Use of the bedside mobility assessment tool to improve emergency department safety
Tracy M. Abrams, DNP, MSN, RN, CPPS, NE-BC, CPHQ
- Sigma Affiliation
- Alpha Chi
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Abrams, Tracy M. by View
Popular Works for Abrams, Tracy M. by Download
Falls are a common occurrence in the emergency department and can lead to unintended patient harm and work-related injury. Fall rates at the site remained a concern, so an evidence-based approach was sought. The purpose of this quantitative, quasiexperimental quality improvement project was to determine if or to what degree the translation of Boynton et al.’s research on the use of the Hillrom bedside mobility assessment tool (BMAT) used in conjunction with current evidence-based bedside practices would impact fall rates when compared to the current practice among adult patients in an emergency department in Southern California over four weeks. Nola Pender’s middle-range theory, the health promotion model, and Roger’s diffusion of innovation change theory framed the scientific underpinnings for the project. Data were extracted from the electronic medical record and analyzed using a chi-square test from the total sample population of N = 10,469; n = 5,456 in the comparative group and n = 5,013 in the implementation group. The fall rate in the comparison group was 0.05% (n =3), and .02% (n=1) in the implementation group, X2 (1, N = 10, 469) = .840, p = .359. The p-value of .359 showed no statistically significant difference in fall rates. There was clinical significance as the fall rate was reduced by 0.3% over the project timeline. Based on the results of this project, completing the BMAT could reduce fall rates in the emergency department. Recommendations include sustaining the project at the current site and disseminating results.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 28967640; ProQuest document ID: 2637332114. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Evidence Level||Quasi-Experimental Study, Other|
|Research Approach||Quantitative Research|
|Keywords||Safe Patient Handling;
Manual Lift Technique;
|Grantor||Grand Canyon University|
|Advisor||Schaefer, Robin L.;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Keeping nurses safe: Creation of a safe patient handling and mobility program Powers, Rebekah; Ramdeo, Christina (2017-03-03)Session presented on Saturday, March 18, 2017: Work related musculoskeletal injuries among nurses are costly. As many as 20% of nurses who leave direct patient care do so because of risks associated with their work (OSHA, ...
To lift or not to lift: An institutional ethnography of patient handling practices de Ruiter, Hans-PeterThe handling (lifting, mobilizing, moving etc) of patients is an integral part of the carework in health-care institutions. For obvious reasons, this puts healthcare providers at risk for musculoskeletal injuries (MSIs); ...
Fall reduction in the emergency department using a fall prevention bundle Pop, Hannah L.; Lamb, Karen V.; Livesay, Sarah; Altman, Patricia; Nora, MaryElizabeth; Sanchez, AndreaA successful reduction in patient falls was achieved the ED through a fall prevention bundle composed of improved fall-risk screening, multifactorial interventions, and staff education. High rates of fall risk screening ...
Safe patient handling and mobility national standards: A ground breaking collaborative effort Harrington, Susan (2013-05-13)Session presented on Sunday, April 14, 2013: This session will introduce and describe the collaborative process the American Nurses Association used to develop the multi-disciplinary and multi-setting Safe Patient Handling ...
Student Assessment and Fall Evaluation (S.A.F.E. Team): A collaborative initiative in an academic-service partnership to improve patient safety Gosselin, Ann K.; Vitins, Igna; Grunawalt, Julie; Wood, Winnie; Kendziora, Sandra (2016-03-21)Session presented on Monday, November 9, 2015: Background: Academic-service partnerships (ASP) are becoming more prevalent in the United States, and while there is no perfect model for this partnership the urgency for ...