Selecting and tailoring implementation strategies for deimplementing fall prevention alarms in US hospitals: a group concept mapping study.
Objectives Many hospitals use fall prevention alarms, despite the limited evidence of effectiveness. The objectives of this study were (1) to identify, conceptualise and select strategies to deimplement fall prevention alarms and (2) to obtain feedback from key stakeholders on tailoring selected dei...
| Publicado en: | BMJ Quality & Safety Vol. 35; no. 4; pp. 247 - 257 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BMJ Publishing Group
Apr2026
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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=193168298&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193168298 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20445415 BFNQ jtl: BMJ Quality & Safety issn: 20445415 maglogo: N pubinfo: dt: Apr2026 vid: 35 iid: 4 pid: 8280 pub: BMJ Publishing Group artinfo: ui: 193168298 193168298 193168298 10.1136/bmjqs-2024-018391 193168298 ppf: 247 ppct: 10 formats: tig: atl: Selecting and tailoring implementation strategies for deimplementing fall prevention alarms in US hospitals: a group concept mapping study. aug: au: Turner, Kea Al Taweel, Mona Petrucci, Carrie Rosas, Scott Potter, Catima Cramer, Emily Shorr, Ronald I. Mion, Lorraine C. McNett, Molly affil: The University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA sug: subj: Accidental Falls Prevention and Control Equipment Alarm Systems Utilization Implementation Science Personnel, Health Facility Psychosocial Factors Feedback Hospitals United States Human United States Funding Source Concept Mapping Focus Groups Professional Role Health Policy Program Development Acute Care Multimethod Studies Multicenter Studies Cluster Analysis Thematic Analysis Inpatients Descriptive Statistics Spearman's Rank Correlation Coefficient Pearson's Correlation Coefficient Coefficient alpha Intraclass Correlation Coefficient Semi-Structured Interview Data Analysis Software ab: Objectives Many hospitals use fall prevention alarms, despite the limited evidence of effectiveness. The objectives of this study were (1) to identify, conceptualise and select strategies to deimplement fall prevention alarms and (2) to obtain feedback from key stakeholders on tailoring selected deimplementation strategies for the local hospital context. Methods Hospital staff working on fall prevention participated in group concept mapping (GCM) to brainstorm strategies that could be used for fall prevention alarm deimplementation, sort statements into conceptually similar categories and rate statements based on importance and current use. Hospital staff also participated in site-specific focus groups to discuss current fall prevention practices, strategies prioritised through GCM and theory-informed strategies recommended by the study team, and potential barriers/facilitators to deimplementing fall prevention alarms. Results 90 hospital staff across 13 hospitals brainstormed, rated and sorted strategies for alarm deimplementation. Strategies that were rated as highly important but underutilised included creating/revising staff roles to support fall prevention (eg, hiring or designating mobility technicians) and revising policies and procedures to encourage tailored rather than universal fall precautions. 192 hospital staff across 22 hospitals participated in site-specific focus groups. Participants provided feedback on each strategy's relevance for their site (eg, if site currently has a mobility technician) and local barriers or facilitators (eg, importance of having separate champions for day and night shift). Findings were used to develop a tailored implementation package for each site that included a core set of strategies (eg, external facilitation, education, audit-and-feedback, champions), a select set of site-specific strategies (eg, designating a mobility technician to support fall prevention) and guidance for how to operationalise and implement each strategy given local barriers and facilitators. Conclusion Findings from this study can be used to inform future programmes and policies aimed at deimplementing fall prevention alarms in hospitals. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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