학술논문
Orthostatic Vital Signs Algorithm: Decreasing falls in patients undergoing blood and marrow transplantation or treatment with cellular immunotherapy.
Document Type
Article
Source
Subject
*ALGORITHMS
*BONE marrow transplantation
*LEGAL compliance
*ACCIDENTAL falls
*IMMUNOTHERAPY
*PROFESSIONS
*VITAL signs
*PRE-tests & post-tests
*DATA analysis software
*DESCRIPTIVE statistics
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Language
ISSN
1092-1095
Abstract
BACKGROUND: Falls experienced by patients undergoing blood and marrow transplantation or treatment with cellular immunotherapy (BMT-CI) may result in injury or death. An algorithm was developed using the patient fall circumstances identified in a chart analysis from 2016. OBJECTIVES: This study aimed to determine if the Moffitt BMT-CI Orthostatic Vital Signs Algorithm could decrease inpatient falls. METHODS: A pre-/post-test program evaluation was conducted for one year pre- and postimplementation of the algorithm on newly admitted inpatients. Adherence rate of nurses using the algorithm was monitored. FINDINGS: Overall falls decreased from 5.38% to 3.44%, with zero falls or injuries related to orthostasis for newly admitted patients. Adherence of nurses using the algorithm increased from 60% to 93%. The fall rate has been sustained less than baseline with 100% adherence, and the algorithm has been adopted as standard of practice. [ABSTRACT FROM AUTHOR]