Choosing Wisely: De-implementing Fall Prevention Alarms in Hospitals
Purpose
This is a Hybrid II de-implementation study to reduce use of fall prevention alarms in hospitals. The intervention consists of tailored, site-specific approaches for three core implementation strategies: education, audit/feedback and opinion leaders. Hospital units will be randomized to low-intensity or high-intensity coaching for the implementation of the tailored strategies.
Conditions
- Accidental Fall
- Patient Safety
- Hospital Acquired Condition
- Clinical Alarms
- Mentoring
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Stakeholders in fall prevention at up to 30 participating NDNQI hospitals
Exclusion Criteria
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Health Services Research
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Active Comparator High Intensity Coaching |
In Quarter 1, high intensity initiation coaching will consist of a four-hour orientation session that will include: - comprehensive information on behavior and organizational change theory, - suggested approaches, and - in-depth training on behavioral and organization-focused change techniques to stimulate implementation efforts. Commencing in Quarter 2, high intensity sustainability coaching will consist of: - weekly virtual follow up sessions for the first month, followed by private monthly coaching follow up sessions via a virtual format. - Access to additional monthly web-based, synchronous "office hours" for group discussion on progress and customized troubleshooting to assist in navigating barriers. - Sites will also have access to "on call" assistance with coaches to assist with navigating challenges in real time. |
|
|
Sham Comparator Low Intensity Coaching |
In Quarter 1, low intensity initiation coaching will be conducted. It will consist of: - initial two-hour orientation session with introductory content on behavior change and organizational change theory and techniques, - an overview of implementation phases, and - selection of tailored de-implementation strategies for that site based on readiness for change, focus group data and local resources. Implementation coaches will provide the Fuld Toolkit for the site with suggestions for assigning strategies, local leaders, and development of timelines for de-implementation. Coaches will instruct site Team Leaders to establish the primary mechanism for sharing baseline and trended data in real time. |
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Recruiting Locations
Downey, California 90241
Mountain View, California 94040
Sacramento, California 95817
Winfield, Illinois 60190
Danville, Indiana 46122
Southbridge, Massachusetts 01550
West Bloomfield, Michigan 48322
Derry, New Hampshire 03038
New Brunswick, New Jersey 08861
Albany, New York 12208
Woodburn, Oregon 97071
Austin, Texas 78703
More Details
- NCT ID
- NCT06089239
- Status
- Recruiting
- Sponsor
- University of Florida
Detailed Description
Inpatient falls result in significant physical and economic burdens to patients (increased injury and mortality rates and decreased quality of life) as well as to medical organizations (increased lengths of stay, medical care costs, and litigation). The Centers for Medicare & Medicaid Services (CMS) considers falls with injury a "never event"- an error in medical care that indicates a real problem in the safety and credibility of a health care institution. Hospitals are no longer reimbursed for extra costs incurred in the diagnosis and management of inpatient fall-related injuries. Thus, because patient falls are common, costly and interpreted as poor care quality, hospitals are highly incentivized to prevent them. Alarm systems are designed to reduce falls by alerting staff when patients attempt to leave a bed or chair without assistance. There is now strong evidence that alarms are ineffective as a fall prevention maneuver in hospitals. Despite this, more than one-third of hospital patients are undergoing fall prevention alarm monitoring. In nursing homes, CMS regulates the use of fall prevention alarms as it does physical restraints. Instructions to nursing home surveyors state these devices should be used only when medically necessary and continuously reevaluated. Guided by the Choosing Wisely De-implementation Framework, this project will generate a generalizable approach using coaching and tailored de-implementation strategies to reduce use of fall prevention alarms in hospitals. The investigators will conduct a hybrid II implementation study in 30 medical or medical-surgical units from US non-federal hospitals participating in the National Database of Nursing Quality Indicators. Findings from this study could also support future trials aimed at de-implementing low-quality alarm use in other care settings with known high fall rates (e.g., stroke care, cancer care). Evaluation of high versus low intensity coaching addresses an urgent need to evaluate use of tailored strategies and to establish effective thresholds for coaching within health service settings that have varying resources to support de-implementation efforts