Authors (including presenting author) :
Lee TK(1), Tang CY(1)
Affiliation :
(1)Central Nursing Division, Alice Ho Miu Ling Nethersole Hospital
Keyword 1: :
Fall prevention
Keyword 2: :
patient engagement
Keyword 3: :
patient education
Introduction :
Patient falls burden healthcare systems and cause serious physical and psychological harm. In 2Q 2024, AHNH recorded an inpatient fall rate of 0.85—the highest among HA acute hospitals. Nurses struggle to deliver standardized fall-prevention education due to demanding nursing routines and busy ward operations. Paper pamphlets might be ignored or misplaced by service users. Evidence shows SMART tools, such as tablet-based videos, improve patient engagement in self-care. A sustainable, accessible SMART solution is therefore essential. In response to AHNH’s high fall rate, systemic interventions were launched in 3Q 2024 including a standardized education workflow was introduced with Patients' Pads@Wards, providing multimedia content electronically to support fall prevention in inpatient units.
Objectives :
1. Improve patient/relative access to fall prevention education electronically. 2. Increase awareness of fall risks and prevention strategies. 3. Reduce hospital fall rate
Methodology :
In October 2024, the NTEC Nursing Workgroup on Patient Fall Prevention produced a 3.5‑minute educational video for inpatients and relatives. A nursing workflow was then established to routinely deliver fall‑prevention education via Patients’ Pads@Wards to cognitively sound, newly admitted patients upon admission. From November 2024 to January 2025, the workflow was piloted in three high‑fall wards (EMW D3, MED E5, ORT E2) using six iPads pre‑loaded with the video, supported by NTEC ITD. The pilot showed a marked falls reduction and positive patient/staff feedback. The standardized workflow was subsequently rolled out across all inpatient and day-patient units in AHNH and TPH in two phases (May and July 2025), with 90 iPads distributed. Evaluation included satisfaction surveys and ongoing fall rate monitoring.
Result & Outcome :
A total of 226 service users (179 patients, 47 caregivers) completed the satisfaction survey. Over 97% reported that the electronic approach improved access, clarity, and fall‑prevention skills; nearly 99% noted heightened awareness of fall risks. Among 145 nurses surveyed, more than 97% confirmed that tablet‑based videos supported fall‑prevention interventions and enriched nursing education. Quarterly monitoring showed a consistent decline in inpatient falls, dropping from 0.85 in 2Q2024 to 0.13 in 4Q2025 (as of November 25). In conclusion, Patients’ Pads@Wards offers a sustainable, accessible platform that reduces fall rates, enhances patient and caregiver education, and strengthens awareness of fall‑prevention strategies.
