Citation

Grady L, Klein J, Patterson AE, Pompos C, Reich RR, Mason TM. Clin. J. Oncol. Nurs. 2020; 24(5): 489-494.

Copyright

(Copyright © 2020, Oncology Nursing Press)

DOI

10.1188/20.CJON.489-494

PMID

32945795

Abstract

BACKGROUND: Falls experienced by patients undergoing blood and marrow transplantation or treatment with cellular immunotherapy (BMT-CI) may result in injury or death. An algorithm was developed using the patient fall circumstances identified in a chart analysis from 2016.

OBJECTIVES: This study aimed to determine if the Moffitt BMT-CI Orthostatic Vital Signs Algorithm could decrease inpatient falls.

METHODS: A pre-/post-test program evaluation was conducted for one year pre- and postimplementation of the algorithm on newly admitted inpatients. Adherence rate of nurses using the algorithm was monitored.

FINDINGS: Overall falls decreased from 5.38% to 3.44%, with zero falls or injuries related to orthostasis for newly admitted patients. Adherence of nurses using the algorithm increased from 60% to 93%. The fall rate has been sustained less than baseline with 100% adherence, and the algorithm has been adopted as standard of practice.

Language: en

Keywords

falls; blood and marrow transplantation; cellular immunotherapy; fall prevention