Effects of an Intervention to Increase Bed Alarm Use to Prevent Falls in Hospitalized Patients: A Cluster Randomized Trial

Annals of Internal Medicine

Volumn 157, Issue 10, 2012, Pages 692-699

  Shorr, Ronald I ^a   Michelle Chandler, A ^b   Mion, Lorraine C ^f   Waters, Teresa M ^e   Liu, Minzhao ^c   Daniels, Michael J ^d   Kessler, Lori A ^b   Miller, Stephen T ^b  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b Methodist Healthcare   (United States)

^c University of Florida ^*  (United States)

^d UNIVERSITY OF TEXAS AT AUSTIN   (United States)

^e UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER   (United States)

^f VANDERBILT UNIVERSITY SCHOOL OF NURSING   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ALARM MONITOR; ARTICLE; BED ALARM SYSTEM; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; FALLING; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PATIENT EDUCATION; PREVALENCE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; TRAINING; BED; CONTROLLED CLINICAL TRIAL; EXERCISE; HOSPITAL; HOSPITAL PATIENT; HOSPITAL SUBDIVISIONS AND COMPONENTS; STATISTICAL ANALYSIS; UNITED STATES; UNIVERSITY HOSPITAL; UTILIZATION REVIEW;

ACCIDENTAL FALLS; BEDS; CLINICAL ALARMS; HOSPITAL UNITS; HOSPITALS, UNIVERSITY; HOSPITALS, URBAN; HUMANS; INPATIENTS; MATCHED-PAIR ANALYSIS; OUTCOME ASSESSMENT (HEALTH CARE); RESTRAINT, PHYSICAL; TENNESSEE;

EID: 84872853387     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/0003-4819-157-10-201211200-00005     Document Type: Article

References (35)

