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Decalf V, Bower W, Rose G, Petrovic M, Pieters R, Eeckloo K, Everaert K. Prevalence and characteristics of incident falls related to nocturnal toileting in hospitalized patients. Acta Clin Belg 2021; 76:85-90. [PMID: 31478467 DOI: 10.1080/17843286.2019.1660022] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
Objectives: Although nocturia is a risk factor for incident falls in the community, studies are required to gain an understanding of incident falls related to nocturnal toileting in hospitals. The aim of this study is to describe the prevalence and characteristics of incident falls in adult hospitalized patients related to nocturnal toileting.Methods: A retrospective review of the electronic incident reporting and learning system and medical records of inpatients that had an incident fall.Results: The prevalence of toileting-related incident falls was 53% (73/137) and 28% of all incident falls were related to nocturnal toileting.Intravenous fluid infusion was associated with falls related to toileting, whereby median perfusion volume during night-time was 375 ml [IQR: 225-578 ml].Conclusions: The prevalence of nocturnal toileting-related incident falls in hospitals is high. Nocturia could be a leading cause of these incident falls. Intravenous fluid infusion might be part of the aetiology of (iatrogenic) nocturia.
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Affiliation(s)
- Veerle Decalf
- Faculty of Medicine and Health Sciences, Department of Human Structure and Repair, Ghent University, Ghent, Belgium
| | - Wendy Bower
- Faculty of Medicine and Health Sciences, Department of Human Structure and Repair, Ghent University, Ghent, Belgium
- Department of Medicine and Aged Care, Royal Melbourne Hospital, Melbourne, Australia
- Faculty of Medicine, Dentistry and Health Sciences The University of Melbourne, Melbourne, Australia
| | - Georgie Rose
- Department of Medicine and Aged Care, Royal Melbourne Hospital, Melbourne, Australia
| | - Mirko Petrovic
- Department of Geriatrics, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health Sciences, Department of Internal Medicine and Pediatrics, Ghent University, Ghent, Belgium
| | - Ronny Pieters
- Department of Urology, Ghent University Hospital, Ghent, Belgium
| | - Kristof Eeckloo
- Department of Strategic Policy Cell, Ghent University Hospital, Ghent, Belgium; Faculty of Medicine and Health Sciences, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Karel Everaert
- Faculty of Medicine and Health Sciences, Department of Human Structure and Repair, Ghent University, Ghent, Belgium
- Department of Urology, Ghent University Hospital, Ghent, Belgium
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Lamb KV, Ambutas SA, Sermersheim ER, Ellsworth MJ. Gap analysis: A tool for staff engagement in fall reduction improvement processes. Nurs Manag (Harrow) 2020; 51:16-22. [PMID: 33003060 DOI: 10.1097/01.numa.0000698108.86942.f9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Karen V Lamb
- At Rush University College of Nursing in Chicago, Ill., Karen V. Lamb is an associate professor emerita, Shirley A. Ambutas is a clinical nurse specialist, Emily R. Sermersheim is the manager of specialty nursing and the education quality coordinator, and Mary J. Ellsworth is a data analytics consultant and the NDNQI coordinator
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Johnson K, Scholar H, Stinson K, Nea-Bc, Sherry Razo MAL, Nea-Bc. Patient fall risk and prevention strategies among acute care hospitals. Appl Nurs Res 2019; 51:151188. [PMID: 31786041 DOI: 10.1016/j.apnr.2019.151188] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 08/23/2019] [Accepted: 09/02/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Kari Johnson
- Honor Health Thompson Peak Medical Center, 7400 E. Thompson Peak Parkway, Scottsdale, AZ 85255, USA
| | - Hartford Scholar
- Honor Health Thompson Peak Medical Center, 7400 E. Thompson Peak Parkway, Scottsdale, AZ 85255, USA.
| | - Kathy Stinson
- Honor Health Thompson Peak Medical Center, 7400 E. Thompson Peak Parkway, Scottsdale, AZ 85255, USA
| | - Nea-Bc
- Honor Health Thompson Peak Medical Center, 7400 E. Thompson Peak Parkway, Scottsdale, AZ 85255, USA.
| | - M A-L Sherry Razo
- Honor Health Thompson Peak Medical Center, 7400 E. Thompson Peak Parkway, Scottsdale, AZ 85255, USA
| | - Nea-Bc
- Honor Health Thompson Peak Medical Center, 7400 E. Thompson Peak Parkway, Scottsdale, AZ 85255, USA.
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