NURSE IMPLEMENTATION IN PREVENTING THE RISK OF FALL IN HOSPITAL: LITERATURE REVIEW

Abstract

Falls are one of the most critical patient safety incidents. This must be prevented as it will have the side effect of injury. Patient safety incident prevention is a system that makes patient care safer, minimizes risk, and prevents injury. However, the system has not been fully implemented so patient safety incidents still often occur and the incidence of patient falls is still high. The purpose of this study was to identify the application of patient safety by nurses in preventing the risk of falling in the hospital. This study uses a literature review method from Pubmed and Google Scholar sources. Search using advanced search with predefined keywords. The search results obtained 13,373 articles, then were assessed for feasibility, categorized, and adapted to the research theme. 20 selected articles were used for research. Nurses are responsible for providing safe nursing services. Patient identification, effective communication, monitoring of medication administration, and assessment of falls should be performed. The implementation of the professional organization model makes it easier for nurses to prevent falls with the Morse Fall Scale guide and the Auto-FallRAS system from EMR. Nurses are more critical, reflective, and caring in making decisions and solving the problems of falling patients. Safety culture must be continuously improved so that the risk of falling incidents can be minimized. Conclusion: Nurse implementation in preventing the risk of falls in hospitals can reduce the incidence. This can also improve the quality of service in hospitals.