Evidence map›Paper›PMID 31215029›Full record

ArticleHealth services research2019

Evaluating the use of multiteam systems to manage the complexity of inpatient falls in rural hospitals.

Katherine J Jones, Anne Skinner, Dawn Venema, John Crowe, Robin High, Victoria Kennel, Joseph Allen, Roni Reiter-Palmon

Abstract read
In one paragraph

Article in Health services research, 2019. 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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

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.

Katherine J JonesCollege of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska.ORCID 0000-0002-0613-3168
Anne SkinnerCollege of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska.
Dawn VenemaCollege of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska.
John CroweDepartment of Psychology, University of Nebraska at Omaha, Omaha, Nebraska.
Robin HighCollege of Public Health, University of Nebraska Medical Center, Omaha, Nebraska.
Victoria KennelCollege of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska.
Joseph AllenDepartment of Psychology, University of Nebraska at Omaha, Omaha, Nebraska.
Roni Reiter-PalmonDepartment of Psychology, University of Nebraska at Omaha, Omaha, Nebraska.

Funding

Agency for Healthcare Research and Quality 1R03HS024630-01Agency for Healthcare Research and Quality 1R18HS021429-01AHRQ HHS R03 HS024630AHRQ HHS R18 HS021429Nebraska Department of Health and Human Services 20871-Y3
6 · The paper itself

Abstract

objectiveTo evaluate the implementation and outcomes of evidence-based fall-risk-reduction processes when those processes are implemented using a multiteam system (MTS) structure. DATA SOURCES/STUDY

settingFall-risk-reduction process and outcome measures from 16 small rural hospitals participating in a research demonstration and dissemination study from August 2012 to July 2014. Previously, these hospitals lacked a fall-event reporting system to drive improvement. STUDY

designA one-group pretest-posttest embedded in a participatory research framework. We required hospitals to implement MTSs, which we supported by conducting education, developing an online toolkit, and establishing a fall-event reporting system. DATA COLLECTION: Hospitals used gap analyses to assess the presence of fall-risk-reduction processes at study beginning and their frequency and effectiveness at study end; they reported fall-event data throughout the study. PRINCIPAL

findingsThe extent to which hospitals implemented 21 processes to coordinate the fall-risk-reduction program and trained staff specifically about the program predicted unassisted and injurious fall rates during the end-of-study period (January 2014-July 2014). Bedside fall-risk-reduction processes were not significant predictors of these outcomes.

conclusionsMultiteam systems that effectively coordinate fall-risk-reduction processes may improve the capacity of hospitals to manage the complex patient, environmental, and system factors that result in falls.

Indexed as

Accidental FallsAdultAgedAged, 80 and overCooperative BehaviorEvidence-Based NursingFemaleHospitals, RuralHumansInpatientsMaleMiddle AgedMidwestern United StatesPatient Care TeamRisk Factorsfallsimplementation evaluationmultiteam systemspatient safetyquality improvement

Identifiers

PMID31215029
PMCPMC6736913

What OpenQuestion holds

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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.