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

Patient Fall Clinical Trial

Official title:

Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03499717
• Other study ID #: 2017P000670
• Status: Completed
• Start date: January 1, 2014
• Est. completion date: December 31, 2022

Study information

• Verified date: July 2023
• Source: Brigham and Women's Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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

Description:

This study will explore the effectiveness of the Fall TIPS (Tailoring Interventions for Patient Safety) program in regard to inpatient falls and fall-related injuries in three large hospital systems with different Electronic Medical Records (EMRs). We will collect and evaluate data on the perceived effectiveness of the Fall TIPS implementation process along with stakeholders' views of the toolkit. We will use an interrupted time series approach for evaluation of pre and post-Fall TIPS data related to patient falls and injurious falls. We will systematically analyze the costs and benefits of the Fall TIPS program from two perspectives: (1) the hospital, and (2) society as a whole. The hospital perspective will assist other hospitals in evaluating the decision to invest in implementing and adopting the Fall TIPS program, while the societal perspective will be instructive from a public policy stance

By the end of the study, we will produce a set of recommendations to facilitate adoption, implementation, and maintenance of the Fall TIPS program, along with a manuscript that will answer the following research questions:

1. Does Fall TIPS reduce the incidence of falls and injurious falls?

2. Were there differences in Fall TIPS effectiveness among different healthcare systems and hospitals as well as variations associated with differing patient characteristics (gender, age, ethnic/racial), EMRs, and degrees of adherence with the Fall TIPS protocol?

3. Do the benefits associated with Fall TIPS outweigh the costs from hospital and societal perspectives?

4. What Fall TIPS components were most/least useful and what recommendations will improve the overall utility and ease of use of the Fall TIPS Toolkit?

5. What aspects of the implementation model were most/least helpful for promoting Fall TIPS adoption and use?

Recruitment information / eligibility

• Status: Completed
• Enrollment: 37231
• Est. completion date: December 31, 2022
• Est. primary completion date: December 31, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 110 Years

Eligibility

Inclusion Criteria:

• All adult patients admitted to medical, surgical, neurology and oncology units at participating hospitals during the time of the study

Exclusion Criteria:

• Anyone who does not meet the inclusion criteria

Related Conditions & MeSH terms

• Patient Fall

Locations

Country	Name	City	State
n/a

Sponsors (5)

Lead Sponsor	Collaborator
Brigham and Women's Hospital	Agency for Healthcare Research and Quality (AHRQ), Columbia University, Montefiore Medical Center, Partners HealthCare

References & Publications (1)

Dykes PC, Burns Z, Adelman J, Benneyan J, Bogaisky M, Carter E, Ergai A, Lindros ME, Lipsitz SR, Scanlan M, Shaykevich S, Bates DW. Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized Controlled Trial. J — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Falls	Prevalence of patient falls in the study population	1/1/2014-12/31/2020
Secondary	Falls with Injury	Prevalence of patient falls with injury in the study population	1/1/2014-12/31/2020

External Links

•   Evaluation of a Patient-Centered Fall-Prevention Tool Kit to Reduce Falls and Injuries: A Nonrandomized Controlled Trial