1. Oliver D, Healey F, Haines TP. Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med. 2010;26:645-92. [PMID: 20934615]
2. Cameron ID, Murray GR, Gillespie LD, Robertson MC, Hill KD, Cumming RG, et al. Interventions for preventing falls in older people in nursing care facilities and hospitals. Cochrane Database Syst Rev. 2010:CD005465. [PMID:20091578]
3. Morse JM. Enhancing the safety of hospitalization by reducing patient falls. Am J Infect Control. 2002;30:376-80. [PMID: 12360147]
4. Rubenstein LZ, Josephson KR. The epidemiology of falls and syncope. Clin Geriatr Med. 2002;18:141-58. [PMID: 12180240]
5. Agostini JV, Baker DI, Bogardus ST. Chapter 26. Prevention of falls in hospitalized and institutionalized older people. In: Making Health Care Safer: A Critical Analysis of Patient Safety Practices. File Inventory, Evidence Report/Technology Assessment no. 43. AHRQ publication no. 01-E058. Rockville, MD: Agency for Healthcare Research and Quality; 2001:281-99. Accessed at www.ahrq.gov/clinic/ptsafety/chap26a.htm on 25 September 2012.
6. Bates DW, Pruess K, Souney P, Platt R. Serious falls in hospitalized patients: correlates and resource utilization. Am J Med. 1995;99:137-43. [PMID:7625418]
7. Rosenthal MB. Nonpayment for performance? Medicare's new reimbursement rule. N Engl J Med. 2007;357:1573-5. [PMID: 17942869]
8. Department of Health and Human Services. 42 CFR Parts 411, 412, 413, and 489. Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Final Rule. Fed Regis. 2007;72:47130-78.
9. Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N Engl J Med. 2009;360:2390-3. [PMID: 19494213]
10. Oliver D, Hopper A, Seed P. Do hospital fall prevention programs work? A systematic review. J Am Geriatr Soc. 2000;48:1679-89. [PMID: 11129762]
11. Vassallo M, Azeem T, Pirwani MF, Sharma JC, Allen SC. An epidemiological study of falls on integrated general medical wards. Int J Clin Pract. 2000; 54:654-7. [PMID: 11221278]
12. National Quality Forum. Nursing Sensitive Measures. NQF #0203, Restraint Prevalence (Vest and Limb Only). Washington, DC: National Quality Forum; 5 August 2009.
13. Geffre S. Bed Alarms: Investigating Their Impact on Fall Reduction and Restraint Use. Bed-Check. 2001. Accessed at www.stanleyhealthcare.com/files/pdf/st-alexius.pdf on 5 September 2011.
14. Capezuti E, Brush BL, Lane S, Rabinowitz HU, Secic M. Bed-exit alarm effectiveness. Arch Gerontol Geriatr. 2009;49:27-31. [PMID: 18508138]
15. Morse JM. Preventing Patient Falls. 2nd ed. New York: Springer Publishing; 2009.
16. Tinetti ME, Speechley M. Prevention of falls among the elderly. N Engl J Med. 1989;320:1055-9. [PMID: 2648154]
17. Shorr RI, Mion LC, Chandler AM, Rosenblatt LC, Lynch D, Kessler LA. Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls with an incident report system. J Am Geriatr Soc. 2008;56: 701-4. [PMID: 18205761]
18. Haines TP, Massey B, Varghese P, Fleming J, Gray L. Inconsistency in classification and reporting of in-hospital falls. J Am Geriatr Soc. 2009;57:517-23. [PMID: 19187413]
19. Haines TP, Cornwell P, Fleming J, Varghese P, Gray L. Documentation of in-hospital falls on incident reports: qualitative investigation of an imperfect process. BMC Health Serv Res. 2008;8:254. [PMID: 19077252]
20. Hayes RJ, Bennett S. Simple sample size calculation for cluster-randomized trials. Int J Epidemiol. 1999;28:319-26. [PMID: 10342698]
21. Shuto H, Imakyure O, Matsumoto J, Egawa T, Jiang Y, Hirakawa M, et al. Medication use as a risk factor for inpatient falls in an acute care hospital: a case-crossover study. Br J Clin Pharmacol. 2010;69:535-42. [PMID: 20573090]
22. Efron B, Tibshirani RJ. An Introduction to the Bootstrap. New York: Chapman and Hall; 1993.
23. Rubin DB. Inference and missing data. Biometrika. 1976;63:581-90.
24. Tideiksaar R, Feiner CF, Maby J. Falls prevention: the efficacy of a bed alarm system in an acute-care setting. Mt Sinai J Med. 1993;60:522-7. [PMID:8121429]
25. Widder B. A new device to decrease falls. Geriatr Nurs. 1985;6:287-8. [PMID: 3852759]
26. Sahota O. Vitamin D and in-patient falls. Age Ageing. 2009;38:339-40. [PMID: 19297374]
27. Dykes PC, Carroll DL, Hurley A, Lipsitz S, Benoit A, Chang F, et al. Fall prevention in acute care hospitals: a randomized trial. JAMA. 2010;304:1912-8. [PMID: 21045097]
28. Cumming RG, Sherrington C, Lord SR, Simpson JM, Vogler C, Cameron ID, et al; Prevention of Older People's Injury Falls Prevention in Hospitals Research Group. Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital. BMJ. 2008;336:758-60. [PMID: 18332052]
29. Oliver D, Connelly JB, Victor CR, Shaw FE, Whitehead A, Genc Y, et al. Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analyses. BMJ. 2007;334:82. [PMID: 17158580]
30. Coussement J, De Paepe L, Schwendimann R, Denhaerynck K, Dejaeger E, Milisen K. Interventions for preventing falls in acute-and chronic-care hospitals: a systematic review and meta-analysis. J Am Geriatr Soc. 2008;56:29-36. [PMID: 18031484]
31. Dunton N, Gajewski B, Klaus S, Pierson B. The relationship of nursing workforce characteristics to patient outcomes. Online J Issues Nurs. 2007:12. Accessed at www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJ IN/TableofContents/Volume122007/No3Sept07/Nursing WorkforceCharacteristics.aspx on 25 September 2012.
32. Krauss MJ, Nguyen SL, Dunagan WC, Birge S, Costantinou E, Johnson S, et al. Circumstances of patient falls and injuries in 9 hospitals in a midwestern healthcare system. Infect Control Hosp Epidemiol. 2007;28:544-50. [PMID:17464913]
33. Graham KC, Cvach M. Monitor alarm fatigue: standardizing use of physiological monitors and decreasing nuisance alarms. Am J Crit Care. 2010;19:28-34; quiz 35. [PMID: 20045845]
34. Oliver D. Falls risk-prediction tools for hospital inpatients. Time to put them to bed? Age Ageing. 2008;37:248-50. [PMID: 18456789]
35. Perell KL, Nelson A, Goldman RL, Luther SL, Prieto-Lewis N, Rubenstein LZ. Fall risk assessment measures: an analytic review. J Gerontol A Biol Sci Med Sci. 2001;56:M761-6. [PMID: 11723150]