708 posters, 8 topics, 16 sessions, 1,190 authors, 600 institutions
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ISQua's 39th International Conference 2023
August 27 - 30, 2023 | Seoul, Republic of Korea

ISQUA2023-ABS-1542
SYSTEMIC ENHANCEMENT EFFORT TO ENHANCE FALL PREVENTION FOR PSYCHIATRIC INPATIENTS
Poster Presenter
Part of Topic
Patient Safety & Quality Improvement
Fall Prevention (FP) in an Inpatient Psychiatric Unit. Systematic Enhancement Effort to Address High Fall Rate.
Introduction
There was a raising trend of fall in Department of Psychiatry, TPH (32 in 2019 to 37 in 2020).
Prevalence of fall is higher in psychiatric inpatient settings than general settings due to psychopharmacological treatment and impaired cognitive function.
Fall could cause serious adverse physical and psychological outcomes (e.g. fractures, depressive symptoms). Based on the 4M1E principle (Man, Mechanism, Material, Method, Environment), a 2-year systemic fall prevention (FP) project was implemented since 2021 to tackle the raising trend of fall incidents.
Objective
Minimize fall incidents and related injuries.
Evaluation
Pre- and post- comparison of fall incident rate and fall-related fracture cases.
Actions Taken
Man
Mechanism
Material
(e.g. Wireless Fall alarm mat, protective helmet, well fitted slippers)
Method
Environment
Results
The fall incident rate reduced from 0.33 in 2020 to 0.21 in 2021, and 0.18 in 2022.
There were 6 of 6 fall related fracture cases from 2020 to 2021, but no more fracture since OCT 2021.
Conclusions
