Characterization of patient falls according to the notification in adverse event reports

Authors

  • Miriam Cristina Marques da Silva de Paiva Universidade Estadual Paulista Júlio de Mesquita Filho; Faculdade de Medicina de Botucatu
  • Sergio Alberto Rupp de Paiva Universidade Estadual Paulista Júlio de Mesquita Filho; Faculdade de Medicina de Botucatu; Departamento de Clínica Médica
  • Heloisa Wey Berti Universidade Estadual Paulista Júlio de Mesquita Filho; Faculdade de Medicina de Botucatu; Departamento de Enfermagem
  • Álvaro Oscar Campana Universidade Estadual Paulista Júlio de Mesquita Filho; Faculdade de Medicina de Botucatu

DOI:

https://doi.org/10.1590/S0080-62342010000100019

Keywords:

Nursing care, Accidental falls, Hospital administration, Health care quality indicators

Abstract

The objective of this study was to observe the characteristics of falls occurring in the inpatient population at a tertiary hospital. Eight hundred and twenty-six Adverse Events Notification Reports were analyzed over a 30 months period, and 0.30 falls per 1,000 patients/day were reported. Falls from beds were the most frequent (55%), showing the highest occurrence in the neurology ward. A higher frequency of falls was observed at night time (63.7%), during the first five hospitalization days (61.7%), in male patients (57.5%) over 60 years old (50%). In cases of falls from a bed, the diagnoses were related to infectious and parasitic diseases (18.2%), diseases affecting the nervous system (18.2%) and those affecting the circulatory system (13.7%). In cases of falls from one's own height, they were related to neoplasms (19.4%) and diseases affecting the genitourinary system (16.1%). It is concluded that high importance should be placed on studying the population to characterize those at high risk for falls to assist in the implementation of preventive measures.

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Published

2010-03-01

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Section

Original Article

How to Cite

Paiva, M. C. M. da S. de, Paiva, S. A. R. de, Berti, H. W., & Campana, Álvaro O. (2010). Characterization of patient falls according to the notification in adverse event reports. Revista Da Escola De Enfermagem Da USP, 44(1), 134-138. https://doi.org/10.1590/S0080-62342010000100019