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Hospital Inpatient Falls across Clinical Departments

Author

Listed:
  • Marcin Mikos

    (Department of Bioinformatics and Public Health, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University, 30-701 Krakow, Poland)

  • Tomasz Banas

    (Department of Gynaecology and Oncology, Jagiellonian University Medical College, 31-501 Krakow, Poland)

  • Aleksandra Czerw

    (Department of Health Economics and Medical Law, Medical University of Warsaw, 02-091 Warsaw, Poland
    National Institute of Public Health NIH—National Research Institute, 00-791 Warsaw, Poland)

  • Bartłomiej Banas

    (Private Surgical Medical Practice, 31-261 Krakow, Poland)

  • Łukasz Strzępek

    (Department of General Surgery, Regional Public Hospital in Bochnia, 32-700 Bochnia, Poland)

  • Mateusz Curyło

    (Orthopedic and Posttraumatic Rehabilitation Department, Medical University of Lodz, 90-419 Lodz, Poland)

Abstract

Background: Inpatient falls are common hospital adverse events. We aimed to determine inpatient fall rates in an urban public hospital and analyzed their characteristics across clinical departments. Methods: The study was conducted in a 350-bed urban, multi-specialty public hospital in the 2013–2019 period. Patient data were retrieved from the hospital’s standardized falls reporting system. Descriptive statistics and statistical tests: chi2 and ANOVA tests with multiple comparison tests (post-hoc analysis) were used. For fall incidence estimation a joint-point regression was applied. p -value of 0.05 was considered as statistically significant for all the calculations. Results: The highest prevalence of falls was reported in the rehabilitation and internal medicine wards (1.915% and 1.181%, respectively), the lowest in the orthopedic (0.145%) and rheumatology wards (0.213%) ( p < 0.001). The vast majority of falls took place in the late evening and during the night (56.711%) and were classified as bed falls (55.858%). The crude incidence rate (cIR) of falls was 6.484 per one thousand hospitalizations. In the 2013–2017 period, an increase in total cIR was observed, reaching the peak value in 2016; it was followed by a slight decline from 2017 to 2019, however, differences in changes were observed between the wards. Conclusion: Fall rates and trends as well as circumstances of inpatient falls varied significantly among clinical departments, probably due to differences in patient characteristics.

Suggested Citation

  • Marcin Mikos & Tomasz Banas & Aleksandra Czerw & Bartłomiej Banas & Łukasz Strzępek & Mateusz Curyło, 2021. "Hospital Inpatient Falls across Clinical Departments," IJERPH, MDPI, vol. 18(15), pages 1-10, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:15:p:8167-:d:607009
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    References listed on IDEAS

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    1. Michael P. Fay & Ram C. Tiwari & Eric J. Feuer & Zhaohui Zou, 2006. "Estimating Average Annual Percent Change for Disease Rates without Assuming Constant Change," Biometrics, The International Biometric Society, vol. 62(3), pages 847-854, September.
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    Cited by:

    1. Lukasz Magnuszewski & Aleksandra Wojszel & Agnieszka Kasiukiewicz & Zyta Beata Wojszel, 2022. "Falls at the Geriatric Hospital Ward in the Context of Risk Factors of Falling Detected in a Comprehensive Geriatric Assessment," IJERPH, MDPI, vol. 19(17), pages 1-14, August.
    2. Rebecca Woltsche & Leanne Mullan & Karen Wynter & Bodil Rasmussen, 2022. "Preventing Patient Falls Overnight Using Video Monitoring: A Clinical Evaluation," IJERPH, MDPI, vol. 19(21), pages 1-12, October.

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