Three months PICOT Question In elderly hospitalized patients (Population/problem), how does purposeful hourly rounding (Intervention) compared to normal rounding by nurses (Comparison) reduce the rate of falls by 40% (Outcome) within three months (Time, optional)? Problem Statement The problem statement is a scholarly statement that justifies or rationalizes that this is a problem. A problem statement must include literature for support and justification. In 150 words or less, provide a problem statement for your PICOT question. Falls among elderly people, including those hospitalized, are a safety and quality care issue because of the negative effects on patients. According to the Centers for Disease Control and Prevention (CDC) (2024), one in every four older persons falls at least once every year. However, less than half report such events to their healthcare providers. The Centers for Medicare and Medicaid Services (CMS) considers falls as “never events” since they are preventable. Consequently, the agency does not reimburse facilities and providers for costs associated with falls and their adverse effects. Over 1 million fall-associated hospitalizations occur among older adults due to their susceptibility to falls. As a growing issue, especially due to an aging population, falls are a patient concern because of their negative effects like injuries, increased cost of care, and increased stays in hospitals as well as comorbidities and even death. Therefore, nurses as patient care providers should implement evidence-based interventions to reduce and prevent the increasing prevalence of falls among hospitalized adults.
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