Enhancing safety in the ischaemic and haemorrhagic stroke population: exploring the efficacy of self-releasing chair alarm belts

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dc.contributor.authorWeppner, Justinen
dc.contributor.authorGee, Alaricen
dc.contributor.authorMesina, Kevinen
dc.date.accessioned2024-03-18T13:11:33Zen
dc.date.available2024-03-18T13:11:33Zen
dc.date.issued2024-02-21en
dc.description.abstractIntroduction A quality improvement study evaluated the effectiveness of implementing self-releasing chair alarm belts in an inpatient rehabilitation facility (IRF) for patients who had a stroke. The objective of this study is to assess the effectiveness of self-releasing chair alarms as a chair-level fall preventive tool in patients who had a stroke in the IRF setting. Methods A preintervention and postintervention quality improvement study was conducted in an IRF to address the high rate of falls in the stroke population. Falls from wheelchairs were identified as a significant concern, leading to the implementation of self-releasing safety belts (Posey HeadStart Notification Sensor Belts) with alarm systems as an intervention. In the preintervention phase (July 2021 to January 2022) falls from chairs while on standard fall precautions were recorded to establish a baseline. In the intervention phase, the self-releasing chair alarm belts were introduced along with standard fall precautions. The postintervention phase spanned from February 2022 to July 2022. Results In the preintervention phase, 20 out of 86 stroke subjects experienced a total of 30 falls from chairs. However, in the postintervention phase, only one subject experienced a fall from a chair out of 104 stroke subjects. The mean percentage of subjects involved in falls decreased from 24±11.4% to 1±0.4% (p<0.00001), and the mean fall rate per 1000 patient days declined from 4.6±2 to 0.2±0.1 (p<0.0001). Conclusions The implementation of self-releasing chair alarm belts significantly reduced falls from chairs among patients who had a stroke in the IRF setting. These findings highlight the effectiveness of this intervention in improving patient safety and fall prevention in IRFs.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1136/bmjoq-2023-002569en
dc.identifier.eissn2399-6641en
dc.identifier.issn2399-6641en
dc.identifier.issuee002569en
dc.identifier.orcidWeppner, Justin [0000-0003-1163-5581]en
dc.identifier.otherbmjoq-2023-002569 (PII)en
dc.identifier.pmid38378614en
dc.identifier.urihttps://hdl.handle.net/10919/118426en
dc.identifier.volume13en
dc.language.isoenen
dc.publisherBMJen
dc.relation.urihttps://bmjopenquality.bmj.com/content/13/1/e002569en
dc.rightsCreative Commons Attribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/en
dc.subjectPatient safetyen
dc.subjectQuality improvementen
dc.subjectRehabilitationen
dc.subject.meshHumansen
dc.subject.meshInpatientsen
dc.subject.meshStrokeen
dc.subject.meshPatient Safetyen
dc.subject.meshStroke Rehabilitationen
dc.subject.meshHemorrhagic Strokeen
dc.titleEnhancing safety in the ischaemic and haemorrhagic stroke population: exploring the efficacy of self-releasing chair alarm beltsen
dc.title.serialBMJ Open Qualityen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten
dc.type.otherArticleen
dcterms.dateAccepted2024-02-11en
pubs.organisational-group/Virginia Techen
pubs.organisational-group/Virginia Tech/Faculty of Health Sciencesen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Internal Medicineen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/Internal Medicine/Physical Medicine & Rehabilitationen
pubs.organisational-group/Virginia Tech/VT Carilion School of Medicine/TEACH Membersen

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