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Patient Fall clinical trials

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NCT ID: NCT05879315 Recruiting - Patient Fall Clinical Trials

Evaluation of Balance and Movement in Order to Prevent the Risk of Falling in the Post-operative Period

NOCADINRIAB
Start date: March 20, 2023
Phase: N/A
Study type: Interventional

This study aims to identify, in patients undergoing hip and knee joint replacement, the functional evaluation tools predictive of the risk of falling upon admission to the orthopedic department and to correlate the results obtained with clinical evaluation scales that are generally used for fall risk stratification and the number of falls actually occurring both in the orthopedic department and in the rehabilitation department.

NCT ID: NCT05138640 Completed - Osteoporosis Clinical Trials

Bone Strength and Physical Activity in Patients With a Recent Clinical Fracture

Start date: October 2014
Phase:
Study type: Observational

The risk for a subsequent fracture is significantly higher in patients presenting with a fracture compared to individuals without a previous fracture and is highest within the first 2 years after the initial fracture. The risk for a subsequent fracture is not dependent of BMD as measured by conventional DXA. In recent studies, it has been shown that HRpQCT measurements provide information about bone structure, bone quality and bone strength in addition to BMD measurements. Diagnostic strategies should be focussed on bone quality and bone strength and fall prediction in the patients at high risk for falls, subsequent fracture and mortality such as patients with a recent fracture. Therefore, the investigators conduct a prospective observational study in 500 patients aged 50 years and older who present with a clinical fracture for evaluation of bone strength, physical activity, falls, subsequent fractures and mortality during a follow-up period of 3 years.

NCT ID: NCT03695081 Completed - Aging Clinical Trials

Patient Pathway Pharmacist - Optimal Drug-related Care

Start date: September 3, 2018
Phase: N/A
Study type: Interventional

Medication errors represent the most common cause of patient injury and one of the most frequently reported health related deviation in Norway. The addition of a dedicated clinical pharmacist throughout the hip fracture patient pathway (patient pathway pharmacist) is believed to improve patient safety and ensure optimal drug-related patient care. The pharmacist will perform medication reconciliation at admission to hospital, medication review after surgery and assist physicians with discharge summary. Six weeks after discharge the patient pathway pharmacist will perform a second drug reconciliation and medication review. This study will assess the pharmacists' place and specific tasks in the patient pathway, describe areas where the pharmacist contribute to increased quality of care and assess the benefits and/or disadvantages experienced with introducing a patient pathway pharmacist. The estimated number of patients included is 60. Current practice will be determined by investigating the last 50 patients' medical record and a questionnaire to health care professionals involved in treatment of hip fracture patients. Data from medication reconciliation and drug review will be collected and compared to current practice. After the inclusion period, focus group surveys and/or semi-structured interviews will be executed to describe the perceived improvement in the quality of care. Primary endpoints are: 1) Medication reconciliation score at admission 2) Number of inappropriate drugs for elderly 3) Discharge summary score 4) Discharge summaries following procedure. Secondary endpoints are readmissions and mortality after 30 and 90 days. Qualitative endpoints: 1) Health care professionals experience of current drug-related practice 2) Experienced advantages and disadvantages of a patient pathway pharmacist.

NCT ID: NCT03499717 Completed - Patient Fall Clinical Trials

Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS

Start date: January 1, 2014
Phase:
Study type: Observational

The goal of our project is to evaluate the effectiveness of the Fall TIPS program with regard to inpatient falls and fall-related injuries.

NCT ID: NCT03003663 Completed - Patient Fall Clinical Trials

Interrupted Time-Series Study for In-hospital Fall Reduction

Start date: March 2016
Phase: Phase 2
Study type: Interventional

The purpose of this study is to determine the effect of an Internet-of-Things bed fall solution when used in a hospital setting.

NCT ID: NCT02969343 Completed - Clinical trials for Venous Thromboembolism

Patient Safety Learning Laboratory: Making Acute Care More Patient-Centered

PSLL
Start date: April 2015
Phase: N/A
Study type: Interventional

The Brigham and Women's Hospital (BWH) Patient Safety Learning Laboratory (PSLL) focuses on developing health information technology (HIT) tools to engage patients, family, and professional care team members in reliable identification, assessment, and reduction of patient safety threats in real-time, before they manifest in actual harm.

