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PATIENT FALLS AND FALL INJURY IN AN URBAN PUBLIC HOSPITAL

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Patient falls are an extremely common problem and a major cause of injury, death
and hospitalisation in acute care. In Australia there were 336 fall-related
deaths in a 12-month period and 26,338 falls-related hospitalisations, an
age-standardised rate of 960.7 per 100,000 population in 2017.

Medical alert NZ Falls can be caused by biological risk factors such as advanced
age, decreased mobility, muscle weakness and vision impairment, or by health
conditions such as arthritis, dementia, depression or neurological disease.
Behavioural risk factors include a person's actions, emotions or choices and may
be related to medication effects, environment and other aspects of the patient's
condition and activities.

Developing and maintaining a fall prevention program requires understanding of
the factors that contribute to falls, as well as the impact of those factors on
the patient. Identifying, reducing and mitigating the risk of falls for all
patients can help to prevent injury, illness, disability, premature mortality
and hospitalisation.

The aim of this study was to examine the incidence of patient falls and fall
injury in an urban public hospital. Administrative patient data and fall
incident reports from 1999 to 2003 were examined and summarized using
frequencies, proportions, means and standard deviations.

Severity of falls was assessed by a severity assessment code (SAC) which
included high (causing serious harm or death), medium (causing moderate or minor
harm) and low (causing no harm). Univariable and multivariable generalised
ordinal logistic regression models were used to quantify the magnitude of the
effects of potential risk factors on severity of falls at 5% level of
significance.


Public Last updated: 2023-04-09 06:09:42 AM

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