Evidence map›Paper›PMID 38053114›Full record

ArticleImplementation science : IS2023

Alarm with care-a de-implementation strategy to reduce fall prevention alarm use in US hospitals: a study protocol for a hybrid 2 effectiveness-implementation trial.

Kea Turner, Molly McNett, Catima Potter, Emily Cramer, Mona Al Taweel, Ronald I Shorr, Lorraine C Mion

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Implementation science : IS, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06089239 (De-Implementing Fall Prevention Alarms in Hospitals), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT06089239 naactive not recruitingnot on this map

De-Implementing Fall Prevention Alarms in Hospitals

TypeinterventionalSponsorUniversity of FloridaRan2023 to 2026Enrolled300ConditionsAccidental Fall, Patient Safety, Hospital Acquired Condition, Clinical AlarmsArmsHigh Intensity Coaching, Low Intensity Coaching
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
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

7 authors.

Kea TurnerDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, 12902 Magnolia Drive, Tampa, FL, 33612, USA. kea.turner@moffitt.org.ORCID 0000-0002-7885-0879
Molly McNettHelene Fuld Health Trust National Institute for Evidence-Based Practice, The Ohio State University, 760 Kinnear Road, Columbus, OH, 43212, USA.
Catima PotterPress Ganey Associates, 1173 Ignition Dr, South Bend, IN, 46601, USA.
Emily CramerDepartment of Health Outcomes and Health Services Research, Children's Mercy Hospital and Clinics, 2401 Gilham Road, Kansas City, MO, 64108, USA.
Mona Al TaweelCollege of Nursing, The Ohio State University, 1577 Neil Avenue, Columbus, OH, 43210, USA.
Ronald I ShorrGeriatric Research Education and Clinical Center, North Florida/South Georgia Veterans Health System, 1601 SW Archer Road, Gainesville, FL, 32608, USA.
Lorraine C MionCollege of Nursing, The Ohio State University, 1577 Neil Avenue, Columbus, OH, 43210, USA.

Funding

De-Implementing Fall Prevention Alarms in HospitalsR01AG073408 · NIA · UNIVERSITY OF FLORIDA · PI MCNETT, MOLLY, SHORR, RONALD I · 2022 to 2025
$2.0M
NIA NIH HHS R01 AG073408NIA NIH HHS R01 AG073408-01A1
6 · The paper itself

Abstract

backgroundFall prevention alarms are commonly used among US hospitals as a fall prevention strategy despite limited evidence of effectiveness. Further, fall prevention alarms are harmful to healthcare staff (e.g., alarm fatigue) and patients (e.g., sleep disturbance, mobility restriction). There is a need for research to develop and test strategies for reducing use of fall prevention alarms in US hospitals.

methodsTo address this gap, we propose testing the effectiveness and implementation of Alarm with Care, a de-implementation strategy to reduce fall prevention alarm use using a stepped-wedge randomized controlled trial among 30 adult medical or medical surgical units from nonfederal US acute care hospitals. Guided by the Choosing Wisely De-Implementation Framework, we will (1) identify barriers to fall prevention alarm de-implementation and develop tailored de-implementation strategies for each unit and (2) compare the implementation and effectiveness of high- versus low-intensity coaching to support site-specific de-implementation of fall prevention alarms. We will evaluate effectiveness and implementation outcomes and examine the effect of multi-level (e.g., hospital, unit, and patient) factors on effectiveness and implementation. Rate of fall prevention alarm use is the primary outcome. Balancing measures will include fall rates and fall-related injuries. Implementation outcomes will include feasibility, acceptability, appropriateness, and fidelity. DISCUSSION: Findings from this line of research could be used to support scale-up of fall prevention alarm de-implementation in other healthcare settings. Further, research generated from this proposal will advance the field of de-implementation science by determining the extent to which low-intensity coaching is an effective and feasible de-implementation strategy.

trial registrationClinicalTrials.gov identifier: NCT06089239 . Date of registration: October 17, 2023.

Indexed as

HospitalsHumansRandomized Controlled Trials as TopicChoosing wiselyDe-implementationFall preventionHospital fallsInpatient fallsLow-value careNursing care

Identifiers

PMID38053114
PMCPMC10696656

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Registered trials

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.