Fall prevention and bathroom safety in the epilepsy monitoring unit

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....

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Bibliographic Details
Published in:Epilepsy & behavior 2015-07, Vol.48, p.75-78
Main Authors: 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
Format: Article
Language:English
Subjects:
Accidental Falls - prevention & control
Accidental Falls - statistics & numerical data
Adult
Aged
Electroencephalography
Epilepsy
Epilepsy - diagnosis
Epilepsy monitoring unit
Falls
Female
Humans
Long-term video-EEG monitoring
Male
Middle Aged
Monitoring, Physiologic
Neurology
Patient Safety
Retrospective Studies
Safety
Seizures
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Summary: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.
ISSN:1525-5050
1525-5069
DOI:10.1016/j.yebeh.2015.05.026