Professional Documents
Culture Documents
Faculty of Nursing
Prepared by:
Ashraf Al-Smadi
Advised by:
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Patient Safety Project
definition, the path to ensuring patient safety presents considerable challenges for all
health care administrators, nursing managers, register nurses, physicians, pharmacists and
researchers, looking for accurately build up safe healthcare services in today’s highly
complex health care systems. Ensuring patient’s safety includes processes and operational
systems that decrease the chances of errors and increase the chances of stopping them
when they occur [1]. Moreover, safety requires a complex system, including a wide scope
also including safe use of medicines, infection control, equipment safety, safe
environments of care and safe clinical practice. It holds mostly all healthcare disciplines,
recognizing and managing actual and potential risks in individual services [2]. Related
literatures revealed that adverse events such as nosocomial infections, medication errors,
and injuries including patient falls affect thousands of patients in hospitals annually [1].
Improvement of healthcare patient’s safety and healthcare quality are very important
to nurses [3]. For example, the International Council of Nurses (ICN) recommended with
its international campaign “Safe staffing saves lives” the importance of the patient safety
surgeries, drug errors and factors that increase the morbidity and mortality of patients [4].
However, the institute of medicine [IOM] emphasizes the critical need to invest in
patient’s safety to improve health care quality regarding patient’s falls [1].
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Patient Safety Project
change in position causing an individual to land at a lower level, on an object, the floor or
the ground, other than a consequence of a sudden onset of paralysis, epileptic seizure, or
overwhelming external force” [5]. In addition inpatient falls is defined as “An event in
which a patient suddenly and involuntary comes to rest on the floor with or without
physical injury,” [6]. In recent times, the Prevention of Falls Network Europe
recommended defining a fall as “an unexpected event in which the participant come to
The healthcare facilities identified patient’s fall as a serious health problem and may
functional capacities, and leads to increased health care costs [8]. There is an impact on a
patient’s perception of safety and well-being; it may diminish the patient’s capability and
falling again. Many features of inpatient falls such as conditions, patient characteristics
and fall risk factors as well as interventions to prevent patient falls during hospitalization
considered as other adverse events. In spite of, that it is one of the most important
inpatient accidents and associated with negative clinical consequences. Inpatient falls and
confronts. For example, in acute care settings, inpatient falls represent the largest group
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Patient Safety Project
diagnostic tests, legal expenses, injury repair & rehabilitation costs, and patient and
Several risk factors for inpatients falls have been identified such as Gait
instability, agitated confusion, urinary incontinence or frequency, a fall history, and the
use of drugs (sedative or hypnotics), have been found to be consistent risk factors
associated with inpatient falls [11]. The risk for hip fractures due to falls increases
significantly as the number of fall risk factors increase [12]. Risk factors associated with
inpatient hip fractures among older patients include: confusion, assisted ambulation, low
body weight, use of psychotropic drugs and impaired vision. Approximately 2% to 17%
of patients experience a fall during their hospital stays [13]. And fall related injuries
occur in 15% to 50% of hospital falls, and serious injuries including lacerations, fractures
(5%), those accidents aware me to search for the most risk factors that contributed to this
obstacle, and find an appropriate strategies to reduce and prevent inpatients falling among
Project Aim:
Method:
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Patient Safety Project
a) Assess and analyze patient falls that reported during 2007 by number of
3. Evaluate the risk factors that will contribute to increase inpatient falls
incidence.
programs.
a) Staff:
policy.
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Patient Safety Project
patient.
down.
c) Documents:
d) Patient:
management of falls.
5. Plan:
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Patient Safety Project
management.
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Patient Safety Project
hospital falls, risk factors at the patient and environmental level, the clinical context and
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Patient safety project
References
.2004
[2005 [www.who.int/patientsafety
.1902
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Patient safety project
.746, 1996
.13(3):141-149
10