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Purpose: Many fall prevention strategies have been used for reducing fall rates. The purpose was to evaluate fall prevention nursing against clinical practice guidelines and effectiveness of preventing strategies according to risk group.
Methods: We developed fall survey form after securing consistencies (Fleiss Kappa = .83). The EHRs of 447 events from June 1, 2014 to May 31, 2015 were reviewed. Descriptive statistics and Chi-square test were used for statistical tests.
Results: There were recorded ‘Keep bed with brakes locked’ in 272 patients (60.9%). Compared with clinical practice guidelines, ‘instruction of patients to ask for help actively’ and ‘keep patients care areas uncluttered.’ actions were few in EHRs. There were significant differences between risk groups in 28 nursing actions.
Discussion: This study shows that fall prevention strategies according to risk groups are insufficient to prevent falls. Instruction about critical time that patients should ask for help should be considered.
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