An assessment tool to determine in-hospital newborn fall/drop risk

Janel Zion, Sarena Rennison, Brittany Cline, Tonnie Peoples, Peggy Ward-Smith


Objective: Routinely collected quality improvement data identified the occurrence of newborn falls/drops as unacceptable. The purpose of this quality improvement project was to develop and implement a site-specific newborn fall/drop assessment tool.
Methods: Guided by data from the retrospective chart review data, results identified through the review of the literature, and the opinions of clinical experts, an 11-item risk assessment tool was developed. This tool includes three non-modifiable and eight modifiable variables.
Results: Summing the items on the tool identifies a scenario specific newborn fall/drop risk. Once pilot testing was completed and revisions were made, the tool was implemented into clinical practice.
Conclusions: Site-specific patient demographics, including cultural preferences, along with plans of care decisions, impact the risk for a newborn fall/drop. Including the uniqueness of the clinical setting and family values in the fall risk assessment decreased the prevalence of newborn falls/drops at the study site.

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Clinical Nursing Studies
ISSN 2324-7940(Print)   ISSN 2324-7959(Online)

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