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  1. Scheidenhelm, Sandra DNP, RN, NEA-BC
  2. Astroth, Kim Schafer PhD, RN
  3. DeLong, Karen MSN, RN, CNL, CPN
  4. Starkey, Cyndy RNC
  5. Wolfe, David MS


OBJECTIVE: The study aims to describe factors associated and injuries sustained with inpatients who fell while hospitalized and identify the impact of a revised fall-prevention bundle.


BACKGROUND: Approximately 1 million falls occur in hospitals annually, accounting for approximately 70% of inpatient accidents. Inpatient falls can result in physical injury, increased patient mortality and morbidity, decreased quality of life, and increased length of stay and cost.


METHODS: We used a retrospective review of patient fall data for adult inpatients who fell while hospitalized.


RESULTS: After reeducation and implementation of all elements of a revised fall-prevention bundle, there were fewer falls per patient day. We identified additional characteristics indicating when patients were more likely to be injured in a fall.


CONCLUSIONS: A fall-prevention bundle is effective in decreasing inpatient falls and falls with injury. Raising awareness of additional factors may decrease risk of injuries during an inpatient fall.