High Risk for Falling
Conditions
Keywords
falling, inpatient
Brief summary
The purpose of this single arm intervention study is to determine if the fall rate (as measured by falls per 1000 patient days) for patients designated high fall risk decreases with the use of the PUP™ \[Patient is UP Falls Prevention System\] when compared to the historical falls rate data for the prior 12 months from those same nursing units within the OSUWM Brain & Spine Hospital.
Detailed description
The purpose of this single arm intervention study is to determine if the fall rate (as measured by falls per 1000 patient days) for patients designated high fall risk decreases with the use of the PUP™ \[Patient is UP Falls Prevention System\] when compared to the historical falls rate data for the prior 12 months from those same nursing units within the OSUWM Brain & Spine Hospital. All Brain and Spine Hospital patients will be evaluated as to fall risk using the current fall risk assessment tool employed by OSU Medical Center and administered in the usual and customary fashion upon evaluation on the floor and Pod. Patients who are determined to be at a high fall risk will be approached to participate. Those patients who consent to participate in the study will remain in the study until a nurse removes the patient from high risk fall status or the participant has been discharged from the hospital. Any patient fall will to be reported and evaluated following current processes and procedures developed by the OSU Brain and Spine Institute as maintained with IHIS; the PUP™ as the intervention for this study will be an adjunct to those fall prevention processes already in place.
Interventions
DEVICEPUP™ sock
The Palarum Fall Prevention System that includes the PUP™ (Patient is Up) System, is made upon of seven tangible elements: an inpatient room Android tablet (IRT), a nurse station Android monitor (HUC), a local server (PLS), a cloud server (PCS), a Bluetooth Low Energy beacon(s), an Android smart watch, and an e-textile sock connected sensor transmitter (PUP™ sock). The PUP™ sock monitors and transmits pressure, force, acceleration and motion data.
Sponsors
Tammy Moore
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
single arm prospective non-randomized study
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 18 years of age or older; * All high-risk fall patients, eighteen years of age or older, who are admitted to the OSU Brain and Spine Hospital on Floors 8 South, 9 South, 10 South, 8 East, 9 East or 10 East. Patients will undergo a pre-assessment as per OSUWMC procedure to determine if they are a high-fall risk.
Exclusion criteria
* Patients whose medical condition as assessed by the PI prohibits their participation in the program, which would include among others the following: patients who lack the capacity to consent, patients with an anatomy or wound issue on their feet or around their calves that would bar them from wearing socks on either foot, and/or patients for whom the sock would impede medical treatment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| High Risk Fall Rate | hospital stay (on average 5 days) | To determine if the fall rate (as measured by falls per 1000 patient days) for patients designated high fall risk decreases with the use of the intervention (Patient is UP fall prevention technology \[PUP™ \]) when compared to historical NDNQI data for the prior 12 months (Benchmark Data) from nursing units where the intervention is being undertaken. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Palarum Fall Prevention System The Study site, the OSU Wexner Center Brain and Spine Hospital, is located on three contiguous floors with each floor being made up of two units or Pods designated East and South. Following commencement of the study, and throughout its duration, Pods assigned to the Study will only utilize the Palarum Fall Prevention System and a monitored PUP™ sock, i.e., (Patient is Up) System as the standard of care intervention for fall prevention in accordance with its operating instructions and procedures.
PUP™ sock: The Palarum Fall Prevention System that includes the PUP™ (Patient is Up) System, is made upon of seven tangible elements: an inpatient room Android tablet (IRT), a nurse station Android monitor (HUC), a local server (PLS), a cloud server (PCS), a Bluetooth Low Energy beacon(s), an Android smart watch, and an e-textile sock connected sensor transmitter (PUP™ sock). The PUP™ sock monitors and transmits pressure, force, acceleration and motion data. | 521 |
| Total | 521 |
Baseline characteristics
| Characteristic | Palarum Fall Prevention System |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 96 Participants |
| Age, Categorical Between 18 and 65 years | 425 Participants |
| Age, Continuous | 59.5 years |
| Race (NIH/OMB) American Indian or Alaska Native | NA Participants |
| Race (NIH/OMB) Asian | NA Participants |
| Race (NIH/OMB) Black or African American | NA Participants |
| Race (NIH/OMB) More than one race | NA Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | NA Participants |
| Race (NIH/OMB) Unknown or Not Reported | NA Participants |
| Race (NIH/OMB) White | NA Participants |
| Region of Enrollment United States | 521 participants |
| Sex: Female, Male Female | NA Participants |
| Sex: Female, Male Male | NA Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 521 |
| other Total, other adverse events | 0 / 521 |
| serious Total, serious adverse events | 0 / 521 |
Outcome results
Primary
High Risk Fall Rate
To determine if the fall rate (as measured by falls per 1000 patient days) for patients designated high fall risk decreases with the use of the intervention (Patient is UP fall prevention technology \[PUP™ \]) when compared to historical NDNQI data for the prior 12 months (Benchmark Data) from nursing units where the intervention is being undertaken.
Time frame: hospital stay (on average 5 days)
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Palarum Fall Prevention System | High Risk Fall Rate | 0 falls/1000 patient days |