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

Sponsor
Brigham and Women's Hospital (Other)
Overall Status
Active, not recruiting
CT.gov ID
NCT03499717
Collaborator
Agency for Healthcare Research and Quality (AHRQ) (U.S. Fed), Montefiore Medical Center (Other), Partners HealthCare (Other), Columbia University (Other)
25,214
Enrollment
108
Anticipated Duration (Months)

Study Details

Study Description

Brief 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.

Condition or Disease Intervention/Treatment Phase

    Detailed 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?

    Study Design

    Study Type:
    Observational
    Anticipated Enrollment :
    25214 participants
    Observational Model:
    Other
    Time Perspective:
    Retrospective
    Official Title:
    Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety)
    Actual Study Start Date :
    Jan 1, 2014
    Anticipated Primary Completion Date :
    Dec 31, 2022
    Anticipated Study Completion Date :
    Dec 31, 2022

    Outcome Measures

    Primary Outcome Measures

    1. Falls [1/1/2014-12/31/2020]

      Prevalence of patient falls in the study population

    Secondary Outcome Measures

    1. Falls with Injury [1/1/2014-12/31/2020]

      Prevalence of patient falls with injury in the study population

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years to 110 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    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

    Contacts and Locations

    Locations

    No locations specified.

    Sponsors and Collaborators

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

    Investigators

    • Principal Investigator: Patricia C Dykes, MA,Ph.D,RN, Brigham and Women's Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Patricia C. Dykes, Program Director, Center for Patient Safety Research and Practice, Brigham and Women's Hospital
    ClinicalTrials.gov Identifier:
    NCT03499717
    Other Study ID Numbers:
    • 2017P000670
    First Posted:
    Apr 17, 2018
    Last Update Posted:
    Mar 2, 2022
    Last Verified:
    Feb 1, 2022
    Studies a U.S. FDA-regulated Drug Product:
    No
    Studies a U.S. FDA-regulated Device Product:
    No
    Keywords provided by Patricia C. Dykes, Program Director, Center for Patient Safety Research and Practice, Brigham and Women's Hospital
    Fall Risk
    Patient Falls
    Fall Prevention
    Patient Safety

    Study Results

    No Results Posted as of Mar 2, 2022