{"id":400,"date":"2024-11-06T17:16:26","date_gmt":"2024-11-06T17:16:26","guid":{"rendered":"https:\/\/iims.uthscsa.edu\/isrn\/?page_id=400"},"modified":"2024-11-06T17:16:26","modified_gmt":"2024-11-06T17:16:26","slug":"texas-falling-star-prevention-program","status":"publish","type":"page","link":"https:\/\/iims.uthscsa.edu\/isrn\/resources\/ereading-room\/abstracts\/texas-falling-star-prevention-program\/","title":{"rendered":"Texas Falling Star Prevention Program"},"content":{"rendered":"

[vc_row][vc_column width=”2\/3″][vc_column_text css=””]<\/p>\n\n\n\n\n\n
Principal Investigator:<\/td>\nClarissa Silva Herrera, RN, MSN<\/td>\n<\/tr>\n
Co-Principal Investigator\/Collaborator:<\/td>\nJerry Asumbrado, Susan Richardson-Alecozay<\/td>\n<\/tr>\n
Organization:<\/td>\nUT Health Science Center at San Antonio School of Nursing<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Abstract<\/h2>\n

Problem<\/h3>\n

The Texas Falling Stars Prevention Program is designed to reduce the rate of falls, reduce the severity injury and contain cost.<\/p>\n

Evidence<\/h3>\n

The team conducted a random 20 inpatient records review on clients between the ages of 18\u201390; a data analysis on the types of injuries and falls rate; a root cause analysis; an environmental assessment; and a review of the literature. The 20 inpatient records showed 80% of the initial risk assessment and 40% of the daily fall risk assessments were completed. However, hospital wide fall rates were 7.05 for a period of six months which were higher than the national average of 3.6. The data analysis revealed 50% of the falls occurred during the day and 45% occurred in the evening. The root cause analysis showed 68% of the falls occured in patient rooms and 18% in patient bath rooms.<\/p>\n

Strategy<\/h3>\n

The EBP literature review revealed a best practice approach is using multiple interventions. The Hendrich II tool for fall assessment has validity and interrater reliability measuring 100% agreement; electronic version for fall assessment individualizes and facilitates communication; interdisciplinary falls teams, staff and patient education are vital in falls prevention programs.<\/p>\n

Practice Change<\/h3>\n

The Texas Falls Prevention Program components include: implementation of the Hendrich II fall risk model for fall assessment including an optional electronic version; creation of a falls team; education of staff regarding tool and documentation; visual cues; hip protectors; and restructure of variance process.<\/p>\n

Evaluation<\/h3>\n

Patient Satisfaction Surveys, Cost Analysis, Data Analysis and Staff Compliance should be used to provide an objective oriented approach to evaluate the Texas Falling Star Prevention Program.<\/p>\n

Recommendations<\/h3>\n

Acute care hospital facilities and staff need continued reinforcement of fall prevention strategies because of aging environments and staff turnover. Implementation of falls prevention programs using a standardized model is recommended.<\/p>\n

Bibliography<\/h3>\n