Technology and building design: Initiatives to reduce inpatient falls among the elderly

Health Environments Research and Design Journal

Volumn 3, Issue 4, 2010, Pages 93-105

  Hignett, Sue ^a  

^a LOUGHBOROUGH UNIVERSITY   (United Kingdom)

Author keywords

Acute care; Dementia; Long term care; Mobility; Patient safety

Indexed keywords

AGED; ARTICLE; EQUIPMENT DESIGN; FALLING; FRAIL ELDERLY; HOSPITAL DESIGN; HUMAN; METHODOLOGY; MICROCLIMATE; SAFETY;

ACCIDENTAL FALLS; AGED; ENVIRONMENT, CONTROLLED; EQUIPMENT DESIGN; FRAIL ELDERLY; HOSPITAL DESIGN AND CONSTRUCTION; HUMANS; SAFETY MANAGEMENT;

EID: 79952115695     PISSN: 19375867     EISSN: None     Source Type: Journal    
DOI: 10.1177/193758671000300408     Document Type: Article

References (95)

1. American Geriatrics Society.(2001). Guideline for the prevention of falls in older persons. Journal of the American Geriatrics Society, 49 (5) 664-672.
2. Becker C., Kron M., Lindemann U., Sturm E., Eichner B., Walter-Jung B., & Nikolaus T. (2003). Effectiveness of a multi-faceted intervention on falls in nursing home residents. Journal of the American Geriatrics Society, 51, 306-313.
3. Becker F., & Parsons K. S. (2007). Hospital facilities and the role of evidence-based design. Journal of Facilities Management, 5 (4) 263-274.
4. Berry G., Fisher R. H., & Lang S. (1981). Detrimental incidents, including falls, in an elderly institutional population. Journal of the American Geriatrics Society, 29 (7) 322-324.
5. Blair E., & Gruman C. (2005). Falls in an inpatient geriatric psychiatric population. Journal of the American Psychiatric Nurses Association, 11, 351-354.
6. Boushon B., Nielsen G., Quigley P., Rutherford P., Taylor J., & Shannon D. (2008). Transforming care at the bedside how-to guide: Reducing patient injuries from falls. Cambridge, MA:Institute for Healthcare Improvement.
7. Bouwen A., De Lepeleire J., & Buntinx F. (2008). Rate of accidental falls in institutionalised older people with and without cognitive impairment halved as a result of a staff-oriented intervention. Age and Ageing, 37 (3) 306-310.
8. Brannan S., Dewar C., Sen J., Clarke D., Marchall T., & Murray P. I. (2003). A prospective study of the rate of falls before and after cataract surgery. British Journal of Opthalmologists, 87, 560-562.
9. Calkins M. P. (1988). Design for dementia. Planning environments for the elderly and the confused. Owings Mills, MD:National Health Publishing.
10. Capezuti E., Strumpf N., Evans L. K., Grisso J. A., & Maislin G. (1998). The relationship between physical restraint removal and falls and injuries among nursing home residents. Journal of Gerontology, 53a (1), M47-M52.
11. Capezuti E., Wagner L. M., Brush B. L., Boltz M., Renz S., & Talerico K. A. (2007). Consequences of an intervention to reduce restrictive side rail use in nursing homes. Journal of the American Geriatrics Society, 55 (3) 334-341.
12. Chaâbane F. (2007). Falls prevention for older people with dementia. Nursing Standard, 22 (6) 50-55.
13. Chang J. T., Morton S. C., Rubenstein L. Z., Mojica W. A., Maglione M., Suttorp M. J., Shekelle P. (2004). Interventions for the prevention of falls in older adults: Systematic review and meta-analysis of randomised clinical trials. British Medical Journal, 328, 680-686.
14. Chaudhury H., Mahmood A., & Valente M. (2005). Advantages and disadvantages of single-versus multiple-occupancy rooms in acute care environments. Environment and Behaviour, 37 (6) 760-786.
15. Chung H. (2009). The lived experience of older adults who fall during hospitalization. PhD dissertation. College of Nursing, Graduate School of the Texas Woman's University.
16. Colling J., & Park D. (1983). Home, safe home. Journal of Gerontological Nursing, 9 (3) 175-192.
