The identification and management of patients at high risk of falls in the acute care setting: a best practice implementation project

Abstract

BACKGROUND Falls are a significant healthcare issue within the acute hospital setting. Admission to hospital is often associated with changes in physical and cognitive condition, which in combination with unfamiliar surroundings contributes to an increased risk of falling in a hospital setting. OBJECTIVES This project aimed to conduct an evidence-based clinical audit, identifying barriers to best practice and implementing strategies to reduce the risk of falls in an acute hospital setting. METHODS This project utilized the Joanna Briggs Institute’s Practical Application of Clinical Evidence System and Getting Research into Practice audit tool for promoting change in healthcare clinical practice. A baseline audit was conducted, and a further two follow-up cycles following implementation of best practice. RESULTS The project was very successful in that compliance with all eight criteria improved from baseline audit results over the period of the project. There is still room for improvement as results of the second post-implementation audit indicated less improvement as compared with the first post-implementation audit. CONCLUSION Whilst the results of the project have seen improved compliance with the eight best practice criteria there is yet to be seen a significant, consistent decrease in falls rates. Ongoing education, measurement and monitoring are required to ensure sustainability of practice change.