Fall prevention and bathroom safety in the epilepsy monitoring unit

Scott D. Spritzer, Katherine C. Riordan, Jennnifer Berry, Bryn M. Corbett, Joyce K. Gerke, Matthew T. Hoerth, Amy Z. Crepeau, Joseph F. Drazkowski, Joseph I. Sirven, Katherine H. Noe

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Falls are one of the most common adverse events occurring in the epilepsy monitoring unit (EMU) and can result in significant injury. Protocols and procedures to reduce falls vary significantly between institutions as it is not yet known what interventions are effective in the EMU setting. This study retrospectively examined the frequency of falls and the impact of serial changes in fall prevention strategies utilized in the EMU between 2001 and 2014 at a single institution. Overall fall rate was 2.81 per 1000. patient days and varied annually from 0 to 9.02 per 1000. patient days. Both seizures and psychogenic nonepileptic events occurring in the bathroom were more likely to result in falls compared with events occurring elsewhere in the room. With initiation of increased patient education, hourly nurse rounding, nocturnal bed alarms, having two persons assisting for high fall risk patients when out of bed, and immediate postfall team review between 2001 and 2013, there was a trend of decreasing fall frequency; however, no specific intervention could be identified as having a particular high impact. In late 2013, a ceiling lift system extending into the bathroom was put in place for use in all EMU patients when out of bed. In the subsequent 15. months, there have been zero falls. The results reinforce both the need for diligent safety standards to prevent falls in the EMU as well as the challenges in identifying the most effective practices to achieve this goal.

Original languageEnglish (US)
Pages (from-to)75-78
Number of pages4
JournalEpilepsy and Behavior
Volume48
DOIs
StatePublished - Jul 1 2015

Fingerprint

Toilet Facilities
Epilepsy
Safety
Physiologic Monitoring
Patient Education
Seizures
Nurses
Wounds and Injuries

Keywords

  • Epilepsy
  • Epilepsy monitoring unit
  • Falls
  • Long-term video-EEG monitoring
  • Safety
  • Seizures

ASJC Scopus subject areas

  • Clinical Neurology
  • Behavioral Neuroscience
  • Neurology

Cite this

Spritzer, S. D., Riordan, K. C., Berry, J., Corbett, B. M., Gerke, J. K., Hoerth, M. T., ... Noe, K. H. (2015). Fall prevention and bathroom safety in the epilepsy monitoring unit. Epilepsy and Behavior, 48, 75-78. https://doi.org/10.1016/j.yebeh.2015.05.026

Fall prevention and bathroom safety in the epilepsy monitoring unit. / Spritzer, Scott D.; Riordan, Katherine C.; Berry, Jennnifer; Corbett, Bryn M.; Gerke, Joyce K.; Hoerth, Matthew T.; Crepeau, Amy Z.; Drazkowski, Joseph F.; Sirven, Joseph I.; Noe, Katherine H.

In: Epilepsy and Behavior, Vol. 48, 01.07.2015, p. 75-78.

Research output: Contribution to journalArticle

Spritzer, SD, Riordan, KC, Berry, J, Corbett, BM, Gerke, JK, Hoerth, MT, Crepeau, AZ, Drazkowski, JF, Sirven, JI & Noe, KH 2015, 'Fall prevention and bathroom safety in the epilepsy monitoring unit', Epilepsy and Behavior, vol. 48, pp. 75-78. https://doi.org/10.1016/j.yebeh.2015.05.026
Spritzer SD, Riordan KC, Berry J, Corbett BM, Gerke JK, Hoerth MT et al. Fall prevention and bathroom safety in the epilepsy monitoring unit. Epilepsy and Behavior. 2015 Jul 1;48:75-78. https://doi.org/10.1016/j.yebeh.2015.05.026
Spritzer, Scott D. ; Riordan, Katherine C. ; Berry, Jennnifer ; Corbett, Bryn M. ; Gerke, Joyce K. ; Hoerth, Matthew T. ; Crepeau, Amy Z. ; Drazkowski, Joseph F. ; Sirven, Joseph I. ; Noe, Katherine H. / Fall prevention and bathroom safety in the epilepsy monitoring unit. In: Epilepsy and Behavior. 2015 ; Vol. 48. pp. 75-78.
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