Degree
Master of Arts
Program
Kinesiology
Supervisor
Alan Salmoni
Abstract
Falls are the most frequent adverse event in acute care hospitals. Although a large number of studies have addressed the patients’ risk factors for falls and best practices in fall prevention, patients falls still remain a major problem. This study applied a systemic methodology (Causal Analysis based on STAMP (CAST)) to depict Ontario’s acute care hospital structure related to patient fall prevention. The system’s component behaviours and interactions were described and deficits and inappropriate control mechanisms among the system’s controllers were identified. As a result of the CAST analysis, the complexity of the health care system, lack of a consistent and clear fall prevention strategy, risk assessment tool and fall data analysis methodology, and effective communication between the controllers were identified as potentially problematic. Suggestions were offered to improve these gaps.
Recommended Citation
Mehrjoo, Mahboubeh, "Describing the Falls Prevention Program at an Acute Care Hospital in Ontario Using Leveson’s Systems Model" (2013). Electronic Thesis and Dissertation Repository. 1329.
https://ir.lib.uwo.ca/etd/1329
Included in
Health and Medical Administration Commons, Health Services Administration Commons, Public Health Education and Promotion Commons