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- Title
Evaluating the use of multiteam systems to manage the complexity of inpatient falls in rural hospitals.
- Authors
Jones, Katherine J.; Skinner, Anne; Venema, Dawn; Crowe, John; High, Robin; Kennel, Victoria; Allen, Joseph; Reiter‐Palmon, Roni; Reiter-Palmon, Roni
- Abstract
<bold>Objective: </bold>To evaluate the implementation and outcomes of evidence-based fall-risk-reduction processes when those processes are implemented using a multiteam system (MTS) structure.<bold>Data Sources/study Setting: </bold>Fall-risk-reduction process and outcome measures from 16 small rural hospitals participating in a research demonstration and dissemination study from August 2012 to July 2014. Previously, these hospitals lacked a fall-event reporting system to drive improvement.<bold>Study Design: </bold>A one-group pretest-posttest embedded in a participatory research framework. We required hospitals to implement MTSs, which we supported by conducting education, developing an online toolkit, and establishing a fall-event reporting system.<bold>Data Collection: </bold>Hospitals used gap analyses to assess the presence of fall-risk-reduction processes at study beginning and their frequency and effectiveness at study end; they reported fall-event data throughout the study.<bold>Principal Findings: </bold>The extent to which hospitals implemented 21 processes to coordinate the fall-risk-reduction program and trained staff specifically about the program predicted unassisted and injurious fall rates during the end-of-study period (January 2014-July 2014). Bedside fall-risk-reduction processes were not significant predictors of these outcomes.<bold>Conclusions: </bold>Multiteam systems that effectively coordinate fall-risk-reduction processes may improve the capacity of hospitals to manage the complex patient, environmental, and system factors that result in falls.
- Subjects
RURAL hospitals; HOSPITAL utilization; PARTICIPANT observation; ACQUISITION of data; AUTUMN
- Publication
Health Services Research, 2019, Vol 54, Issue 5, p994
- ISSN
0017-9124
- Publication type
journal article
- DOI
10.1111/1475-6773.13186