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Please use this identifier to cite or link to this item: https://dspace.lboro.ac.uk/2134/2774

Title: A review of environmental hazards associated with in-patient falls
Authors: Hignett, Sue
Masud, Tahir
Keywords: Health-care ergonomics
Patient safety
User-centred design
Issue Date: 2006
Publisher: © Taylor & Francis
Citation: HIGNETT, S. and MASUD, T., 2006. A review of environmental hazards associated with in-patient falls. Ergonomics 49 (5-6), pp. 605-616.
Abstract: Slips, trips and falls present the greatest risk to in-patients in terms of exposure (frequency of occurrence) but only present a low severity risk in terms of mortality. The risk factors have been categorized as intrinsic (individual to the patient, e.g. visual impairment, balance problems and medicine use) or extrinsic (environmental). Many recommendations have been made concerning the management of environmental hazards but, of these, only beds rails have supporting research evidence. Other recommendations include patient assessment, footwear, flooring, lighting, staffing levels and bed alarms. However, three systematic reviews and the current narrative review have all failed to find research evaluating the benefits of these recommendations. The most robust evidence relates to the use of bed rails. This research suggests that bed rails not only fail to reduce the frequency of falls, but may also exacerbate the severity of injury. As Maslow’s Hierarchy of Needs model has been used as a framework for nursing models of care, it was chosen as the basis for the development of an environmental hazard assessment model. The environmental hazards are revisited using this model in order to take an ergonomic or patient-centred approach for risk assessment.
Description: This article is Restricted Access. The article was published in the journal, Ergonomics [© Taylor & Francis] and is available at: http://www.tandf.co.uk/journals/titles/00140139.asp
URI: https://dspace.lboro.ac.uk/2134/2774
ISSN: 0014-0139
Appears in Collections:Closed Access (Design School)

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