1. Problem situation to be addressed by the program |
Hospital falls, often caused by multiple factors, are preventable in over 90% of cases. Most of the time, they occur in areas adjacent to the patient’s bed and room, despite fall risk assessment and recommendations for universal prevention care(2020 Agência Nacional de Vigilância Sanitária (Anvisa). Resolução de Diretoria Colegiada n.36, de 25 julho de 2013. Brasília: Diário Oficial da União; 2013., 2121 Ministério da Saúde (BR). Portaria de Consolidação n.5, de 28 de setembro de 2017. Brasília: Diário Oficial da União; 2017., 2222 Ministério da Saúde (BR). Portaria n. 2095, de 24 de setembro de 2017. Brasília: Diário Oficial da União, 2017., 2323 Agência Nacional de Vigilância Sanitária (Anvisa). Protocolo de Prevenção de Quedas. Brasília: Ministério da Saúde; 2013.15p., 2424 Agência Nacional de Vigilância Sanitária (Anvisa). Implantação do Núcleo de Segurança do Paciente. Brasília: Ministério da Saúde; 2013.69p., 2525 Fundação Oswaldo Cruz (Fiocruz). Documento de referência para o Programa de Segurança do Paciente. Brasília: Ministério da Saúde; 2014. 42p., 2626 Agência Nacional de Vigilância Sanitária (Anvisa). Assistência Segura: uma reflexão teórica aplicada à prática. Brasília: Ministério da Saúde; 2013. 168p., 2727 Agência Nacional de Vigilância Sanitária (Anvisa). Como posso contribuir para aumentar a segurança do paciente: orientações aos pacientes, familiares e acompanhantes. Brasília: Ministério da Saúde; 2017. 61p., 2828 Hermann AP, Medeiros ARP, Zanesco C, Andrade IMPG, Wolff LDG, Figueiredo KC, et al. Falls of patients admitted to a public and teaching hospital: an analysis of notifications. Rev Min Enferm. 2023;27:e-151. https://doi.org/10.35699/2316-9389.2023.38457 https://doi.org/10.35699/2316-9389.2023....
, 2929 Gonçalves LS, Meira GC, Medeiros ARP, Zanesco C, Silva LS, Faria LMG, et al. Use of the empathy map in technological production to prevent hospital falls. J Health Infor; 2023;15(Esp):1-14. https://doi.org/10.59681/2175-4411.v15.iEspecial.2023.1094 https://doi.org/10.59681/2175-4411.v15.i...
). |
2. Healthcare program created to solve the problem |
Fall TIPS adapted to the Brazilian context(2828 Hermann AP, Medeiros ARP, Zanesco C, Andrade IMPG, Wolff LDG, Figueiredo KC, et al. Falls of patients admitted to a public and teaching hospital: an analysis of notifications. Rev Min Enferm. 2023;27:e-151. https://doi.org/10.35699/2316-9389.2023.38457 https://doi.org/10.35699/2316-9389.2023....
, 2929 Gonçalves LS, Meira GC, Medeiros ARP, Zanesco C, Silva LS, Faria LMG, et al. Use of the empathy map in technological production to prevent hospital falls. J Health Infor; 2023;15(Esp):1-14. https://doi.org/10.59681/2175-4411.v15.iEspecial.2023.1094 https://doi.org/10.59681/2175-4411.v15.i...
, 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
). |
3. Overall goal of the program |
To prevent falls and their associated harm in healthcare institutions through a laminated poster for bedside placement, available to adult patients, caregivers, and healthcare teams. This poster allows for the collaborative identification of individual risk factors and their correlation with fall prevention strategies(3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
). |
4. Specific objectives of the program |
4a. To provide patient-centered care based on experiences related to fall prevention from the program(3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
).
4b. To contribute to the dissemination of a safety culture among professionals, patients, and caregivers(3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
).
4c. To facilitate effective communication among professionals, patients, and caregivers(3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
).
4d. To develop skills and competencies in the healthcare team necessary for providing patient-centered care(3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
).
|
5. Goals to be achieved by the program. |
(5a) Establish norms, standards, and routines focused on fall prevention among hospitalized patients in healthcare institutions, from the planning, execution, evaluation, and monitoring of personalized preventive interventions for each patient(2828 Hermann AP, Medeiros ARP, Zanesco C, Andrade IMPG, Wolff LDG, Figueiredo KC, et al. Falls of patients admitted to a public and teaching hospital: an analysis of notifications. Rev Min Enferm. 2023;27:e-151. https://doi.org/10.35699/2316-9389.2023.38457 https://doi.org/10.35699/2316-9389.2023....
