Evidence map›Paper›PMID 30057952›Full record

ArticleBMJ open quality2018

Focused educational intervention improves but may not sustain knowledge regarding falls management.

Punith Kempegowda, Joht Singh Chandan, Richard Hutton, Lauren Brown, Wendy Madden, June Webb, Alison Doyle, Jonathan Treml

Abstract read
In one paragraph

Article in BMJ open quality, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Punith KempegowdaSpecialist registrar in Endocrinology, Diabetes and General Internal Medicine, Health Education West Midlands, UK.ORCID 0000-0003-0954-6512
Joht Singh ChandanDepartment of Cardiology, Birmingham City Hospital, Birmingham, UK.ORCID 0000-0002-9561-5141
Richard HuttonMedical School, University of Birmingham, Birmingham, UK.
Lauren BrownMedical School, University of Birmingham, Birmingham, UK.
Wendy MaddenDepartment of Geriatric Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
June WebbDepartment of Geriatric Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
Alison DoyleDepartment of Geriatric Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.
Jonathan TremlDepartment of Geriatric Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe number of falls in hospital ranges from 3.8 to 8.6 falls per 1000 bed days.

aimTo assess the retention of knowledge regarding falls management in foundation year 1 (FY1) doctors before and after a short educational intervention.

methodsA 3-stage quality improvement project was conducted at a West Midlands teaching hospital to highlight issues regarding falls management. A questionnaire assessing areas of knowledge regarding assessment and management of falls was delivered to 31 F1s. This was followed by a short presentation regarding falls management. The change in knowledge was assessed at 6 and 16 weeks postintervention. The questionnaire results were analysed using unpaired t-tests on STATA (V.14.2).

resultsThe mean score for knowledge regarding falls management in the preintervention, early postintervention and late postintervention were 73.7%, 85.2% and 76.4%, respectively. Although there was an improvement in the knowledge at 6 weeks' postintervention, this returned to almost baseline at 16 weeks. The improvement in knowledge did not translate to clinical practice of falls management during this period.

conclusionAlthough educational interventions improve knowledge, the intervention failed to sustain over period of time or translate in clinical practice. Further work is needed to identify alternative methods to improve sustainability of the knowledge of falls and bring in the change in clinical practice.

Indexed as

medical educationquality improvementteam training

Identifiers

PMID30057952
PMCPMC6059340

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.