Patient Falls in Seclusion Rooms in Psychiatric Inpatient Care: A Sociotechnical Probabilistic Risk Modeling Study.

ABSTRACT:

Background

Patient falls are a major adverse event in psychiatric inpatient care.

Purpose

To model the risk for patient falls in seclusion rooms in psychiatric inpatient care.

Methods

Sociotechnical probabilistic risk assessment (ST-PRA) was used to model the risk for falls. Data sources were the research team, literature review, and exploration groups of psychiatric nurses. Data were analyzed with fault tree analysis.

Results

The risk for a patient fall in a seclusion room was 1.8%. Critical paths included diagnosis of a psychiatric disorder, the mechanism of falls, failure to assess and prevent falls, and psychological or physical reason. The most significant individual risk factor for falls was diagnosis of schizophrenia.

Conclusions

Falls that occur

SUBMITTER: Varpula J 

PROVIDER: S-EPMC9944373 | biostudies-literature | 2023 Apr-Jun 01

REPOSITORIES: biostudies-literature