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Variation in Risk for Falls by Clinical Department: Implications for Prevention

  • Judith M. Rohde (a1), Ann H. Myers (a2) and David Vlahov (a3)

Abstract

To examine rates of falls and injuries by clinical department, a retrospective analysis was performed of 874 inpatient falls during a one-year period in a 1,000-bed acute-care hospital. Incident reports were reviewed, and for those patients injured, medical records were abstracted. Fall rates were calculated by age, sex and service using total patient days as the denominator.

During 1983, 874 falls occurred during 282,713 adult patient days (31/104 days). Fall rates were significantly higher (odds ratio = 2.12; 95% confidence interval [CI]: 1.84, 2.45) in the neuroscience and psychiatry departments (53/104 days) compared with other adult services combined (25/104 days); this difference persisted after direct adjustment for age. Differences by clinical department persisted throughout four additional years of surveillance, although fall rates for the oncology service increased. Injuries following falls occurred among 200 (22.8%) patients.

These data indicate that falls are not random events, and that falls and injury prevention programs can be more appropriately focused by consideration of clinical department.

Copyright

Corresponding author

Neuroscience Nursing Office, Meyer 3-122, The Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21205

References

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1.Rubenstein, LZ, Robbins, AS, Schulman, BL, Rosado, J, Osterweil, D, Josephson, KR. Falls and instability in the elderly. J Am Geriatr Soc. 1988;36:266.
2.Lynn, FH. Incidents-need they be accidents? Am J Nurs. 1980;80:1098.
3.Berry, G, Fisher, RH, Lang, S. Detrimental incidents, including falls, in an elderly institutional population. J Am Geriatr Soc. 1981;29:322340.
4.Sehested, P, Severin-Nielsen, T. Falls by hospitalized elderly patients: causes, prevention. Geriatrics. 1977;32:101108.
5.Breslaw, ME, Day, ME. Statistical Methods in Cancer Research. Lyon, France: International Agency for Research on Cancer; 1981.
6.Siegel, S. Nonparametric Statistics for the Behavioral Sciences. New York, NY: McGraw-Hill Book Company; 1956.
7.Bollinger, BR, Ramsey, AC. Accidents and drug treatment in a psychiatric hospital. Br J Psychiatry. 1975;126:462463.
8.Blumenthal, MD, Davie, JW. Dizziness and falling in elderly psychiatric outpatients. Am J Psychiatry. 1980;137:203206.
9.Paulson, GW, Schafer, K, Hallum, B. Avoiding mental changes and falls in older Parkinson's patients. Geriatrics. 1986;41:5967.
10.Janken, JK, Reynolds, BA, Siviech, K. Patient falls in the acute-care setting: identifying risk factors. Nurs Res. 1986;35:215219.
11.Vlahov, D, Meyer, AH, Al-Ibrahim, MS. Epidemiology of falls among patients in a rehabilitation hospital. Arch Phys Med Rehabil. 1990;71:812.

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Variation in Risk for Falls by Clinical Department: Implications for Prevention

  • Judith M. Rohde (a1), Ann H. Myers (a2) and David Vlahov (a3)

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