HomeThe PCMC Journalvol. 16 no. 2 (2020)

Use of the Patient Fall Prevention Reminder Checklist to Increase Health Care Provider Awareness at the Philippine Children’s Medical Center

Jacqueline G. Marquez | Maria Eva I. Jopson

Discipline: medicine by specialism

 

Abstract:

BACKGROUND: Falls in the hospital are preventable. Prevention of fall requires cooperation from the health care provider, caregivers, as well as the hospital administration. This study was done to utilize standard reminders for fall to increase the awareness of health care providers of a tertiary hospital for children. OBJECTIVES: To determine the effectiveness of the Patient Fall Prevention Reminder Checklist in increasing the awareness of health care providers of patients admitted at the Philippine Children’s Medical Center. METHODOLOGY: After obtaining permission to use an established Patient Fall Prevention Reminder checklist from the Intermountain Health Care (USA), participants were recruited after giving their informed consent. A pre-test was conducted to gauge the awareness and practices of the participants in preventing falls in the hospital. After the pre-test, the tool was introduced and discussed by the author to the participants. After 7 days, the participantswere followed up to take the post-test. Data collected were encoded then analyzed throughdescriptive statistics. RESULTS: There were one hundred twenty-one (121) respondents with 42 males and 79 females. There is an increase in awareness in fall prevention amongthe residents and nurses, based on their pre and post-test examination results. The midwives had previous awareness in preventing falls even prior to the study. CONCLUSIONS AND RECOMMENDATIONS: The checklist served as an effective tool in increasing the awareness of most study participants. We recommend the establishment of an institutionalized Fall Prevention Reminder Checklist at the Philippine Children’s Medical Center for use by health care personnel.



References:

  1. UpToDate:   Prevention  of    Falls   in Children by A.C. Gill et. al., 2018: https://www.uptodate.com/contents/prevention-of-falls-in-children
  2. Intermountain Healthcare, Prevent a Fall: Pediatric Patients, 2012 intermountainhealthcare.org
  3. American Nurse Today, Official Journal of American Nurses Association, Protecting Children by Preventing Falls, June 2012: https://www.americannursetoday.com/protecting-children-by-preventing-falls/
  4. Science of Caring, University of California San Francisco, Predicting and Preventing Pediatric Falls in the Hospital,                   April         2017:https://scienceofcaring.ucsf.edu/research/predicting-and-preventing-pediatric- falls-hospital
  5. Paediatric Falls Risk Assessment & Prevention Strategy Education Module March 2012 Reviewed May 2016, Kristen Dove Donna McAnallen
  6. The Royal Children’s Hospital Melbourne, Falls Prevention, 2017 https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Falls_prevent ion/
  7. Agency for Healthcare Research and Quality, Preventing Falls in Hospitals, Part 3: Which Fall Prevention Practices Do You Want to Use, January 2013 https://www.ahrq.gov/professionals/syst ems/hospital/fallpxtoolkit/fallpxtk3.htm 
  8. Study: Brain Injuries in Childhood Have Lasting Effects on Learning, January 2012, Alice Park http://healthland.time.com/2012/01/23/study-brain-injuries-in-childhood-have- lasting-effects-on-learning/
  9. Fall Prevention Among Children in the Presence of Caregivers in a Pediatric Ward: a Best Practice Implementation, 2013, Yee Ling Geraldine Lee, et. al
  10. Journal for Specialists in Pediatric Nursing: Pediatric Inpatient Falls and Injuries: A Descriptive Analysis of Risk Factors, July 29, 2011, Schaffer, et. Al
  11. Fall Prevention Policies in Pediatric Sleep Laboratories, February 2011, Kothare, et. Al https://www.ncbi.nlm.nih.gov/pmc/artic les/PMC4552192/
  12. Using Checklist and Reminders in Clinical Pathways to Improve Hospital Inpatient Care, October 2004, Wolff, et. al. https://www.ncbi.nlm.nih.gov/pubmed/ 15487958
  13. Developing and Testing a Checklist to Enhance Quality in Ethics Consultation, August 2015, Flicker, et. al.