17. Coussement J., De Paepe L., Schwendimann R., Denhaerynck K., Dejaeger E., & Milisen K. (2008). Interventions for preventing falls in acute- and chronic-care hospitals: A systematic review and meta-analysis. Journal of the American Geriatrics Society, 56, 29-36.
18. Cumming R. G., Sherrington C., Lord S. R., Simpson J. M., Vogler C., Cameron I. D., Naganathan V. (2008). Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital. British Medical Journal, 336, 758-760.
19. Day K., Carreon D., & Stump C. (2000). The therapeutic design of environments for people with dementia: A review of the empirical research. The Gerontologist, 40 (4) 397-416.
20. Day J., Higgins I., & Kick T. (2009). The process of practice redesign in delirium care for hospitalised older people: A participatory action research study. International Journal of Nursing Studies, 46, 13-22.
21. Donoghue J., Graham J., Mitten-Lewis S., Murphy M., & Gibbs J. (2005). A volunteer companion-observer intervention reduces falls in an acute aged care ward. International Journal of Healthcare Quality Assurance, 18 (1) 24-31.
22. Dunn K. S. (2001). The effect of physical restraints on fall rates in older adults who are institutionalized. Journal of Gerontological Nursing, 27 (10) 40-48.
23. Evans D., Hodgkinson B., Lambert L., Wood J., & Kowanko I. (1998). Falls in acute hospitals. A systematic review. The Joanna Briggs Institute for Evidence Based Nursing and Midwifery. Retrieved July 20, 2009, from www.joannabriggs.edu.au/pdf/1_1998_Falls.pdf
24. Fagin I. D., & Vita M. (1965). Who? Where? When? How? An analysis of 868 inpatient accidents. Hospitals, 39, 60-65.
25. Feldbauer R., Boan D., Nadzam D., Finis N., & Nadzam B. (2008). Design of a patient-safe environment: The Joint Commission Position. Health Environments Research & Design Journal, 1 (2) 65-68.
26. Fine W. (1959). An analysis of 277 falls in hospitals. Gerontological Clinics, 1, 292-300.
27. Fischer I. D., Krauss M. J., Dunagan W. C., Birge S., Hitcho E., Jonson S., Fraser V. J. (2005). Patterns and predictors of inpatient falls and fall-related injuries in a large academic hospital. Infection Control in Hospital Epidemiology, 26 (10) 822-827.
28. Flaherty J. H., Tariq S. H., Raghavan S., Bakshi S., Moinuddin A., & Morley J. E. (2003). A model for managing delirious older inpatients. Journal of the American Geriatrics Society, 51 (7) 1031-1035.
29. George J., Bleasdale S., & Singleton S. J. (1997). Causes and prognosis of delirium in elderly patients admitted in hospital. Age and Ageing, 26, 423-427.
30. Giles L. C., Bolch D., Rouvray R., McErlean B., Whitehead C. H., Phillips P. A., Crotty M. (2006). Can volunteer companions prevent falls among in-patients? A feasibility study using a pre-post comparative design. BMC Geriatrics, 6, 11.
31. Gillespie L. (2004). Preventing falls in elderly people. British Medical Journal, 328, 653-654.
32. Gowdy M., & Godfrey S. (2003). Using tools to assess and prevent inpatient falls. Joint Commission Journal on Quality and Safety, 29 (7) 363-368.
33. Gulwadi G. B., & Calkins M. P. (2008). The impact of healthcare environment design on patient falls. Retrieved May 14, 2010, from http://store.healthdesign.org/the-impact-of-healthcare-environmental-design-on-patient-falls.html
34. Haines T. P., Bennell K. L., Osborne R. H., & Hill K. D. (2004). Effectiveness of targeted falls prevention programme in subacute hospital setting: Randomised controlled trial. British Medical Journal, 328 (7441) 676-671.
35. Hanger H. C., Ball M. C., & Wood L. A. (1999). An analysis of falls in the hospital: Can we do without bedrails? Journal of the American Geriatrics Society, 47 (5) 529-531.
