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Reducing Fall Prevention Alarms in Hospitals

N/A
Recruiting
Led By Ronald I Shorr, MD
Research Sponsored by University of Florida
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
* Stakeholders in fall prevention at up to 30 participating NDNQI hospitals
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up monthly for 30 months
Awards & highlights

Summary

This trial aims to reduce overuse of fall prevention alarms in hospitals using tailored strategies and coaching.

Who is the study for?
This trial is for stakeholders involved in fall prevention at up to 30 hospitals participating in the NDNQI program. It's designed for those who are directly engaged with patient safety and want to explore alternative methods to prevent falls without relying on alarms.
What is being tested?
The study tests two levels of coaching intensity (low and high) aimed at reducing reliance on fall prevention alarms. Hospitals will be randomly assigned to receive either low-intensity or high-intensity coaching, which includes education, audit/feedback, and guidance from opinion leaders.
What are the potential side effects?
Since this trial involves coaching strategies rather than medical treatments, traditional side effects are not applicable. However, there may be indirect consequences such as increased staff workload or changes in hospital-acquired infection rates.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~monthly for 30 months
This trial's timeline: 3 weeks for screening, Varies for treatment, and monthly for 30 months for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Fall Prevention Alarm Prevalence survey
Patient Falls

Trial Design

2Treatment groups
Active Control
Placebo Group
Group I: High Intensity CoachingActive Control1 Intervention
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.
Group II: Low Intensity CoachingPlacebo Group1 Intervention
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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Who is running the clinical trial?

National Institute on Aging (NIA)NIH
1,733 Previous Clinical Trials
28,054,703 Total Patients Enrolled
University of FloridaLead Sponsor
1,380 Previous Clinical Trials
762,095 Total Patients Enrolled
Ronald I Shorr, MDPrincipal InvestigatorUniversity of Florida
1 Previous Clinical Trials
11 Total Patients Enrolled
~75 spots leftby Feb 2025
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