Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) Program to Engage Older Adults in Fall Prevention in a Nursing Home

J Nurs Care Qual. 2021 Oct-Dec;36(4):327-332. doi: 10.1097/NCQ.0000000000000547.

Abstract

Background: Falls are the leading cause of injury-related hospitalizations and deaths among older adults globally.

Local problem: About 24% of Canadian nursing home residents fall annually. This quality improvement project evaluated the impact of the Fall Tailoring Interventions for Patient Safety (TIPS) program on preventing falls and fall-related injuries among older adult nursing home residents in a subacute care unit in Canada.

Methods: We used the Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 guidelines for reporting. The intervention site is a 15-bed subacute care unit within a government-funded nursing home.

Intervention: The Fall TIPS program was adapted to a nursing home setting to prevent falls. It provides fall prevention clinical decision support at the bedside.

Results: The rates of falls and injuries decreased after implementing the Fall TIPS intervention.

Conclusion: Engaging nursing home older adult residents in fall prevention is crucial in translating evidence-based fall prevention care into clinical practice.

MeSH terms

  • Accidental Falls* / prevention & control
  • Aged
  • Canada
  • Humans
  • Nursing Homes
  • Patient Safety*
  • Skilled Nursing Facilities