36. Healey F., Monro A., Cockram A., Adams V., & Heseltine D. (2004). Using targeted risk factor reduction to prevent falls in older in-patients: A randomised controlled trial. Age and Ageing, 33, 1-5.
37. Healey F., Scobie S., Glampson B., Pryce A., Joule N., & Willmott M. (2007). Slips, trips and falls in hospital-The third report from the Patient Safety Observatory. London, United Kingdom:National Patient Safety Agency.
38. Healey F., Scobie S., Oliver D., Pryce A., Thomson R., & Glampson B. (2008). Falls in English and Welsh hospitals: A national observational study based on retrospective analysis of 12 months of patient safety incident reports. Quality and Safety in Health Care, 17, 424-430.
39. Hendrich A., Chow M. P., Skiercznski B. A., & Lu Z. (2008). 36-Hospital time and motion study: How do medical-surgical nurses spend their time? The Permanente Journal, 12 (3) 25-34.
40. Hignett S., & Masud T. (2006). A review of environmental hazards associated with in-patient falls. Ergonomics, 49 (5-6) 605-616.
41. Hignett S., Sands G., Youde J., & Griffiths P. (2010) Targeting environmental factors to reduce elderly in-patient falls. Proceedings of the 1st International Conference on Human Factors and Ergonomics in Healthcare/3rd International Conference on Applied Human Factors and Ergonomics, July 17-20, 2010, Miami, FL.
42. Hughes M. (2002). Fall prevention and the national service framework. Nursing Standard, 17 (4) 33-38.
43. Innes E. M., & Turman W. G. (1983). Evaluation of patient falls. Quality Review Bulletin, 9 (2) 30-35.
44. Institute for Healthcare Improvement.(2008). IHI Global Trigger Tool for measuring adverse events (UK version). Cambridge, MA:Author.
45. Janken J. K., Reynolds B. A., & Swiech K. (1986). Patient falls in the acute care setting: Identifying risk factors. Nursing Research, 35 (4) 215-219.
46. Jensen J., Lundin-Olsson L., Nyberg L., & Gustafson Y. (2002). Fall and injury prevention in older people living in residential care facilities: A cluster randomized trial. Annals of Internal Medicine, 136 (10) 733-741.
47. Kannus P., Khan K. M., & Lord S. R. (2006). Preventing falls among elderly people in the hospital environment. Medical Journal of Australia, 184 (8) 372-373.
48. Kannus P., Sievänen H., Palvanen M., Järvinen T., & Parkkari J. (2005). Prevention of falls and consequent injuries in elderly people. Lancet, 366, 1885-1893.
49. Kelly A., & Dowling M. (2004). Reducing the likelihood of falls in older people. Nursing Standard, 18 (49) 33-40.
50. Kilpack V., Boehm J., Smith N., & Mudge B. (1991). Using research-based interventions to decrease patient falls. Applied Nursing Research, 4 (2) 50-56.
51. Krauss M. J., Tutlam N., Costantinou E., Johnson S., Jackson D., & Fraser V. J. (2008). Intervention to prevent falls on the medical service in a teaching hospital. Infection Control and Hospital Epidemiology, 29 (6) 539-545.
52. Leighbody J. (1985). Patient falls and related variables: An examination of environmental design and safety. Proceedings of the Human Factors Society-29th Annual Meeting. 1-2, 702-705.
53. Mahoney J. E. (1998). Immobility and falls. Clinical Geriatric Medicine, 14 (4) 699-727.
54. Mayo N. E., Gloutney L., & Levy A. R. (1994). A randomized trial of identification bracelets to prevent falls among patients in a rehabilitation hospital. Archives of Physical Medicine and Rehabilitation, 75, 1302-1308.
55. Mayo N. E., Korner-Bitensky N., Becker R., & Georges P. (1989). Predicting falls among patients in a rehabilitation hospital. American Journal of Physical Medical Rehabilitation, 68 (3) 139-146.
56. McCarter-Bayer A., Bayer F., & Hall K. (2005). Preventing falls in acute care. Journal of Gerontological Nursing, 31 (3) 25-33.
