Risk factors and injury associated with falls in elderly hospitalized patients in a community hospital

Journal of Patient Safety

Volumn 4, Issue 3, 2008, Pages 178-183

  Chelly, Jacques E ^a,b,c   Conroy, Linda ^c   Miller, Gregory ^a   Elliott, Marc N ^d   Horne, Jennifer L ^a   Hudson, Mark E ^a  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^b Department of Orthopedic Surgery ^*  (United States)

^c UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^d RAND CORPORATION   (United States)

Author keywords

Elderly; Hospitalized patient falls; Inpatient falls; Patient safety

Indexed keywords

EID: 67650163859     PISSN: 15498417     EISSN: 15498425     Source Type: Journal    
DOI: 10.1097/PTS.0b013e3181841802     Document Type: Article

References (31)

1. Kannus P, Niemi S, Parkkari J, et al. Hip fractures in Finland between 1970 and 1997 and prediction for the future. Lancet. 1999;353: 802-805.
2. Stevens JA, Olson S. Reducing falls and resulting fractures among older women. MMWR Recomm Rep. 2000;49(RR-2):3-12.
3. Giles LC, Whitehead CH, Jeffers L, et al. Falls in hospitalized patients: can nursing information systems data predict falls? Comput Inform Nurs. 2006;24:167-172.
4. Clark GA. A study of falls among elderly hospitalized patients. Aust J Adv Nurs. 1984;2:34-44.
5. Sehested P, Severin-Nielsen T. Falls by hospitalized elderly patients: causes, prevention. Geriatrics. 1977;32:101-108.
6. Chu LW, Pei CK, Chiu A, et al. Risk factors for falls in hospitalized older medical patients. J Gerontol A Biol Sci Med Sci. 1999;54: M38-M43.
7. Aizen E, Dranker N, Swartzman R, et al. Risk factors and characteristics of falls resulting in hip fracture in the elderly. Isr Med Assoc J. 2003;5:333-336.
8. Kerzman H, Chetrit A, Brin L, et al. Characteristics of falls in hospitalized patients. J Adv Nurs. 2004;47:223-229.
9. Brandi A, Brasiliani L, Belli S, et al. Retrospective survey on falls among hospitalized patients [in Italian]. Assist Inferm Ric. 2002;21:125-130.
10. Mecocci P, von Strauss E, Cherubini A, et al. Cognitive impairment is the major risk factor for development of geriatric syndromes during hospitalization: results from the GIFA Study. Dement Geriatr Cogn Disord. 2005;20:262-269.
11. Tutuarima JA, van der Meulen JH, de Haan RJ, et al. Risk factors for falls of hospitalized stroke patients. Stroke. 1997;28:297-301.
12. Hsu SS, Lee CL, Wang SJ, et al. Fall risk factors assessment tool: enhancing effectiveness in falls screening. J Nurs Res. 2004;12:169-179.
13. Innes EM, Turman WG. Evaluation of patient falls. QRB Qual Rev Bull. 1983;9:30-35.
14. Fife D, Solomon P, Stanton M. A risk/fall program: code orange for success. Nurs Manage. 1984;15:50-53.
15. Barker SM, O'Brien CN, Carey D, et al. Quality improvement in action: a falls prevention and management program. Mt Sinai J Med. 1993;60:387-390.
16. Unruh L. Trends in adverse events in hospitalized patients. J Healthc Qual. 2002;24:4-10; quiz 10, 18.
17. Bates DW, Pruess K, Souney P, et al. Serious falls in hospitalized patients: correlates and resource utilization. Am J Med. 1995;99:137-143.
18. Joint Commission on Accreditation of Healthcare Organizations. 2005 Joint Commission National Patient Safety Goals: Practical Strategies and Helpful Solutions for Meeting These Goals. Available at: http:// www.jcrinc.com/ subscribers/patientsafety.asp?durki = 7916&site = 22&return = 154. Accessed April 16, 2006.
19. Joint Commission on Accreditation of Healthcare Organizations. National Patient Safety Goals for 2006. Available at: http://www. jointcommission.org/ PatientSafety/NationalPatientSafetyGoals. Accessed April 16, 2006.
20. Scheibel AB. Falls, motor dysfunction, and correlative neurohistologic changes in the elderly. Clin Geriatr Med. 1985;1:671-677.
21. Janken JK, Reynolds BA, Swiech K. Patient falls in the acute care setting: identifying risk factors. Nurs Res. 1986;35:215-219.
22. Gales BJ, Menard SM. Relationship between the administration of selected medications and falls in hospitalized elderly patients. Ann Pharmacother. 1995;29(4):354-358.
23. Guse CE, Porinsky R. Risk factors associated with hospitalization for unintentional falls: Wisconsin hospital discharge data for patients aged 65 and over. WMJ. 2003;102:37-42.
24. Walker PC, Alrawi A, Mitchell JF, et al. Medication use as a risk factor for falls among hospitalized elderly patients. Am J Health Syst Pharm. 2005;62:2495-2499.
25. Nurmi I, Luthje P. Incidence and costs of falls and fall injuries among elderly in institutional care. Scand J Prim Health Care. 2002;20: 118 -122.
26. Hausman J, Hall BH, Grichiles Z. Econometric models for count data with an application to the patents-R&D relationship. Econometrica. 1984;52:909-938.
27. StataCorp. Stata Statistical Software: Release 9. College Station, TX: StataCorp LP; 2005.
28. Coussement J, De Paepe L, Schwendimann R, et al. Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis. JAm Geriatr Soc. 2008;56:29-36.
29. Oliver D, Connelly JB, Victor CR, et al. Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analysis. BMJ. 2007;334:82.
30. Menz HB, Morris ME, Lord SR. Footwear characteristics and risk of indoor and outdoor falls in older people. Gerontology. 2006;52:174-180.
31. Schmid NA. 1989 Federal Nursing Service Award Winner. Reducing patient falls: a research-based comprehensive fall prevention program. Mil Med. 1990;155:202-207.