The article chosen reflects a study on the effects of purposeful hourly rounding and preventable falls completed in a 112 bed Medical/Surgical unit, with 26 of those beds dedicated to patients identified as having co-morbidities that are associated with higher fall risks, with an average daily census of 108 patients. In a sample size of 2295 patients, the number of falls on the unit were examined. The unit then began implementation of purposeful hourly rounding addressing the 5 Ps, potty, position, pain, possessions and plan of care and collected that data on numbers of falls. Before implementation, there were 5.31 falls per 1000 patient days and after implementation there were 2.58 falls per 1000 patient days, then down to 2.4 and 1.45 in the subsequent months. Additionally, the Press Ganey patient satisfaction scores in the areas of patient perception of nurse courtesy and call light response times increased. Although the study did not reflect a statistically significant correlation, it did show a significant clinical reduction in the number of falls. This study is important because it reflects that purposeful hourly rounding can positively affect patient care and reduce the number of falls, thus reducing patient injury and unnecessarily prolonged hospitalizations which are costly to the patient and facility.
Grillo, D. M., Firth, K. H., & Hatchel, K. (2019). Implementation of purposeful hourly rounds in addition to a fall bundle to prevent inpatient falls on a medical-surgical acute hospital unit. Medsurg Nursing, 28(4), 243-246,261.