57. Meddaugh D. I., Friedenberg D. L., & Kisley R. (1996).Special socks for special people: Falls in special care units. Geriatric Nursing, Jan/Feb, 24-26.
58. Moore A. (2009). NHS single rooms: Preferences and privacy. Health Services Journal, February 23, 2009. Retrieved July 20, 2009, from http://www.hsj.co.uk/nhs-single-rooms-preferences-and-privacy/1982526.article
59. Morgan V. R., Mathison J. H., Rice J. C., & Clemmer D. I. (1985). Hospital falls: A persistent problem. American Journal of Public Health, 75 (7) 775-777.
60. Morse J., Prowse M. D., Morrow N., & Federspeil G. (1985). A retrospective analysis of patient falls. Canadian Journal of Public Health, 76 (2) 116-118.
61. Morse J. M., Tylko S. J., & Dixon H. A. (1987). Characteristics of the fall-prone patient. The Gerontologist, 27 (4) 516-522.
62. Mulrow C. D., Gerety M. B., Kanten D., Cornell J. E., DeNino L. A., Chiodo L., Solis R. M. (1994). A randomized trial of physical rehabilitation for very frail nursing home residents. Journal of the American Medical Association, 271 (7) 519-524.
63. Myers H., & Nikoletti S. (2003). Fall risk assessment: A prospective investigation of nurses' clinical judgement and risk assessment tools in predicting patient falls. International Journal of Nursing Practice, 9 (3) 158-165.
64. Namazi K. H., & Johnson B. D. (1991a). Environmental effects on incontinence problems in Alzheimer's disease patients. The American Journal of Alzheimer's Care and Related Disorders & Research, 6 (6), 16-21.
65. Namazi K. H., & Johnson B. D. (1991b). Physical environmental cues to reduce the problems of incontinence in Alzheimer's disease units. The American Journal of Alzheimer's Care and Related Disorders & Research, 6 (6) 22-28.
66. National Quality Forum.(2007). Serious reportable events in healthcare 2006 update. A consensus report. Washington, DC:Author.
67. Nelson C., West T., & Goodman C. (2005). The hospital built environment: What role might funders of health services research play? (Prepared by The Lewin Group, Inc. under Contract No. 290-04-0011.) AHRQ Publication No. 06-0106-EF. Rockville, MD:Agency for Healthcare Research and Quality.
68. Nowalk M. P., Predergast J. M., Bayles C. M., Amico F. J., & Colvin G. C. (2001). A tandomized trial of exercise programs among older individuals living in two long-term care facilities: The FallsFREE Program. Journal of the American Geriatrics Society, 49 (7) 859-865.
69. Odom-Forren J. (2008). Never events: A patient safety imperative. Journal of PeriAnaesthesia Nursing, 23 (4) 223-225.
70. Oliver D. (2002). Bed falls and bedrails in hospital. What should we do? Editorial. Age and Ageing, 31, 415-418.
71. Oliver D. (2007). Preventing falls and fall injuries in hospital: A major risk management challenge. Clinical Risk, 13, 173-178.
72. Oliver D., Connelly J. B., Victor C. R., Shaw F. E., Whitehead A., Genc Y., Gosney M. A. (2007). Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: Systematic review and meta-analyses. British Medical Journal, 334, 82-87.
73. Oliver D., Daly F., Martin M., & McMurdo M. (2004). Risk factors and risk assessment tools for falls in hospital inpatients: A systematic review. Age and Ageing, 33, 122-130.
74. Parker R. (2000). Assessing the risk of falls among older patients. Professional Nurse, 15 (8) 511-514.
75. Parrish H., & Weil T. P. (1958). Patient accidents occurring in hospitals: Epidemiologic study of 614 accidents. New York State Journal of Medicine, 58, 838-846.
76. Pati D., Harvey Jr. T. E., Reyers E., Evans J., Waggener L., Serrano M., Nagle T. (2009). A multidimensional framework for assessing patient room configurations. Health Environments Research & Design Journal, 2 (2) 88-111.
