Version 1
: Received: 30 June 2023 / Approved: 3 July 2023 / Online: 3 July 2023 (15:01:11 CEST)
How to cite:
Krishnasamy, K.; Tan, P.M.; Zakaria, M.I.; Chinna, K. A Comprehensive Unit-Based Safety Intervention Program for the Prevention of Falls in Hospital. Preprints2023, 2023070117. https://doi.org/10.20944/preprints202307.0117.v1
Krishnasamy, K.; Tan, P.M.; Zakaria, M.I.; Chinna, K. A Comprehensive Unit-Based Safety Intervention Program for the Prevention of Falls in Hospital. Preprints 2023, 2023070117. https://doi.org/10.20944/preprints202307.0117.v1
Krishnasamy, K.; Tan, P.M.; Zakaria, M.I.; Chinna, K. A Comprehensive Unit-Based Safety Intervention Program for the Prevention of Falls in Hospital. Preprints2023, 2023070117. https://doi.org/10.20944/preprints202307.0117.v1
APA Style
Krishnasamy, K., Tan, P.M., Zakaria, M.I., & Chinna, K. (2023). A Comprehensive Unit-Based Safety Intervention Program for the Prevention of Falls in Hospital. Preprints. https://doi.org/10.20944/preprints202307.0117.v1
Chicago/Turabian Style
Krishnasamy, K., Mohd Idzwan Zakaria and Karuthan Chinna. 2023 "A Comprehensive Unit-Based Safety Intervention Program for the Prevention of Falls in Hospital" Preprints. https://doi.org/10.20944/preprints202307.0117.v1
Abstract
Background: Falls in hospitalized older patients lead to increased length of stay and poorer discharge outcomes. The Comprehensive Unit-based Safety Program (CUSP) represents a quality improvement intervention for patient safety. Objective: To evaluate CUSP implementation for the prevention of falls at a teaching hospital. Method: An interdisciplinary CUSP team, received a four-hour online module and one-day face-to-face training. The intervention was developed using the WHO implementation science plan-do-study-act framework. Process evaluation was conducted using the UK Medical Research Council framework. The primary outcome measure of patient safety culture was determined using the Safety Attitude Questionnaire (SAQ), while annual fall rates were considered the secondary outcome measure. Results: Safety rounds were conducted during the two-year intervention period, each attended by five to eight HCPs, with nine to 29 patients reviewed each month. Risk factors, plans and actions were administered to individual patients, while local issues were identified and resolved through engagement of senior executives. SAQ domains increased from before (n=39) to after (n=30) the intervention of CUSP. Fall rates reduced from 11.18 per 1,000 bed days pre-implementation to zero falls post-implementation. Conclusion: Improvements in patient safety culture were observed after the implementation of CUSP alongside a reduction in fall rates.
Public Health and Healthcare, Health Policy and Services
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
