Authors (including presenting author) :
TUNG Chun Heung Cora
Affiliation :
Accident & Emergency Department of Alice Ho Miu Ling Nethersole Hospital under Hospital Authority Hong Kong
Keyword 1: :
Educational Videos for Fall Prevention
Keyword 2: :
Fall Prevention to High-Risk Patients
Keyword 3: :
Educational Videos
Keyword 4: :
Fall Prevention
Keyword 5: :
Educational Videos for High-Risk Patients
Keyword 6: :
Emergency Medicine Ward
Introduction :
Falls in hospitals are a major safety concern, particularly in the Emergency Medicine Ward (EMW), which has one of the highest fall rates in the hospital and is closely monitored as a key performance indicator for care quality. High risk patients, especially older adults and those with mobility limitations, are vulnerable to falls that may result in serious injury and increased healthcare costs. An educational video format was selected because it delivers consistent, engaging, and repeatable content, supports behavior change more effectively than pamphlets or verbal instructions, and accommodates varying literacy levels through audiovisual presentation.
Objectives :
The primary objective is to develop and implement an educational video for high risk EMW patients to enhance their understanding of fall prevention strategies and reduce the incidence of in hospital falls. Secondary objectives include evaluating patient knowledge, behavioral intentions, and satisfaction with the video, as well as comparing fall rates between patients exposed to the intervention and those receiving standard care.
Methodology :
All EMW admissions undergo fall risk screening using the Morse Fall Scale, with scores of 45 or above classified as high risk. High risk patients are shown a four minute fall prevention video on an iPad by a registered nurse, who confirms full viewing and documents it in the nursing notes. After viewing, patients complete a questionnaire on fall knowledge, intended preventive behaviors, video clarity, technical issues, and overall satisfaction. This two month pilot targets 80 high risk patients, with fall incidents captured through nursing incident reports and chart review, and pre post knowledge and confidence analyzed using paired t tests.
Result & Outcome :
The survey results demonstrated significant improvements in patients’ knowledge, confidence, and preventive behaviors after viewing the fall prevention video (Appendix II). Knowledge of risks of falling during hospitalization increased by 40.4% (p < 0.001), knowledge about preventing falls improved by 45.2% (p < 0.001), confidence in the ability to prevent falls rose by 25.0% (p < 0.001), and the likelihood of taking preventive measures increased by 30.2% (p < 0.001). Mean scores reflected high acceptance of the educational intervention—agreement on increased knowledge averaged 4.14, likelihood to act on video recommendations averaged 4.10, and satisfaction with the educational content averaged 4.29 on a 5‑point scale. The paired t-tests confirmed these gains were all statistically significant (p < 0.001), underscoring the effectiveness of the video intervention in enhancing knowledge, confidence, and behavioral intentions. The high satisfaction ratings indicated that participants found the content engaging and useful. Notably, no fall cases were reported during the study period, suggesting that the educational video not only improved awareness and motivation but also may have contributed to real‑world prevention outcomes. Overall, the findings support that a brief educational video is an effective and acceptable strategy to engage high‑risk EMW patients in fall prevention and may help reduce in‑hospital fall rates.