, 2929 Gonçalves LS, Meira GC, Medeiros ARP, Zanesco C, Silva LS, Faria LMG, et al. Use of the empathy map in technological production to prevent hospital falls. J Health Infor; 2023;15(Esp):1-14. https://doi.org/10.59681/2175-4411.v15.iEspecial.2023.1094 https://doi.org/10.59681/2175-4411.v15.i...
, 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
).
(5b) Develop the work process of healthcare teams with a focus on patient-centered care(2828 Hermann AP, Medeiros ARP, Zanesco C, Andrade IMPG, Wolff LDG, Figueiredo KC, et al. Falls of patients admitted to a public and teaching hospital: an analysis of notifications. Rev Min Enferm. 2023;27:e-151. https://doi.org/10.35699/2316-9389.2023.38457 https://doi.org/10.35699/2316-9389.2023....
, 2929 Gonçalves LS, Meira GC, Medeiros ARP, Zanesco C, Silva LS, Faria LMG, et al. Use of the empathy map in technological production to prevent hospital falls. J Health Infor; 2023;15(Esp):1-14. https://doi.org/10.59681/2175-4411.v15.iEspecial.2023.1094 https://doi.org/10.59681/2175-4411.v15.i...
, 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
).
(5c) Involve the patient/caregiver in fall prevention, from admission to discharge(2828 Hermann AP, Medeiros ARP, Zanesco C, Andrade IMPG, Wolff LDG, Figueiredo KC, et al. Falls of patients admitted to a public and teaching hospital: an analysis of notifications. Rev Min Enferm. 2023;27:e-151. https://doi.org/10.35699/2316-9389.2023.38457 https://doi.org/10.35699/2316-9389.2023....
, 2929 Gonçalves LS, Meira GC, Medeiros ARP, Zanesco C, Silva LS, Faria LMG, et al. Use of the empathy map in technological production to prevent hospital falls. J Health Infor; 2023;15(Esp):1-14. https://doi.org/10.59681/2175-4411.v15.iEspecial.2023.1094 https://doi.org/10.59681/2175-4411.v15.i...
, 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
).
|
6. The target population of the program. |
The stakeholders include healthcare professionals, hospitalized patients, and caregivers(2020 Agência Nacional de Vigilância Sanitária (Anvisa). Resolução de Diretoria Colegiada n.36, de 25 julho de 2013. Brasília: Diário Oficial da União; 2013., 2121 Ministério da Saúde (BR). Portaria de Consolidação n.5, de 28 de setembro de 2017. Brasília: Diário Oficial da União; 2017., 2222 Ministério da Saúde (BR). Portaria n. 2095, de 24 de setembro de 2017. Brasília: Diário Oficial da União, 2017., 2323 Agência Nacional de Vigilância Sanitária (Anvisa). Protocolo de Prevenção de Quedas. Brasília: Ministério da Saúde; 2013.15p., 2424 Agência Nacional de Vigilância Sanitária (Anvisa). Implantação do Núcleo de Segurança do Paciente. Brasília: Ministério da Saúde; 2013.69p., 2525 Fundação Oswaldo Cruz (Fiocruz). Documento de referência para o Programa de Segurança do Paciente. Brasília: Ministério da Saúde; 2014. 42p., 2626 Agência Nacional de Vigilância Sanitária (Anvisa). Assistência Segura: uma reflexão teórica aplicada à prática. Brasília: Ministério da Saúde; 2013. 168p., 2727 Agência Nacional de Vigilância Sanitária (Anvisa). Como posso contribuir para aumentar a segurança do paciente: orientações aos pacientes, familiares e acompanhantes. Brasília: Ministério da Saúde; 2017. 61p., 2828 Hermann AP, Medeiros ARP, Zanesco C, Andrade IMPG, Wolff LDG, Figueiredo KC, et al. Falls of patients admitted to a public and teaching hospital: an analysis of notifications. Rev Min Enferm. 2023;27:e-151. https://doi.org/10.35699/2316-9389.2023.38457 https://doi.org/10.35699/2316-9389.2023....
, 2929 Gonçalves LS, Meira GC, Medeiros ARP, Zanesco C, Silva LS, Faria LMG, et al. Use of the empathy map in technological production to prevent hospital falls. J Health Infor; 2023;15(Esp):1-14. https://doi.org/10.59681/2175-4411.v15.iEspecial.2023.1094 https://doi.org/10.59681/2175-4411.v15.i...
