Patients’ falls in healthcare organization

Patients’ falls in healthcare organization


The fall of patients in the healthcare organization has been categorized as the major cause of increasing number of days of stay as well as the increasing costs of hospitalization for the patients in the healthcare organization. Along these lines, there is a need for the development of ways and plans that will help in the management of the conditions of the patients as well as ensuring that there is an understanding of the possible risks. Precisely, this paper provides a clear implementation plan that will help in the comparison of the questions and sample population as well as the limitations of the studies.

Comparison of Research Questions

The study by Siegrist et al., (2016) has not presented an explicit statement of the question but the main goal of the prefalls assessment was to find out, whether the application of physical exercise-based fall prevention strategy in primary care setting in German which consisted of sixteen weeks of physical exercise in collaboration with personalized home-based exercise program, can remarkably decrease the number of fall per individual in elderly persons who live in community and are at fall risk compared to those getting routine care for the period of one year. Secondary goal was to investigate the fall-related incidences, injuries, and effects of exercise training in fall prevention.

On the other hand, the article by Tucker et al., (2012) aims at evaluating the likelihood of adjusting and modifying Serotonin and Norepinephrine Reuptake Inhibitors (SNRI) to decrease the incidence and fall risk of patients on two units of orthopedic. While the study by Jensen and Padilla (2017) aims at evaluating the success of environment-based application which address perception and behavior in connection with falls at neurocognitivediseaseshome and community settings for those elderly people with Alzheimer’s disease and other. Baixinho, Dixe, and Henriques (2017) aim at validating the content of a fall management risk protocol in long-term institutions for elderly people.

Comparison of Sample Populations

For the study by Siegrist et al., (2016), the set of participants was calculated by using icebergs operating system (Bergel 2005-2006 and version Beta 3.06) which permits taking into consideration intra-cluster association which is important part in cluster randomized trials. The calculations were performed based on suppositions concerning the amount of folks with at least one incident of fall for the period of one year (12-months) follow up period. Accordant with intra-cluster coefficient of 0.02 was presumed and cluster size of 10 was regarded realistic. So, nearly a total of 40 clusters which were equivalent to 382 individuals in all were arranged to be among of the study to perceive a clinically pertinent decrease from 38 per cent up to 20 per cent with 80 per cent power at 2 sided of significance of 5 per cent.

The sample population for the study by Tucker et al., (2012) can be discussed as below. This particular study included two postoperative orthopedic units, each having 29-bed. It was located at university medical center -Midwest of United States of America (U.S.A). In both study units, the care to patients who were undergoing surgery were provided by nursing staff. Jensen and Padilla (2017) are based on the examination of similarities across, settings, participants, interventions, and outcomes and were grouped into themes. The strength of the evidence for each theme was appraised using an adaptation of the system proposed by the U.S. Preventive Services Task Force. Studies were examined for similarities across participants, settings, interventions, and outcomes and were grouped into themes. The strength of the evidence for each theme was appraised using an adaptation of the system proposed by the U.S. Preventive Services Task Force.

The intentional sample consisted of 14 experts that met the predefined inclusion criteria to have more than five years of experience, with published research in the area of risk and/or prevention of falls in the elderly for the study by Baixinho, Dixe, and Henriques (2017).

Comparison of the Limitations of the Study

The studies have presented a variety of limitations that could have an effect on the results that are presented. As such, the limitation of the studies includes the fact that the sample size is small and hence there are challenges in the process of ensuring that there is external validity among the healthcare sector.  Jensen and Padilla (2017) have the challenge of putting across internal validity due to the fact that there is a challenge to ensure that main determinant of changes in the cases of ensuring that the results are determined by the actual factors that have been put in place.

The study by Tucker et al., (2012) indicate that the information that is presented can be extended to a larger population but the common study indicates that there is lack of enough study analysis due to the fact that there is lack of available design. The design by Siegrist et al., (2016) is a cluster-randomized two-level trial (general practices and patients) general practitioners in southern Germany were invited.


In conclusion, it can be deduced that the increasing cases of fall of patients in the healthcare organization have led to the provision of the management measures to ensure that the challenge is healthcare organization leads to the increase in the cases of costs of hospitalization. Additionally, the questions that are put in place by the articles that have been analyzed indicate that there are various purposes of the studies.



Baixinho, C. R. S. L., Dixe, M. D. A. C. R., & Henriques, M. A. P. (2017). Falls in long-term care institutions for elderly people: protocol validation. Revista Brasileira de Enfermagem, 70(4), 740-746.

Jensen, L., & Padilla, R. (2017). Effectiveness of Environment-Based Interventions That Address Behavior, Perception, and Falls in People withabcde123457678900 Alzheimer’s Disease and Related Major Neurocognitive Disorders: A Systematic Review. American journal of occupational therapy, 71(5), 7105180030p1-7105180030p10.

Siegrist, M., Freiberger, E., Geilhof, B., Salb, J., Hentschke, C., Landendoerfer, P., … & Blank, W. A. (2016). Fall Prevention in a Primary Care Setting: The Effects of a Targeted Complex Exercise Intervention in a Cluster Randomized Trial. Deutsches Ärzteblatt International, 113(21), 365.

Tucker, S. J., Bieber, P. L., Attlesey‐Pries, J. M., Olson, M. E., & Dierkhising, R. A. (2012). Outcomes and challenges in implementing hourly rounds to reduce falls in orthopedic units. Worldviews on Evidence‐Based Nursing, 9(1), 18-29.