{
  "abstract": "Objectives Many hospitals use fall prevention alarms, despite the limited evidence of effectiveness. The objectives of this study were (1) to identify, conceptualise and select strategies to deimplement fall prevention alarms and (2) to obtain feedback from key stakeholders on tailoring selected deimplementation strategies for the local hospital context.Methods Hospital staff working on fall prevention participated in group concept mapping (GCM) to brainstorm strategies that could be used for fall prevention alarm deimplementation, sort statements into conceptually similar categories and rate statements based on importance and current use. Hospital staff also participated in site-specific focus groups to discuss current fall prevention practices, strategies prioritised through GCM and theory-informed strategies recommended by the study team, and potential barriers/facilitators to deimplementing fall prevention alarms.Results 90 hospital staff across 13 hospitals brainstormed, rated and sorted strategies for alarm deimplementation. Strategies that were rated as highly important but underutilised included creating/revising staff roles to support fall prevention (eg, hiring or designating mobility technicians) and revising policies and procedures to encourage tailored rather than universal fall precautions. 192 hospital staff across 22 hospitals participated in site-specific focus groups. Participants provided feedback on each strategy’s relevance for their site (eg, if site currently has a mobility technician) and local barriers or facilitators (eg, importance of having separate champions for day and night shift). Findings were used to develop a tailored implementation package for each site that included a core set of strategies (eg, external facilitation, education, audit-and-feedback, champions), a select set of site-specific strategies (eg, designating a mobility technician to support fall prevention) and guidance for how to operationalise and implement each strategy given local barriers and facilitators.Conclusion Findings from this study can be used to inform future programmes and policies aimed at deimplementing fall prevention alarms in hospitals.",
  "authors": [
    {
      "affiliations": [
        "The University of North Carolina at Chapel Hill School of Nursing, Chapel Hill, NC, USA",
        "The University of North Carolina at Chapel Hill Lineberger Comprehensive Cancer Center, Chapel Hill, NC, USA"
      ],
      "name": "Kea Turner"
    },
    {
      "affiliations": [
        "The Ohio State University College of Nursing, Columbus, OH, USA"
      ],
      "name": "Mona Al Taweel"
    },
    {
      "affiliations": [
        "Concept Systems, Inc, Ithaca, NY, USA"
      ],
      "name": "Carrie Petrucci"
    },
    {
      "affiliations": [
        "Concept Systems, Inc, Ithaca, NY, USA",
        "Department of Public Health and Preventive Medicine, SUNY Upstate Medical University College of Medicine, Syracuse, NY, USA"
      ],
      "name": "Scott Rosas"
    },
    {
      "affiliations": [
        "Press Ganey Associates, LLC, South Bend, IN, USA"
      ],
      "name": "Catima Potter"
    },
    {
      "affiliations": [
        "Department of Health Outcomes and Health Services Research, Children’s Mercy Hospital and Clinics, Kansas City, MO, USA",
        "Department of Pediatrics, University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA"
      ],
      "name": "Emily Cramer"
    },
    {
      "affiliations": [
        "Department of Epidemiology, University of Florida College of Public Health and Health Professionals, Gainesville, FL, USA",
        "Geriatric Research Education and Clinical Center (GRECC)",
        "North Florida/South Georgia Veterans Health System Geriatric Research Education and Clinical Center, Gainesville, FL, USA"
      ],
      "name": "Ronald I. Shorr"
    },
    {
      "affiliations": [
        "The Ohio State University College of Nursing, Columbus, OH, USA"
      ],
      "name": "Lorraine C Mion"
    },
    {
      "affiliations": [
        "Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing & Healthcare, The Ohio State University College of Nursing, Columbus, OH, USA"
      ],
      "name": "Molly McNett"
    }
  ],
  "title": "Selecting and tailoring implementation strategies for deimplementing fall prevention alarms in US hospitals: a group concept mapping study",
  "uid": "86927e5b-823c-530c-87ff-9ab3f0c55a21"
}