, 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
). |
7. The dimensions of the program. |
Resources are subdivided into financial, physical, material, and human resources; the care dimension encompasses champions, healthcare professionals, and patients/caregivers; the patient and caregiver engagement dimension; continuous education; and the management dimension(3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
). |
8. The activities carried out within the program. |
The program involves fall risk assessment, the proposal and implementation of a care plan with the engagement of patients, caregivers, and healthcare professionals at all stages. It also includes the management of the change in the care process and the recruitment and training of healthcare professionals to participate in the program. Patient and caregiver engagement is essential(2727 Agência Nacional de Vigilância Sanitária (Anvisa). Como posso contribuir para aumentar a segurança do paciente: orientações aos pacientes, familiares e acompanhantes. Brasília: Ministério da Saúde; 2017. 61p., 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
). |
9. Structures required by the program to fulfill its function. |
The resources required for the program include a physical environment for the continuous education of healthcare professionals, financial resources, human resources, materials, and supplies needed for its implementation and sustainability, including the laminated poster for bedside placement(3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
). |
10. The expected products to be obtained through the program’s implementation. |
Reduction in falls and their associated harm in hospitalized patients through person-centered care(2727 Agência Nacional de Vigilância Sanitária (Anvisa). Como posso contribuir para aumentar a segurança do paciente: orientações aos pacientes, familiares e acompanhantes. Brasília: Ministério da Saúde; 2017. 61p., 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
). |
11. The results the program aims to achieve. |
Positive evolution of the safety culture regarding co-production of care with patients and caregivers for a hospitalization free of falls(2727 Agência Nacional de Vigilância Sanitária (Anvisa). Como posso contribuir para aumentar a segurança do paciente: orientações aos pacientes, familiares e acompanhantes. Brasília: Ministério da Saúde; 2017. 61p., 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
). |
12. Factors that may influence the achievement of results, beyond those directly related to the program. |
a) Factors of internal/political/institutional context refer to factors related to management support in implementing the program, including the allocation of human, financial, physical, and material resources, as well as institutional culture(2727 Agência Nacional de Vigilância Sanitária (Anvisa). Como posso contribuir para aumentar a segurança do paciente: orientações aos pacientes, familiares e acompanhantes. Brasília: Ministério da Saúde; 2017. 61p., 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
).
b) Factors of external context are related to the organization of healthcare systems, whether public or private, and are linked to the political, economic, and healthcare programs’ landscape of the country(2727 Agência Nacional de Vigilância Sanitária (Anvisa). Como posso contribuir para aumentar a segurança do paciente: orientações aos pacientes, familiares e acompanhantes. Brasília: Ministério da Saúde; 2017. 61p., 3030 Schnock KO, Howard EP, Dykes PC. Fall prevention self-management among older adults: a systematic review. Am J Prev Med. 2019;56(5):747-55. https://doi.org/10.1016/j.amepre.2018.11.007 https://doi.org/10.1016/j.amepre.2018.11...
, 3131 Dykes PC, Khasnabish S, Adkison LE, Bates DW, Bogaisky M, Burns Z, et al. Use of a perceived efficacy tool to evaluate the Fall TIPS program. J Am Geriat Soc. 2021;69(12):3595-601. https://doi.org/10.1111/jgs.17436 https://doi.org/10.1111/jgs.17436...
, 3232 Carter EJ, Khasnabish S, Adelman JS, Bogaisky M, Lindros ME, Alfieri L, et al. Adoption of a patient-tailored fall prevention program in academic health systems: a qualitative study of barriers and facilitators. OBM Geriatr. 2020;4(2):119. https://doi.org/10.21926/obm.geriatr.2002119 https://doi.org/10.21926/obm.geriatr.200...
, 3333 Duckworth M, Adelman J, Belategui K, Feliciano Z, Jackson E, Khasnabish S, et al. Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study. J Med Internet Res. 2019;21(1):e10008. https://doi.org/10.2196/10008 https://doi.org/10.2196/10008...
, 3434 Fall T.I.P.S. A Patient-Centered Fall Prevention Toolkit [Internet]. Rockville: Agency for Healthcare Research and Quality; 2023[cited 2023 Aug 27]. Available from: https://www.Falltips.org/ https://www.Falltips.org/...
).
|