Vol. 7, Issue 1, Part A (2025)

Introduction: Prevention of patient fall is one of the important Patient’s safety Goal. Patient belief of fall risk may be linked to perceptions of their ability to walk (Bethany R 2028). Healthcare discipline emphasizes the reporting, analysis of patient fall that often leads to adverse/sentinel event, which causes, more suffering and increases length of hospital stay. Every Nursing professional or the healthcare workers must have the knowledge to protect the patient from fall during the hospitalisation. 
Need of the study: Patient falls were evident month on month in-spite of having training and fall risk assessment scoring system in a tertiary care hospital. It was recorded from April 2023 to March 2024 there were 8(eight) patient fall, with average rate of 0.10 slightly lower than the organisational bench mark (0.14), subsequently from April 2024 to October 2024 there were 10 patients fall with average rate of 0.13 higher than the last financial year rate 0.10 reported via Incident reporting form. The study has undertaken to assess the patients at risk for fall, root causes for fall, and the effectiveness of strategies adopted to prevent & reduced hospitalised patient’s fall 
Objective of the study 1. To assess the Nurses knowledge and practice on fall risk assessment of their allocated patients 2. To analyse the root causes for patient’s fall 3. To measure the effectiveness of fall prevention strategies adopted by the nurses in ward care setting 4. To Reduced and prevent the number of patient’s falls in the hospital. 
Methodology: A descriptive methodology was used to describe the strategies implemented to reduced patient’s fall among the nurses working in different areas like ICUs ward and high dependency unit. Randomly selected nurses at different age group of 235 ranging from 22 years to 48 years were participated in the study. 
Tool and technique: Modified Morse Fall risk assessment tool and Preventive strategies used to for the study. Data collection & Analysis: Two years (2023 April - March 2025) incidences were recorded and root cause analysis were done to find out the reason for patient’s fall and Gap in patient safety. Fall preventions strategies were implemented and trained nurses to adopt the strategies to prevent and reduce patient’s fall. knowledge and practice were audited with checklist. Out of 125 Nurses in critical care areas 105 (84%) nurse fall scoring for their allocated patients were accurate and out of 110 nurses 75(68.18%) have done accurate fall scoring in wards. The root cause analysis showed patient lost balance inside the wash room, without nurse call went to wash room alone, post anaesthesia effect -led to giddiness, unable to comprehend early morning 3am hospital bed and toppled over side rails led to fall, during bed making, and lack of raising up the side rails patient came out of bed and fell down. The preventive strategies were trained to the nurses during their induction and routinely as schedule in-service classes. Out of 125 Nurses in Critical care and High dependency area100 (80%) were having knowledge on patients fall prevention strategies. And in the ward 70 (63.7%) out of 110 are having knowledge on this aspect. Related to applications as per the fall score the critical care nurses out of 125, 89 (71.2%) implemented fall prevention strategies as required. And in wards out of 110 only 65 (59%) Nurses implemented fall prevention measures successfully. Multiple training t at the bedside on fall prevention strategy and fall risk scoring conducted. The incidence of fall was reported zero from November to Feb 2025. It was noted that the majority (90%) of the patient fall recorded in wards only and 10% in Critical care areas. And out of 18 patients fall within 19 months 44% landed up with adverse event required further investigation like CT Scan, X-ray, followed by treatment and average length of stay increased 1.5 days. 6% gone in category of sentinel event increased length of stay 3days, 50% fall mark as near miss and discharged on the same day. Conclusion: patient fall is a never event in the health care organisation, and a strong quality indicator of Nursing. A patient falls if increases length of stay, will harm the reputation and added patient suffering. Hence Nurses paly pivotal role in preventing patient’s fall with accurate fall risk scoring, and by implementing strictly fall prevention strategies.