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Background <p>With integration of the fall protocol into the ORBIS hospital information system in 2017, the previous fall protocol at the Salzburg Provincial Hospitals (SALK) was transferred to a&#xa0;digital environment. However, it became apparent that key functions could no longer be adequately mapped: variable definitions were missing, mandatory fields were not implemented, free-text entries dominated, and the data could only be evaluated to a&#xa0;limited extent. Feedback from nursing practice—via team discussions, quality circles, and informal reports—pointed to a&#xa0;lack of practical suitability of the existing protocol.</p> Objective <p>The objective of this practical project was to develop a&#xa0;structured, evidence-based, and evaluable concept for recording and analyzing fall events at SALK.</p> Methods <p>A&#xa0;multistage consensus process was carried out with intraprofessional nursing experts. The basis was a&#xa0;34-item questionnaire with closed and open questions. Two feedback loops (response rate: 100%/100%; participants:&#xa0;7) were evaluated descriptively. At the same time, a&#xa0;comparison with guidelines (e.g., DNQP 2022, WHO 2021) and a&#xa0;structured analysis of the existing fall protocol were carried out.</p> Results <p>The revised protocol includes clearly defined variables, mandatory fields, and reduced free-text sections as well as structured recording of the extent of injuries and information provided to relatives. In addition, a&#xa0;24-hour fall analysis was introduced, which takes into account key aspects such as medication review, injury documentation, and information provided to relatives. The development of a&#xa0;database-supported analysis model (“Data Cube”) was recommended for future evaluation.</p> Conclusion <p>The revision improves data quality and creates a&#xa0;clear basis for preventive conclusions in the nursing context. Statements on acceptance and effectiveness will only be possible after the planned pilot implementation. Additional analysis components and interprofessional perspectives can be integrated in further development steps.</p>

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Vom Erfassen zum Verhindern: Praxisprojekt zum neuen Sturzprotokoll

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月3日

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  • Verena-Katrin Buchner,
  • Karl Schwaiger

摘要

Background

With integration of the fall protocol into the ORBIS hospital information system in 2017, the previous fall protocol at the Salzburg Provincial Hospitals (SALK) was transferred to a digital environment. However, it became apparent that key functions could no longer be adequately mapped: variable definitions were missing, mandatory fields were not implemented, free-text entries dominated, and the data could only be evaluated to a limited extent. Feedback from nursing practice—via team discussions, quality circles, and informal reports—pointed to a lack of practical suitability of the existing protocol.

Objective

The objective of this practical project was to develop a structured, evidence-based, and evaluable concept for recording and analyzing fall events at SALK.

Methods

A multistage consensus process was carried out with intraprofessional nursing experts. The basis was a 34-item questionnaire with closed and open questions. Two feedback loops (response rate: 100%/100%; participants: 7) were evaluated descriptively. At the same time, a comparison with guidelines (e.g., DNQP 2022, WHO 2021) and a structured analysis of the existing fall protocol were carried out.

Results

The revised protocol includes clearly defined variables, mandatory fields, and reduced free-text sections as well as structured recording of the extent of injuries and information provided to relatives. In addition, a 24-hour fall analysis was introduced, which takes into account key aspects such as medication review, injury documentation, and information provided to relatives. The development of a database-supported analysis model (“Data Cube”) was recommended for future evaluation.

Conclusion

The revision improves data quality and creates a clear basis for preventive conclusions in the nursing context. Statements on acceptance and effectiveness will only be possible after the planned pilot implementation. Additional analysis components and interprofessional perspectives can be integrated in further development steps.