Using the CFIR-ERIC approach to enhance the uptake of a digital fall prevention platform: a quasi-experimental pre-post implementation study
Abstract
Background
Falls
are
a
major
cause
of
hospital
acquired
complications
and
inpatient
harm.
Interventions
(including
tools
processes)
to
prevent
falls
exist,
but
it
is
unclear
which
most
effective
what
implementation
strategies
best
support
their
use.
This
study
sought
evaluate
prevention
workflows
delivered
through
Rauland
Australia’s
Concentric
Care
fall
platform
in
new
ascertain
the
impact
an
enhancement
plan
on
uptake.
Methods
A
quasi-experimental
interventional
using
pre-post
design
measured:
1)
The
effectiveness
workflows,
focusing
patient
health
service
outcomes
2)
Implementation
as
reflected
both
subjective
objective
measures.
Both
quantitative
qualitative
data
were
collected
at
two
key
time
points:
Shortly
after
Six
months
delivering
co-designed
plan,
devised
from
stakeholder
interviews
coded
Consolidated
Framework
for
Research
(CFIR)
mapped
Expert
Recommendations
Implementing
Change
(ERIC)
tool.
Results
risk
reduction
per
1000
bed
days
was
observed
among
cognitively
intact
patients
post
however,
this
difference
not
statistically
significant
(OR
=
0.97
95%
CI
[0.78,1.22]
p
.77).
Efficiencies
staff
voice
response
times
identified
(mean
41
seconds
pre
31
seconds’
post;
32%
improvement,
<.0001).
successfully
improved
uptake
some
functions,
importantly,
(+39%
(p
.04)
increase
setting
high-falls
station
console.
There
also
improvements
satisfaction
perceptions
platform.
Conclusions
likely
be
other
similar
interventions.
shows
potential
reduce
patients,
longer
periods
observation
larger
sample
needed
confirm
effect.
Aside
falls,
efficiencies
improve
care
experience.
Research Square (Research Square), Journal Year: 2025, Volume and Issue: unknown
Published: April 7, 2025
Language: Английский