Date of Award
Fall 11-30-2020
Document Type
Scholarly Project
Degree Name
Doctor of Nursing Practice (DNP)
First Advisor
Sarah Cartwright, DNP, MSN-PH, RN-BC, CAPA
Second Advisor
Debbie Saber PhD, RN, CCRN-K
Third Advisor
Deborah Sanford MBA, MSN, RN
Abstract
Practice Problem: Falls significantly affect patients, resulting in temporary or permanent harm, even death. In a large acute care facility, patient falls increased from 444 in 2016 to 556 falls in 2019.
PICOT: In an adult inpatient hospital setting, does purposeful hourly rounding (PHR), compared to no rounding, reduce patient falls over a period of 30 days during the same time period from the previous year?
Evidence: Of the 360 articles reviewed, 12 articles, varying from evidence levels two (1), level three (4), and level five (7), supported PHR as effective in reducing harm from falls in adult hospital settings. The majority of this lower level evidence supported implementation of PHR as a pilot.
Intervention: PHR, shown to improve fall rates using the proper application of tools, specifically the Studer Group Purposeful Hourly Rounding LogSM (2020a), was implemented to decrease falls over a period of 30 days during the same period from the previous year, without the previously used bedside sitters.
Outcome: The falls rate for the baseline period was 4.11 falls per 1,000 occupied bed days; and 5.07 falls per 1,000 occupied bed days for the implementation period. The incidence rate ratios of the falls rate between baseline and implementation was 0.81 (x2(1) = 0.140, p = 0.708; 95% CI = [0.27, 2.42]).
Conclusion: In this EBP change project, PHR did not result in a decrease in patient falls; however, the potential ramifications from the clinical significance of PHR should be considered.
Recommended Citation
Savage, A. (2020). Reducing Patient Falls Through Purposeful Hourly Rounding. [Doctoral project, University of St Augustine for Health Sciences]. SOAR @ USA: Student Scholarly Projects Collection. https://doi.org/10.46409/sr.UOZB3951
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.
Included in
Interprofessional Education Commons, Nursing Administration Commons, Quality Improvement Commons
Comments
Scholarly project submitted to the University of St. Augustine for Health Sciences in partial fulfillment of the requirements for the degree of Doctor of Nursing Practice.