Iterative user centered design for development of a patient-centered fall prevention toolkit. (September 2016)

• Record Type: Journal Article
• Authors: Katsulis, Zachary; Ergai, Awatef; Leung, Wai Yin; Schenkel, Laura; Rai, Amisha; Adelman, Jason; Benneyan, James; Bates, David W.; Dykes, Patricia C.
• Is Part Of: Applied ergonomics. Volume 56(2016:Sep.)
• Page Start: 117
• Page End: 126
• Publication Date: 2016-09
• Subjects: Evidence-based fall prevention -- Patient-centered design -- Patient safety -- RE-AIM -- Usability; Human engineering -- Periodicals; 620.82
• DOI: 10.1016/j.apergo.2016.03.011
• Languages: English
• ISSNs: 0003-6870

Abstract

Abstract: Due to the large number of falls that occur in hospital settings, inpatient fall prevention is a topic of great interest to patients and health care providers. The use of electronic decision support that tailors fall prevention strategy to patient-specific risk factors, known as Fall T.I.P.S (Tailoring Interventions for Patient Safety), has proven to be an effective approach for decreasing hospital falls. A paper version of the Fall T.I.P.S toolkit was developed primarily for hospitals that do not have the resources to implement the electronic solution; however, more work is needed to optimize the effectiveness of the paper version of this tool. We examined the use of human factors techniques in the redesign of the existing paper fall prevention tool with the goal of increasing ease of use and decreasing inpatient falls. The inclusion of patients and clinical staff in the redesign of the existing tool was done to increase adoption of the tool and fall prevention best practices. The redesigned paper Fall T.I.P.S toolkit showcased a built in clinical decision support system and increased ease of use over the existing version. Highlights: A patient-centered fall prevention paper toolkit was redesigned with decision support. Based on the first intervention to demonstrate a significant reduction in patient falls in an RCT. Nurses, patients, and family members were included in the iterative design cycle. Redesigned paper Fall T.I.P.S toolkit shown to be easier to use and preferred by nursing staff.