López-Soto, Pablo JesúsLópez-Carrasco, Juan de la CruzFabbian, FabioMiñarro-Del Moral, Rosa MaríaSegura-Ruiz, RocíoHidalgo-Lopezosa, PedroManfredini, RobertoRodríguez-Borrego, María Aurora2022-12-152022-12-152021-06-06López-Soto PJ, López-Carrasco JC, Fabbian F, Miñarro-Del Moral RM, Segura-Ruiz R, Hidalgo-Lopezosa P, et al. Chronoprevention in hospital falls of older people: protocol for a mixed-method study. BMC Nurs. 2021 Jun 6;20(1):88http://hdl.handle.net/10668/4520Background Accidental falls in hospitals are serious events concerning the safety of the patients. Recent studies demonstrated that the time of falls is a key factor to be considered in prevention. It has been shown that the time of day, the day of the week and the month of the year impact on the occurrence of falls. The aim of the study is to determine the effect of the application of a programme of preventive measures based on the temporal patterns of the risk factors on the hospital fall occurrence. Methods A mixed-method research design. The following three phases will be carried out: 1) Longitudinal prospective study in two parts: (a) audits and seminars of healthcare professionals focused on an effective and efficient hospital falls register. Multi-Component and Single Cosinor analyses will be performed to obtain the temporal patterns of hospital falls and their related variables and (b) implementation of a based-temporal patterns, multidimensional prevention programme. 2) Retrospective study of falls registered in institutional databases. 3) Qualitative study based on focus groups (physicians, nurses and nursing assistants). The study protocol was approved in 2018. Discussion With regard to the safety of patients, hospital falls are serious events. Recent studies have demonstrated that the time of falls is a key factor to be considered in prevention. It has been shown that the time of day, the day of the week and the month of the year impact on the occurrence of falls. It is imperative to study temporal patterns of hospital falls to effectively and comprehensively define the aetiology of falls and, therefore, design preventive strategies. A reduction of the number of in-hospital falls and related injuries is expected, as well as an improvement in the quality of life of patients. Considering temporal patterns and levels of mood and sleep of healthcare professionals will achieve an improvement in patient safety.enAtribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/Accidental fallsOlder peopleNursing careNursingTemporal patternsPreventionCircadian rhythmsQuality of lifeRisk factorsHospitalPatient safetyAccidentes por caídasPersonas mayores frágilesAtención de enfermeríaPlanificación de atención al pacienteEnfermeríaPrevenciónRitmo circadianoCalidad de vidaFactores de riesgoSeguridad del pacienteHospitalMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Health Care::Environment and Public Health::Public Health::Accidents::Accidental FallsMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Case-Control Studies::Retrospective StudiesMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Prospective StudiesMedical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Quality of LifeMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Interviews as Topic::Focus GroupsMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Probability::Risk::Risk FactorsMedical Subject Headings::Persons::Persons::Occupational Groups::Health Personnel::PhysiciansMedical Subject Headings::Persons::Persons::Occupational Groups::Health Personnel::NursesMedical Subject Headings::Persons::Persons::Age Groups::Adult::Aged::Frail ElderlyMedical Subject Headings::Persons::Persons::Age Groups::Adult::Aged::Aged, 80 and overMedical Subject Headings::Health Care::Health Care Facilities, Manpower, and Services::Health Facilities::HospitalsMedical Subject Headings::Persons::Persons::PatientsMedical Subject Headings::Health Care::Environment and Public Health::Public Health::Accidents::Accident Preventionresearch article34092223open access10.1186/s12912-021-00618-y1472-6955PMC8183051