77. Pluye P., Gagnon M-P., Griffiths F., & Johnson-Lafleur J. (2009). A scoring system for appraising mixed methods research, and concomitantly appraising qualitative, quantitative and mixed methods primary study in Mixed Studies Reviews. International Journal of Nursing Studies, 46, 529-546.
78. Quigley P., Hahm B., Gibson W., Powell-Cope G., Sarduy I., Tyndall K., White S. V. (2009). Reducing severe injury from falls in two veterans' hospital medical surgical units. Journal of Nursing Care Quality, 24 (1) 33-41.
79. Rainville N. G. (1984). Effect of an implemented fall prevention program on the frequency of patient falls. Quality Review Bulletin, 10 (9) 287-291.
80. Rapp K., Lamb S. E., Büchele G., Lall R., Lindemann U., & Becker C. (2008). Prevention of falls in nursing homes: Subgroup analyses of a randomized fall prevention trial. Journal of the American Geriatrics Society, 56 (6) 1092-1097.
81. Ray W. A., Taylor J. A., Meador K. G., Thapa P. B., Brown A. K., Kajihara H. K., Griffin M. R..(1997). A randomized trial of a consultation service to reduce falls in nursing homes. Journal of the American Medical Association, 278 (7) 557-562.
82. Russo C. A., & Elixhauser A. (2006). Hospitalizations in the elderly population, 2003 (Statistical Brief No. 6). Rockville, MD:The Agency for Healthcare Research and Quality. Retrieved July 20, 2009, from http://www.hcup-us.ahrq.gov/reports/statbriefs/sb6.pdf
83. Salgado R. I., Lord S. R., Ehrlich F., Janji N., & Rahman A. (2004). Predictors of falling in elderly hospital patients. Archives of Gerontology and Geriatrics, 38, 213-219.
84. Schnelle J. F., Alessi C. A., & Simmons S. F. (2002). Translating clinical records into practice. A randomized controlled trial of exercise and incontinence care with nursing home residents. Journal of the American Geriatrics Society, 50, 1476-1483.
85. Schwendimann R., Buhler H., De Geest S., & Milisen K. (2008). Characteristics of hospital inpatient falls across clinical departments. Gerontology, 54 (6) 342-348.
86. Semin-Goossens A., van der Helm J. M. J., & Bossuyt P. M. M. (2003). A failed model-based attempt to implement an evidence-based nursing guideline for fall prevention. Journal of Nursing Care Quality, 18 (3) 217-225.
87. Stratton A. (2008, Sept. 30). Big increase in single rooms in hospitals pledged. The Guardian. Retrieved July 20, 2009, from http://www.guardian.co.uk/politics/2008/sep/30/toryconference.conservatives
88. Tideiksaar R., Feiner C. F., & Maby J. (1993). Falls prevention: The efficacy of a bed alarm system in an acute-care setting. The Mount Sinai Journal of Medicine, 60 (6) 522-527.
89. Tinetti M. (2003). Clinical practice: Preventing falls in elderly persons. New England Journal of Medicine, 348 (1) 42-49.
90. Tinker G. M. (1979). Accidents in a geriatric department. Age and Ageing, 8 (3) 196-198.
91. Torrington J. (2006). What has architecture got to do with dementia care? Quality in Ageing-Policy, practice and research, 7 (1) 34-48.
92. Tucker A. L., Singer S. J., Hayes J. E., & Falwell A. (2008). Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Health Services Research, 43 (5), Part II, 1807-1829.
93. Vassallo M., Poynter L., Sharma J. C., Kwan J., & Allen S. C. (2008). Fall risk-assessment tools compared with clinical judgement: An evaluation in a rehabilitation ward. Age & Ageing, 37, 277-281.
94. Vassallo M., Stockdale R., Wilkinson C., Malik N., Sharma J., Baker R., Allen S. (2004). Acceptability of falls prevention measures for hospital inpatients. Age and Ageing, 33, 400-401.
95. Wolf S., Barnhart H., Kutner N., McNeely E., Coogler C., & Xu T. (1996). Reducing frailty and falls in older persons: An investigation of tai chi and computerized balance training. Journal of the American Geriatrics Society, 44, 489-497.