<![CDATA[Falls are among the most frequent and serious incidents in healthcare facilities, leading to increased morbidity, mortality, length of stay, and healthcare costs. Preventing falls is therefore a major priority in patient safety. This review aimed to evaluate the effectiveness of hourly rounding (HR) as an evidence-based strategy to reduce fall rates. A narrative review was conducted across multiple quality improvement projects, quasi-experimental studies, and literature reviews that implemented HR using the 5Ps approach (pain, position, potty, possessions, pumps). Findings indicated that HR reduced fall rates by up to 55% in some studies, although not always with statistical significance. Consistent benefits included enhanced staff accountability, improved patient satisfaction, and a strengthened culture of safety. Limitations noted were small sample sizes, short implementation periods, and variability in staff adherence. Conclusion: HR is a proactive nursing strategy that contributes to safer care environments and has the potential to reduce patient falls. Further research is needed to assess long-term sustainability, larger sample sizes, and integration with multifactorial fall prevention strategies.]]>
Copyrights © 2025
