930 / Preventing Falls in Pediatric Patients

ITALY
Classification of the PSP
Type of Patient Safety Practice Not Implemented
 
Clinical Practice (CP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Patient falls
Other There is no specified text here
Topic of the reported practice
Patient safety system
Aim and the benefit of the Patient Safety Practice
 
The practice aims at reducing falls in pediatric patients. Patient falls are an extremely important issue for both the frequency of falls and the severity of the consequences. In the study conducted in Tuscany, Italy as part of the regional project on the prevention of falls, the incidence of falls is approximately 1% of total admissions in the departments studied and mainly in the elderly (age greater than or equal to 65 years) .

Pediatric falls are a significant phenomenon especially in the first three years of age. In fact, over the past more recent studies showed that the fall in the pediatric patient is the most frequent accident (62.6%), mostly out of bed (29.7%) in the age group 1-3 years (41.5%) with outcomes of traumatic head in prevalence and prognosis of up to 5 days (90.2%).
Description of the Patient Safety Practice
 
Evaluation of patients at risk of falling, and safety assessment of the environment and devices as well as the monitoring of falls through a special system of reporting and analysis, is crucial to maintain a constant focus on the problem, to identify preventive actions to be undertaken in the immediate and short term, in order to reduce impact on patients and the frequency of events with lesions.

The evaluation of patients at risk of falling involves the verification of the most significant risk factors at the time of admission to the hospital and during hospitalization. The risk factors statistically significant in the pediatric field are:
- age less than 3 years,
- previous falls,
- underlying pathology related to the central nervous system and / or organs of sense,
- environmental factors (physical characteristics of the hospital room or contingent environmental conditions such as games scattered on the floor or sides of the bed lowered),
- absence and / or carelessness of parents or other adults at the time of the accident,
- use the following categories of drugs: sedatives, hypnotics, barbiturates, antidepressants, laxatives and diuretics, narcotics

The evaluation of these risk factors can be identified with the support of the rating scale Humpty Dumpty Falls Scale or other validated scales at the international level.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
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Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
No
Level of implementation of reported practice
There is no specified text here
Specific and measurable outcome for the reported practice were defined
There is no specified text here
A baseline measurement before implementation of the reported practice was obtained
There is no specified text here
A measurement after full implementation of the reported practice was obtained
There is no specified text here
Evaluation of a "positive" effect of the reported practice on Patient Safety
There is no specified text here
Type of before-and after evaluation
There is no specified text here
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
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Health care context where the Patient Safety Practices was implemented
 
There is no specified text here
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Not relevant
Specification of implementation in another health care setting(s)
There is no specified text here
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
 
Nurses
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the implementation of the Patient Safety Practices
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
Not evaluated
Short description of the service users' level of involvement
Consultation, such as asking for information
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible
http://www.regione.toscana.it/pratiche-per-la-sicurezza
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
No
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
Not known or not relevant
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
There is no specified text here
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
Regular data feedback to involved staff
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
No
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
No
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Sara Albolino
Country: ITALY
Organisation: Centro Gestione Rischio Clinico e Sicurezza del Paziente-Regione Toscana
E-mail: albolinos@aou-careggi.toscana.it
Phone: There is no specified text here
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