NCT ID: NCT02850952 Completed - Nurse's Role Clinical Trials

Rehab MATRIX: Impact of a Nursing-Led Acuity Algorithm on Patient Safety and Healthcare Quality

Rehab MATRIX
Start date: July 2016
Phase: N/A
Study type: Interventional

To determine whether implementation of Rehab MATRIX will improve patient safety, patient satisfaction and nursing indices.

NCT ID: NCT02772952 Completed - Physical Activity Clinical Trials

Effectiveness of a Multi-component Physical Training in Hyper-fragile Elders: A Randomized Clinical Trial

PowerA-01
Start date: November 1, 2017
Phase: N/A
Study type: Interventional

Objective: To compare short-term and medium-term effectiveness of a multimodal program that integrates a program of therapeutic exercise, medication review, adequacy of diet and health education, compared with standard medical practice in improving neuromuscular and physiological status on frail elderly. Another aim is to analyze the maintenance of these effects by monitoring long-term (12 months) from the start of the intervention. Design: Randomized controlled trial Scope / Study subjects: recruited frail elderly in Basic Health Zone of Malaga. Methods: The subjects to be included in the study (after meeting inclusion / exclusion) will be randomized into two groups: a control group whose intervention will be to review medication + adequacy of diet + health education (physical activity recommendation (within a comprehensive advice on healthy lifestyles) and an experimental group whose intervention will be a Multimodal Intervention: therapeutic exercise + review medication + adequacy of diet + health education program. Sociodemographic, Clinical and monitoring Variables will be collected at baseline. Moreover, tracking variables will be collected at 2 and 6 months after starting the intervention and at 3 and 6 months after the end of the intervention (monitoring). The monitoring variables that will be measured are: BMI , general health, fatigue, brittleness, Motor Control, Attention - Concentration - Memory, Motor Memory , spatial orientation, grip strength, balance (static - semi-static and dynamic ), gait speed and metabolomic variables. One descriptive analysis of the sociodemographic variables of the participants will be performed. Further the change on the variables intra-subjects (pre-post intervention) and inter-subjects (experimental group vs control group) will be calculated. For the intra-subject analysis will be performed a ANOVA-one factor analysis. The intersubject outcome variables will be compared between the two groups in each moments of data collection, using the student t-test or Wilconxon (depending of the sample distribution). The level of significance was set at P ≤ 0.05.

NCT ID: NCT02737839 Completed - Cancer Clinical Trials

Adaptation of the STEPPING ON Fall Prevention Program for Older Adults Receiving Cancer Therapy

Start date: June 9, 2016
Phase: N/A
Study type: Interventional

Chronic disease self-management is the ability of the individual, in conjunction with family, community and healthcare professionals to manage symptoms, treatments, lifestyle changes and psychosocial, cultural and spiritual consequences associated with a chronic condition. Self-management strategies have been successfully used in supportive care and survivorship in oncology. Stepping On, a multi-component program using a small-group learning environment, reduces falls by 31%. It empowers participants with knowledge about fall-risk, exercise, medications and environmental hazards to self-manage their risk of falls over 7 weeks of educational sessions, followed by a home visit. The research in this proposal will yield the adaptation of the effective group-education-based fall-prevention intervention Stepping On, tailored to cancer patients, feasible for testing in a multi-institutional trial, and ultimately scalable in the oncology setting.

NCT ID: NCT02443038 Completed - Patient Fall Clinical Trials

Yoga's Effect on Fall Risk Factors in the Rural, Older Adult Population; an Academic/Community Partnership

Yoga/Falls
Start date: April 2014
Phase: N/A
Study type: Interventional

This is a 2 year pilot/feasibility project to develop an intervention, test research methods, and evaluate the effects of yoga on core strength and balance of an older rural population in an effort to ultimately reduce the frequency of falls. The investigators' goal for this project is for community and academic partners to develop a yoga program that is feasible, safe, and acceptable to an older adult population, then test the program, research methods and evaluation, in preparation for conducting a larger randomized trial of the intervention.