Hourly Rounding: A Replication Study

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Preventing Falls in the Hospital Setting Schuyler Manuel Western Governor’s University Preventing Falls in the Hospital Setting Section A Olrich, T., Kalman, M., & Nigolian, C. (2012). Hourly Rounding: A Replication Study. MEDSURG Nursing, 21(1), 23-36. Background Information The author adequately outlined the purpose statement as determining the effect of hourly rounding on fall rates, call light use, and patient satisfaction. These are significant concerns due to their effects on hospital reimbursement in current days. No abstract was noted but the author gave important background information pertinent to the study. The author gave examples of fall rates and call light usage during the 15 month study. Review of Literature The…show more content…
Central tendency and spread were calculated for all variables. Chi- square tests and rank sum tests were specific to baseline and post intervention call light use between the two units. The fall rate before the intervention was 3.37 per 1,000 patient days. The fall rate post intervention was 2.6 per 1,000 patient days. The author noted that although the decrease was not statistically significant (p= 0.672), it was clinically significant at a 23% reduction in patient falls. It was also noted that fall rates increased on the control unit during the same time frame. Analysis of means (ANOM) u-charts (SAS version 9.1) of the call light usage showed no statistically significant change. No statistically significant change was noted in the patient satisfaction scores between the two groups as…show more content…
Dempsey (2008) and Barker et al. (2010) both modified internationally known tools to fit their specific population in their research. Both of these authors noted that while the adaptation of their fall risk tools to their specific regions increased specificity, it could affect the results on predicting falls in different populations. This reason prevents recommending either tool for adoption in all hospital settings to improve fall risk identification and prevention. The Conley Scale and Hendrich Model were not changed for demographics by Lovallo et al. (2010) and the Conley scale was recommended for medical/surgical

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