Fall prevention among psychiatric patients in an Iranian hospital: a best practice implementation project.
Introduction: Falls are the main cause of disability among psychiatric patients, as well as being the most common adverse event in hospitals. Aim: The aim of this evidence implementation project was to improve fall prevention and management among psychiatric patients in a neurology ward in an Irania...
| Publicado en: | JBI Evidence Implementation Vol. 23; no. 2; pp. 181 - 190 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Apr2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=184529985&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184529985 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Apr2025 vid: 23 iid: 2 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 184529985 184529985 184529985 10.1097/XEB.0000000000000467 184529985 ppf: 181 ppct: 9 formats: tig: atl: Fall prevention among psychiatric patients in an Iranian hospital: a best practice implementation project. aug: au: Kabiri, Neda Alizadeh, Mahasti Ranjbar, Fatemeh Hajebrahimi, Sakineh Soleimanpour, Hassan Oladbaniadam, Khatereh Marjani, Karim Amini, Behrouz Soleimanpour, Maryam affil: Research Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran sug: subj: Accidental Falls Prevention and Control Program Implementation Implementation Science Psychiatric Patients Hospitals Iran Accidental Falls Risk Factors Risk Management Methods Practice Guidelines Guideline Adherence Medical Practice, Evidence-Based Quality Improvement Human Iran Audit Feedback Conceptual Framework Health Personnel Education Professional Compliance Evaluation Patient Centered Care Education Goal-Setting Accidental Falls Education Risk Assessment Methods Transfer, Discharge Patient Assessment Descriptive Statistics ab: Introduction: Falls are the main cause of disability among psychiatric patients, as well as being the most common adverse event in hospitals. Aim: The aim of this evidence implementation project was to improve fall prevention and management among psychiatric patients in a neurology ward in an Iranian tertiary psychiatric hospital. Methods: This project used the JBI Evidence Implementation Framework, which recommends an audit, feedback, and re-audit strategy. A baseline audit was conducted to evaluate current fall prevention practices among 50 psychiatric patients and 20 health care professionals. The baseline audit was used to identify gaps in compliance. After the implementation of improvement strategies, a follow-up audit was conducted to measure any changes in practice. Results: The baseline and follow-up audits revealed that compliance with best practices improved in ward transfer fall risk assessment (Criterion 2: 87% to 90%), patient participation in fall risk assessment (Criterion 3: 95% to 96%), revising patient fall risk status (Criterion 9: 50% to 86%), and person-centered education of health care providers (Criterion 11: 78% to 96%). Other audit criteria remained unchanged. However, for Criterion 6 on patient engagement in goal-setting and treatment planning, compliance dropped from 100% at baseline to 94% at follow-up. Conclusions: This project successfully increased evidence-based practices regarding fall prevention and management, as well as providing mechanisms for sustaining the practice changes. Future audits are required to further improve outcomes. http://links.lww.com/IJEBH/A267 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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