) considers falls with injury a "never event"- an error in medical care that indicates a real problem in the safety and credibility of a health care institution. Hospitals are no longer reimbursed for extra costs incurred in the diagnosis and management of inpatient fall-related injuries. Thus, beca…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Stakeholders in fall prevention at up to 30 participating NDNQI hospitals Exclusion Criteria: \-
Interventions
- OtherHigh Intensity Coaching
External coaching is a commonly used strategy to change practice, especially for multi-site collaboratives where implementation requires customization to the site. Coaches serve as skill builders who train organizational personnel in quality improvement processes and develop proficiency in the targeted practice area (i.e., fall prevention).
- OtherLow Intensity Coaching
External coaching is a commonly used strategy to change practice, especially for multi-site collaboratives where implementation requires customization to the site. Coaches serve as skill builders who train organizational personnel in quality improvement processes and develop proficiency in the targeted practice area (i.e., fall prevention).
Locations (24)
- PIH Health Downey HospitalDowney, California
- El Camino Health - Los GatosMountain View, California
- University of California Davis Medical CenterSacramento, California
- Lakeland Regional Medical CenterLakeland, Florida
- OSF Saint Anthony's Health CenterAlton, Illinois
- Central DuPage HospitalWinfield, Illinois