Implementation of a Multidiciplinary Fall Prevention Task Force at Wellspan Health-York Hospital

2.50
Hdl Handle:
http://hdl.handle.net/10755/148833
Type:
Presentation
Title:
Implementation of a Multidiciplinary Fall Prevention Task Force at Wellspan Health-York Hospital
Abstract:
Implementation of a Multidiciplinary Fall Prevention Task Force at Wellspan Health-York Hospital
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Artz, Brenda A., RN, MS, CCRN
P.I. Institution Name:Wellspan Health - York Hospital
Title:Clinical Nurse Specialist - Surgical Services
Co-Authors:Gregory M. Gurican, RN, MBA, MSNE, BSEE, ASDN; Nancy K. Mann, MS, APRN, PMH, BC
[Scientific session research presentation] Background/Problem Statement: During 2004, the Patient Safety Committee (PSC) and the Nursing PI & Research Council identified the need to reduce the rate of patient falls at York Hospital, which continued to increase following implementation of an evidence based assessment tool. Method: A multidisciplinary Fall Prevention Task Force (RNs, PT/OT, MDs, and RPh/PharmD) was initiated by the PSC. Task force members reviewed every fall that occurred starting on February 1, 2006, and daily fall rounds were implemented. The data collected from those rounds were reviewed and recommendations for improvements made. Results: Qualitative and quantitative data was gathered on all in-patient falls over a period of six months. The Falls Task Force (FTF) identified multiple contributors to falls including issues of: staffing, specific patient populations, environmental contributors, clinical practice, and knowledge deficits related to the fall prevention program. As a result of FTF recommendations the number of falls and fall rates decreased from a pre-operational level of 56.5 falls/month and 4.8 falls/1000 Patient-days to 42.6 falls/month and 3.6 falls/1000 pt-days (p value < 0.05) which represented a 17.5% decrease. Discussion: The FTF observations revealed that: 1. Certain patient populations, who would be at risk for falls, were not identified even when the risk assessment tool was correctly used; 2. Over 40% of falls occurred on the day following an incomplete or incorrect use of the risk assessment tool; 3. Hand-off communication between shifts and/or units on fall events was inconsistent; 4. Greater than 90% of all patients who fell were on medications that contribute to increased fall risk; 5. The use of "Sitters" for patients served as an aide to prevent potential falls from occurring. Conclusion: The use of a multidisciplinary team to review all falls is a valuable intervention in an acute care hospital to prevent falls and reduce injury.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation of a Multidiciplinary Fall Prevention Task Force at Wellspan Health-York Hospitalen_GB
dc.identifier.urihttp://hdl.handle.net/10755/148833-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of a Multidiciplinary Fall Prevention Task Force at Wellspan Health-York Hospital</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Artz, Brenda A., RN, MS, CCRN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Wellspan Health - York Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist - Surgical Services</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bartz@wellspan.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Gregory M. Gurican, RN, MBA, MSNE, BSEE, ASDN; Nancy K. Mann, MS, APRN, PMH, BC</td></tr><tr><td colspan="2" class="item-abstract">[Scientific session research presentation] Background/Problem Statement: During 2004, the Patient Safety Committee (PSC) and the Nursing PI &amp; Research Council identified the need to reduce the rate of patient falls at York Hospital, which continued to increase following implementation of an evidence based assessment tool. Method: A multidisciplinary Fall Prevention Task Force (RNs, PT/OT, MDs, and RPh/PharmD) was initiated by the PSC. Task force members reviewed every fall that occurred starting on February 1, 2006, and daily fall rounds were implemented. The data collected from those rounds were reviewed and recommendations for improvements made. Results: Qualitative and quantitative data was gathered on all in-patient falls over a period of six months. The Falls Task Force (FTF) identified multiple contributors to falls including issues of: staffing, specific patient populations, environmental contributors, clinical practice, and knowledge deficits related to the fall prevention program. As a result of FTF recommendations the number of falls and fall rates decreased from a pre-operational level of 56.5 falls/month and 4.8 falls/1000 Patient-days to 42.6 falls/month and 3.6 falls/1000 pt-days (p value &lt; 0.05) which represented a 17.5% decrease. Discussion: The FTF observations revealed that: 1. Certain patient populations, who would be at risk for falls, were not identified even when the risk assessment tool was correctly used; 2. Over 40% of falls occurred on the day following an incomplete or incorrect use of the risk assessment tool; 3. Hand-off communication between shifts and/or units on fall events was inconsistent; 4. Greater than 90% of all patients who fell were on medications that contribute to increased fall risk; 5. The use of &quot;Sitters&quot; for patients served as an aide to prevent potential falls from occurring. Conclusion: The use of a multidisciplinary team to review all falls is a valuable intervention in an acute care hospital to prevent falls and reduce injury.</td></tr></table>en_GB
dc.date.available2011-10-26T09:51:25Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:51:25Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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