Fall Prevention: Are bed alarms overused?

5686 Words Oct 1st, 2013 23 Pages
Final Synthesis Paper
Erin McCarthy
University of North Dakota
Peer review provided by: Cynthia Anderson

Background and Rationale Falls among any individual can cause significant trauma, often leading to an increase in mortality. According to the Centers for Disease Control and Prevention (2012), one in every three adults over the age of 65 falls each year. Long-term care facilities account for many of these falls, with an average of 1.5 falls occurring per nursing home bed annually (Vu, Weintraub, & Rubenstein, 2004). In 2001, the American Geriatric Society, British Geriatric Society, and the American Academy of Orthopaedic Surgeons Panel on Falls Prevention published specific guidelines to prevent falls in long-term
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Initially, a search using the CINAHL database with CINAHL heading bed alarm and limited to the English language yielded 14 articles, three which were appropriate to this study. The CINAHL headings bed alarm AND hourly rounding did not generate any results. However, CINAHL headings hourly rounding AND fall generated one article that was useful to this study.
PubMed was the second database used to search articles relating to the clinical question. In the PubMed advanced search builder, bed alarm AND falls yielded 11 articles, one of which was applicable to this study. When hourly rounding AND falls were included in the PubMed advanced search builder, six articles were found. One article was not useful due to it being a systematic review of articles that are already of use to this study causing duplication. Two of these articles were valuable to this study.
The Cochrane Library search with the MeSH heading accidental falls yielded 7694 articles. To further narrow the search, the MeSH headings bed alarm AND hourly rounding were added. This yielded six articles, one of which was applicable to this study.
Finally, one article was found by conducting a search of the identified article’s reference section. This article was searched by title on the Cochrane database and was found useful to the clinical