2.50
Hdl Handle:
http://hdl.handle.net/10755/162693
Type:
Presentation
Title:
Implementation of a Falls Risk Assessment in an Emergency Department
Abstract:
Implementation of a Falls Risk Assessment in an Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Fielden, Nina M., RN, MSN, CEN
P.I. Institution Name:Cleveland Clinic
Title:Clinical Nurse Specialist
Contact Address:9500 Euclid Ave., E19, Cleveland, OH, 44195-, USA
Contact Telephone:(216) 444-0153
Co-Authors:Monica Weber, RN, MSN, CIC; Luann Capone, RN, APN, BC, MSN, MPA, CPHQ
Purpose: In the US, one of every three persons age 65 and older falls each year. Falls are the leading cause of injury deaths and the most common cause of injuries seen in the emergency department (ED). National Patient Safety Goal #9 calls for the reduction of risk of patient harm resulting from falls. Identification of those at risk of falls is the initial component of a falls prevention program.

Design: Quality improvement project.

Setting: Midwest tertiary referral hospital seeing 52,000 patients per year, with 22% age >65.

Participants: ED patients age >65. All adult and pediatric patients in the clinical decision unit (CDU).

Methods: Assessment of patient fall risk allows interventions to be targeted to those at greatest risk. Since falls rates were low in the ED, it was initially decided that the ED would complete a mandatory education module on falls risk assessment. Universal falls prevention interventions were included in the educational module. Any falls were reviewed by the Shared Governance Unit Council. The CDU adopted the Hendrich Fall Risk Model II assessment, which was selected by the inpatient units; and later added the General Fall Risk Assessment tool with a falls prevention handout for patients age one to 18. The Falls Committee subsequently decided to implement a more formal assessment of falls risk for patients coming into the ED. After a literature review, the decision was made to add a screening question of all patients 65 and older to the initial triage assessment: Have you fallen in the last 6 months? This question was added to the ED's computerized charting system and education completed. Any patient assessed as a high fall risk would have a leaf sticker placed on their identification (ID) wrist band and a home-going informational pamphlet was given prior to discharge.

Results: Through the first 4 months of 2007, the CDU compliance with the Hendrich tool was 98.1% and the leaf sticker was placed on ID bands 100% of the time. Auditing of patients 65 and older in the ED began in March 2007. Initial screening compliance was 32%. A leaf sticker was found on ID bands 66% of the time.

Recommendations: Assessment of barriers to compliance with the ED screening question, including screening patients who present to the ED because of a fall. Monitor any falls in the ED using the Hendrich tool as an assessment guide to risk factors and additional interventions.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation of a Falls Risk Assessment in an Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162693-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of a Falls Risk Assessment in an Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Fielden, Nina M., RN, MSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Cleveland Clinic</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">9500 Euclid Ave., E19, Cleveland, OH, 44195-, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(216) 444-0153</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Fielden@ccf.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Monica Weber, RN, MSN, CIC; Luann Capone, RN, APN, BC, MSN, MPA, CPHQ</td></tr><tr><td colspan="2" class="item-abstract">Purpose: In the US, one of every three persons age 65 and older falls each year. Falls are the leading cause of injury deaths and the most common cause of injuries seen in the emergency department (ED). National Patient Safety Goal #9 calls for the reduction of risk of patient harm resulting from falls. Identification of those at risk of falls is the initial component of a falls prevention program.<br/><br/>Design: Quality improvement project.<br/><br/>Setting: Midwest tertiary referral hospital seeing 52,000 patients per year, with 22% age &gt;65.<br/><br/>Participants: ED patients age &gt;65. All adult and pediatric patients in the clinical decision unit (CDU).<br/><br/>Methods: Assessment of patient fall risk allows interventions to be targeted to those at greatest risk. Since falls rates were low in the ED, it was initially decided that the ED would complete a mandatory education module on falls risk assessment. Universal falls prevention interventions were included in the educational module. Any falls were reviewed by the Shared Governance Unit Council. The CDU adopted the Hendrich Fall Risk Model II assessment, which was selected by the inpatient units; and later added the General Fall Risk Assessment tool with a falls prevention handout for patients age one to 18. The Falls Committee subsequently decided to implement a more formal assessment of falls risk for patients coming into the ED. After a literature review, the decision was made to add a screening question of all patients 65 and older to the initial triage assessment: Have you fallen in the last 6 months? This question was added to the ED's computerized charting system and education completed. Any patient assessed as a high fall risk would have a leaf sticker placed on their identification (ID) wrist band and a home-going informational pamphlet was given prior to discharge. <br/><br/>Results: Through the first 4 months of 2007, the CDU compliance with the Hendrich tool was 98.1% and the leaf sticker was placed on ID bands 100% of the time. Auditing of patients 65 and older in the ED began in March 2007. Initial screening compliance was 32%. A leaf sticker was found on ID bands 66% of the time.<br/><br/>Recommendations: Assessment of barriers to compliance with the ED screening question, including screening patients who present to the ED because of a fall. Monitor any falls in the ED using the Hendrich tool as an assessment guide to risk factors and additional interventions.</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:33Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:33Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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