PubMed:23591036 JSONTXT

{"project":"PubmedHPO","denotations":[{"id":"T1","span":{"begin":133,"end":138},"obj":"HP_0002527"},{"id":"T2","span":{"begin":723,"end":727},"obj":"HP_0002527"},{"id":"T3","span":{"begin":1144,"end":1148},"obj":"HP_0002527"},{"id":"T4","span":{"begin":1361,"end":1365},"obj":"HP_0002527"}],"text":"[Falls of paediatric in- and out-patients in hospital: an Italian survey].\nLe cadute pediatriche in ospedale: una indagine italiana.\nFalls can be considered as the most relevant accident for frequency and severity among in-hospital paediatric accidents (0-18 years). There is still a lack of a common framework in defining and categorizing paediatric falls across European and Italian paediatric centres. The aim of this survey was to explore key aspects of paediatric in-hospital falls in a number of Italian paediatric facilities. In 2010, a questionnaire was sent to 15 paediatric centres selected through convenience sampling. Fourteen questionnaires (93.3%) were returned, six centres (42.9%) define clearly the term \"fall\", while 8 (57.1%) declare to track falls frequency; three (21.4%) trace the consequences of falls. Four centres (28.6%) track the impact of falls on care plans. Usually information on falls and on children are collected (10 centres, 71.4%) and reporting procedures are frequently in place (10, 71.4%); whereas, fall management procedures (5 centres, 35.7%) are rarely in place. Five centres (35.7%) use a paediatric fall risk assessment tool (devised by the centre itself, and not validated); none of the implemented prevention measures for high-risk patients evaluate effectiveness. Data show a lack or no consistency of paediatric fall-related practices in Italian paediatric facilities, this phenomenon its impact on care plans and healthcare costs is therefore difficult to evaluate, as well as making a comparison between facilities. Collaboration among major paediatric centres should be encouraged in order to establish a common framework and share approaches."}