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Hourly Nursing Rounds To Decrease Patient Falls

1078 words - 4 pages

Patients are falling in hospitals and nursing homes on a regular basis. The number of falls per hospital has caused injury and death to some, and has cost hospitals a lot of money. Patients feel like nurses have a lot of work to do, and tend not to bother them when they want to go to the bathroom, which is the reasoning behind why many patients are falling out of bed. Many believe that falls should not happen in hospitals, and many insurance companies are no longer willing to cover the costs associated with patients falling. Therefore, many hospitals have looked for ways to implement interventions that will reduce the number of falls, because it is something that can be prevented to begin with. The articles that I have chosen for this paper reflect how hourly rounding has reduced falls in hospitalized patients.
Significance
The national fall rate is between 2.3-7.0 falls per 1000 patient days in hospitals, costing hospitals approximately an additional $4,200 per fall (Kalman, 2008). The numbers of falls that happen in hospitals are inevitable. They have caused injury and death for many patients while being hospitalized. It has also put on a toll for the hospital with the amount of money they have to spend that could be spent on other things, especially when this is something that can be prevented in a hospital setting as healthcare members are there to help, and are continuously in and out of patients rooms. In fact, this has become significant recently, as insurance companies are no longer willing to pay for falls that happen in hospitals, along with many other things. “In 2006, there were 2,591 cases reported of Medicare patients who fell out of bed” (Woodward, 2009, p.201). However, the bigger thing to recognize here is that patients are falling in supervised areas, and are getting injured and falling from them. This is detrimental for the patients and should not be happening. Therefore, it is important to consider hourly rounding in hospitals to decrease the number of falls that are occurring, as patient safety is very important since it ultimately poses the outcome of whether or not patients were satisfied during their stay.
Interventions
Interventions have been implemented in many health care facilities to reduce the number of falls, but one that has shown a decrease in falls along with patient satisfaction and a decrease in use of the call light has been researched and implemented in many hospitals. One study mentioned that, “A patient’s perception of the quality of nursing care largely depends on the nurse’s ability to meet the patient’s needs” (Meade, Bursell, & Ketelsen, 2006). The healthcare staff, particularly the nurses were required to make hourly rounds to patient’s rooms. One study focused on a control and experimental group where they compared it to having no hourly rounding to one hour rounding, and two hour rounding. Ultimately the study found that a significant reduction in the number of falls occurred with the...

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