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Knowledge Repository

Reducing Falls in a Definitive Observation Unit: An Evidence-Based Practice Institute Consortium Project

Author(s): Gutierrez, F., Smith, K.
A Definitive Observation Unit (DOU) in a hospital in California maintains high standards of nursing and follows an evidence-based practice of fall prevention. Yet the facility’s fall rates continue to be higher than the benchmark for similar hospitals.
Key Point Summary

Review: The impact of art, design and environment in mental healthcare: A systematic review of the literature

Author(s): Daykin, N., Byrne, E., Soteriou, T., O'Connor, S.
There is increasing evidence that attractive environments can enhance the experiences of healthcare users. What creates attractive environments may be relative to the country where that healthcare is provided. This paper was written in the UK and was an attempt to find research that supports the use of art to create healing environments along with the role of art in encouraging civic pride. It was part of a two-year evaluation of a commissioned arts program in a UK mental health trust.
Key Point Summary

Influence of pavement design parameters in safety perception in the elderly

Author(s): Zamora, T., Alcantara, E., Artacho, M. A., Cloquell, V.

Inpatient suicide and suicide attempts in Veterans Affairs hospitals

Author(s): Mills, P. D., DeRosier, J. M., Ballot, B. A., Shepherd, M., Bagian, J. P.

Heights of occupied patient beds: a possible risk factor for inpatient falls.

Author(s): Tzeng, H. M., Yin, C. Y.
The height of occupied patient beds can be an overlooked contributor to inpatient falls. Hospital bed frames are still eight–12 inches higher than those of home bedframes. The difference in heights may contribute to inpatient falls related to getting in and out of bed and to the severity of fall-related injuries. Better physical design of hospital equipment such as patient beds may reduce patient falls and injuries.
Key Point Summary

Cluster randomised trial of a targeted multifactorial intervention to prevent falls among older people in hospital.

Author(s): Cumming, R. G., Sherrington, C., Lord, S. R., Simpson, J. M., Vogler, C., Cameron, I. D., Naganathan, V.
Falls often occur among older people in hospitals, resulting in injuries, increased lengths of stay, and greater costs to the health center. Evidence on the best way to prevent falls in hospitals is limited.
Key Point Summary

Bed and Toilet Height as Potential Environmental Risk Factors.

Author(s): Capezuti, E., Wagner, L., Brush, B. L., Boltz, M., Renz, S., Secic, M.
Approximately 60 percent of all nursing home residents have difficulty transferring out of bed independently. The ability to safely rise to a standing position is an important determinant of independence among older adults. The ability to transfer out of bed from a sit to stand position is dependent on several general patient characteristics such as age, functional status, and disease state.
Key Point Summary

Evaluation of a comprehensive slip, trip and fall prevention programme for hospital employees

Author(s): Bell, J.L., Collins, J.W., Wolf, L., Grönqvist, R., Chiou, S., Chang, W.R., Sorock, G.S., Courtney, T.K., Lombardi, D.A., Evanoff, B.
Recent Bureau of Labor Statistics data indicate that total slips, trips, and fall-related injuries account for the second greatest proportion (30 percent) of all work-related emergency department visits requiring hospitalization. Since slips, trips, and falls result from a wide variety of circumstances, there are a number of countermeasures with the potential to reduce slips, trips, and fall injury incidents. These include slip-resistant shoes floor surfaces, mats, and waxes, prompt cleaning of spillage and debris, keeping stairs and walkways clear, improving lighting, adding handrails, and clearing ice and snow.
Key Point Summary

Physical Restraint Initiation in Nursing Homes and Subsequent Resident Health

Author(s): Engberg, J., Castle, N. G., McCaffrey, D.
Previous studies have shown that restraint use may be associated with mental health problems, including increased social isolation and decreased cognitive function. Social isolation negatively affects the health of elders. Facilities with restrained residents also have poor restraint-management practices. Two other well-known consequences of immobility are pressure ulcers and contractures. Pressure ulcers affect both the comfort and the medical outcomes of nursing home residents with impaired mobility.
Key Point Summary

Suicide in Older Adults in Long-Term Care: 1990 to 2005

Author(s): Briana Mezuk, Marta R. Prescott, Kenneth Tardiff, David Vlahov, Sandro Galea
Few studies have examined the intersection between suicide risk and residency in long term care settings. This study attempts to describe the characteristics associated with suicide in older persons residing in long-term care (LTC) facilities, to compare the characteristics of suicide cases in LTC with those of cases in the community, and to evaluate trends in suicide in these settings over the past 15 years.
Key Point Summary