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Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/21387

Title: The SCOPE of hospital falls: a systematic mixed studies review
Authors: Taylor, Ellen
Hignett, Sue
Keywords: Human factors
Inpatient hospitals
Patient safety
Patient falls
Systematic review
Environmental design
Evidence-based design
Issue Date: 2016
Publisher: SAGE (© the authors)
Citation: TAYLOR, E. and HIGNETT, S., 2016. The SCOPE of hospital falls: a systematic mixed studies review. Health Environments Research and Design Journal, DOI: 10.1177/1937586716645918.
Abstract: Purpose: This systematic mixed studies review (MSR) on hospital falls is aimed to facilitate proactive decision-making for patient safety during the healthcare facility design. Background: Falls were identified by the Centers for Medicare & Medicaid Services (CMS) as a non-reimbursed hospital acquired condition (HAC) due to volume and cost, and additional financial penalties were introduced with the 2014 US hospital acquired condition (HAC) reduction program. In 2015, a Joint Commission alert identified patient falls as one of the top reported sentinel events, and the Occupational Safety and Health Administration (OSHA) added slips, trips, and falls as a focus for investigators' healthcare inspections. Variations in fall rates at both the hospital and the unit level is indicative of an ongoing challenge. The built environment can act as a barrier or enhancement to achieving the desired results in safety complexity that includes the organization, people and environment (SCOPE). Methods: The systematic literature review used MeSH terms and key word alternates for hospital falls with searches in MEDLINE, Web of Science, and CINAHL. The search was limited to English-language papers. Results: Following full text review, 27 papers were included and critically appraised using a dual method mixed methods critical appraisal tool. Themes were coded by broad categories of factors for organization (policy/operations), people (caregivers/staff, patients); and the environment (healthcare facility design). Subcategories were developed to define the physical environment and consider the potential interventions in the context of relative stability. Conclusions: Conditions of hospital falls were identified and evaluated through the literature review. A theoretical model was developed to propose a human factors framework, while considering the permanence of solutions.
Version: Accepted for publication
DOI: 10.1177/1937586716645918
URI: https://dspace.lboro.ac.uk/2134/21387
Publisher Link: http://dx.doi.org/10.1177/1937586716645918
Appears in Collections:Published Articles (Design School)

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