Reducing Hospital Falls by Empowering Nurses to Provide Ambulatory Aids

NCT03675503 | Terminated

• 1 other identifier: 2013-2984
• Study Type: interventional
• Target: 900
• Locations: 1 country
• Sites: 1

Brief Summary

This project proposes to evaluate the potential for nurses to assess if a patient who uses an ambulatory aid at home is fit to use one in the hospital, and the effect that providing ambulatory aids to hospitalized patients will have on reducing hospital falls, with a matched pair cluster-randomized controlled trial. Hypothesis 1: Of the patients who use an ambulatory aid at home, patients who receive an ambulatory aid in the hospital will have a lower fall rate as compared to patients who do not receive an ambulatory aid in the hospital. Hypothesis 2: After adequate training, nurses will be able to accurately assess whether or not patients need an ambulatory aid when compared to the gold-standard assessments of physical therapists.

Conditions

Accidental Falls; Harm Reduction

Keywords

Fall Prevention; Hospital Acquired Conditions; Nurse Education; Assistive Devices

Outcome Measures

Primary Outcomes (1)

• Change in Number Falls

  Participants's self reported number of falls will be assess at baseline and 6 months after trial.

  Baseline and Six months after study

Study Arms (2)

Control

NO INTERVENTION

No change in the standard of care.

Fall Prevention Decision Support

EXPERIMENTAL

Nursing assesses patient using the "Assistive Device Checklist" and provides assistive devices to patients, if appropriate. Decision support aimed at preventing hospital falls and empowering nurses.

Other: Fall Prevention Decision Support

Interventions

Fall Prevention Decision Support OTHER

Decision support used by nurses to appropriately provide ambulatory aids to hospitalized patients in order to reduce hospital falls

Fall Prevention Decision Support

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• any one determined to be in need of walking aid and
• Can stand up from a seated position independently without assistance
• Can use ambulatory aid at home without assistance/supervision
• Can sit up in bed AND rise to a standing position independently

You may not qualify if:

• Not able to give consent
• Not able to use ambulatory aid independently

Sponsors & Collaborators

• Montefiore Medical Center: lead

Study Sites (1)

Montefiore Medical Center

New York, New York, 10467, United States

Location

MeSH Terms

Conditions

Harm Reduction; Iatrogenic Disease

Condition Hierarchy (Ancestors)

Behavior; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Mary S Ellen Lindros

  Albert Einstein College of Medicine Montefiore Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 7, 2018
• First Posted: September 18, 2018
• Study Start: May 1, 2015
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: May 10, 2023

Record last verified: 2023-05

Locations

US (1)