Authors (including presenting author) :
Cheng SY (1) , Chin LF (1) , Yau KS (1) , Tong MC (1) , Lee SW (1)
Affiliation :
(1) Palliative Care In-patient-unit , Bradbury Hospice
Keyword 1: :
Fall Preventive
Keyword 2: :
Patient Safety
Introduction :
In 2024, the Bradbury Hospice reported two patient fall incidents. As each incident represents a significant event within our patient population, this resulted in a 100% increase in the fall rate compared to the previous period. To uphold our commitment to patient safety and enhance the quality of life for individuals with advanced incurable diseases, we propose integrating targeted assistive technologies into our fall prevention strategy.
Objectives :
To reduce inpatient fall rates and promote a safer clinical environment through evidence-based preventive strategies.
Methodology :
This project established a comprehensive safety net for vulnerable patients by integrating evidence-based risk assessment, targeted education, and assistive technology.
1. Risk Stratification: All patients were screened using the validated Morse Fall Scale, enabling nurses to accurately identify risk levels and tailor interventions accordingly.
2. Patient & Staff Education: A multi-modal educational approach was implemented: · Visual Guides: Colorful, easy-to-understand posters were displayed throughout the ward, highlighting fall risks and correct procedures for requesting staff assistance. · Admission Video: An instructional video, accessible via QR codes on each bedside table, emphasized the importance of calling for help when mobilizing and demonstrated safe movement techniques. Nursing staff ensured each patient viewed the video upon admission.
3. Technology Integration: · Proactive Reminders: A Temi Robot was deployed to broadcast scheduled safety reminders three times daily, strategically timed during high-activity periods (e.g., medication administration) when nursing attention is divided and fall risk peaks. · Real-Time Monitoring: For all identified high-risk patients, sensor-based bedside alarm pads were connected to a central monitoring system at the nursing station. This provided immediate alerts when patients attempted to move unsupervised, allowing for prompt intervention.
Result & Outcome :
The integrated intervention achieved remarkable success. Post-implementation data showed a significant reduction in falls. The number of recorded fall incidents decreased from 2 to zero, representing a 100% reduction in the fall rate and demonstrating the efficacy of the combined measures.
