NDLI: Validation of nursing documentation regarding in-hospital falls: a cohort study

Content Provider	Springer Nature : BioMed Central
Author	Krakau, Karolina Andersson, Helene Dahlin, Åsa Franzén Egberg, Louise Sterner, Eila Unbeck, Maria
Abstract	Background In-hospital fall incidents are common and sensitive to nursing care. It is therefore important to have easy access to valid patient data to evaluate and follow-up nursing care. The aim of the study was to validate the nursing documentation, using a specific term in the registered nurses´ (RNs´) discharge note, regarding inpatient falls according to the outcome of a digitalized data extraction tool and the discharge note itself. Methods At a teaching hospital, 31,571 episodes of care were eligible for inclusion in this retrospective cohort study. A stratified sampling including five groups was used, two with random sampling and three with total sampling. In total, 1232 episodes of care were reviewed in the electronic patient record using a study-specific protocol. Descriptive statistics were used. Results In total, 590 episodes of care in the study cohort included 714 falls. When adjusted for the stratified sampling the cumulative incidence for the study population was 1.9%. The positive predictive value in total for the data extraction tool regarding the presence of any fall, in comparison with the record review, was 87.4%. Discrepancies found were, for example, that the RNs, at discharge, stated that the patient had fallen but no documented evidence of that could be detected during admission. It could also be the opposite, that the RNs correctly had documented that no fall had occurred, but the data extraction tool made an incorrect selection. When the latter had been withdrawn, the positive predictive value was 91.5%. Information about minor injuries due to the fall was less accurate. In the group where RNs had stated that the patient had fallen without injury, minor injuries had actually occurred in 28.3% of the episodes of care. Conclusions The use of a specific term regarding fall in the RNs´ discharge note seems to be a valid and reliable data measurement and can be used continuously to evaluate and follow-up nursing care.
Related Links	https://bmcnurs.biomedcentral.com/counter/pdf/10.1186/s12912-021-00577-4.pdf
Ending Page	9
Page Count	9
Starting Page	1
File Format	HTM / HTML
ISSN	14726955
DOI	10.1186/s12912-021-00577-4
Journal	BMC Nursing
Issue Number	1
Volume Number	20
Language	English
Publisher	BioMed Central
Publisher Date	2021-04-09
Access Restriction	Open
Subject Keyword	Nursing Nursing Management Nursing Research Documentation Fall Patient safety Quality indicator
Content Type	Text
Resource Type	Article
Subject	Nursing
Journal Impact Factor	3.1/2023
5-Year Journal Impact Factor	3.5/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Cross-cultural adaptation and validation of the Hospital Survey on Patient Safety questionnaire for a Chilean hospital

Completeness Documentation of Fall Risk Management: A Cross-Sectional Study.

Are patient falls in the hospital associated with lunar cycles? A retrospective observational study

All Eyes on Falls: A Multicomponent Fall Prevention Strategy

Nurse staffing and patient outcomes: a longitudinal study on trend and seasonality

Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research

Physical restraint use rate and total fall and injurious fall rates: An exploratory study in two US acute care hospitals

Engaging patients in patient safety: a qualitative study examining healthcare managers and providers’ perspectives

Patient safety culture in Palestine: university hospital nurses’ perspectives

Validation of nursing documentation regarding in-hospital falls: a cohort study

Similar Documents

Cross-cultural adaptation and validation of the Hospital Survey on Patient Safety questionnaire for a Chilean hospital

Completeness Documentation of Fall Risk Management: A Cross-Sectional Study.

Are patient falls in the hospital associated with lunar cycles? A retrospective observational study

All Eyes on Falls: A Multicomponent Fall Prevention Strategy

Nurse staffing and patient outcomes: a longitudinal study on trend and seasonality

Hospital survey on patient safety culture (HSOPSC): a multi-method approach for target-language instrument translation, adaptation, and validation to improve the equivalence of meaning for cross-cultural research

Physical restraint use rate and total fall and injurious fall rates: An exploratory study in two US acute care hospitals

Engaging patients in patient safety: a qualitative study examining healthcare managers and providers’ perspectives

Patient safety culture in Palestine: university hospital nurses’ perspectives

Validation of nursing documentation regarding in-hospital falls: a cohort study