Padilla, Karissa C.. Implementation of fall TIPS intervention to reduce rate of falls in a psychiatry inpatient unit. Retrieved from https://doi.org/doi:10.7282/t3-q8be-j861
DescriptionProject Question
Does educating nurses on the implementation of the Fall TIPS Program decrease the rate of falls in an inpatient psychiatric hospital six months post implementation?
Background
The National Database of Nursing Quality Indicators states that psychiatric units experience 13 to 25 total number of falls per 1,000 patient days compared to four falls in a medical-surgical area per 1,000 days (Abraham, 2016). There are few research studies that focus on the prevention of falls in psychiatric areas despite the higher number of falls rate compared to other inpatient areas.
Methods
A total of 103 Nursing staff were educated on the Fall TIPS program which includes the Morse Fall Assessment, tailored interventions, and hands-on training of the electronic medical record (EMR) TIPS documentation. Comparison of pre- and post- implementation falls rate were compared using the Mann-Whitney U test.
Results
Although there is no statistical significance of falls and falls rate in using Fall TIPS, the data is trending towards significance. The findings showed a decrease in the falls rate using the Fall TIPS program compared to pre-implementation in September 2019 from 4.73 to post-implementation in February 2020 1.46; falls with injury fell in September 2019 from 1.18 to 0.58 in February 2020. The overall falls incidents decreased by 14% from 149 in 2018 to 128 in 2019.
Conclusion
The problem of inpatient falls in a psychiatric unit was addressed and reduced by implementing the Fall TIPS program.