"Don't Let a Fall Get You Down" Developing a Program to Reduce Patient Falls in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/162956
Type:
Presentation
Title:
"Don't Let a Fall Get You Down" Developing a Program to Reduce Patient Falls in the Emergency Department
Abstract:
"Don't Let a Fall Get You Down" Developing a Program to Reduce Patient Falls in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2001
Author:Barry, Margaret, MSN, RN, CEN
P.I. Institution Name:New York Presbyterian Hospital, Columbia-Presbyterian Center
Contact Address:622 W. 168th, New York, NY, 10032, USA
Contact Telephone:(212) 305-2432
Co-Authors:Raffaela Pia, MS, RN, C, CCRN; Germaine Nelson, MSN, RN, CEN; Laura Giles, BS, RN; and Tara Cortes, PhD, RN
Clinical Topic: The purpose of this project was to implement a Fall Prevention program in the Emergency Department (ED) setting. The specific aims of the project were: (a) identification of patients at risk for falling in an ED setting and (b) prevention of patient falls. Two large academic centers identified an increase in patient falls resulting in serious injuries (hip fractures). Reasons for the increase were thought to be a rise in the number of elderly patients seeking emergency care and longer stays in the ED. Patient falls were tracked over a 6 month period and a Fall Prevention Program was established. The Fall Prevention Program included identifying patients at risk for falling, strategies to prevent falls, education of all levels of staff and developing a tool to track patient falls. Implementation: The following steps were implemented: 1. Two academic urban medical centers with over 80,000 annual visits developed a tool to track patient falls for a 6-month period; 2. Current literature was researched to identify common reasons for patient falls; 3. A Fall Prevention Program was initiated with interventions specific to an ED setting; 4. A tool was developed so the staff could easily identify those patients at risk for falling; elderly, intoxicated, confused or unsteady gait; 5. All levels of staff were educated on the Fall Prevention Program. The focus of the program was to identify those patients at risk for falling and implement strategies to prevent falls. Outcomes: Initial data indicated that 50% of patient falls were among elderly patients. In addition, there was another subset of patients who were also identified as being at high risk for falling. Overall there was a 20% reduction in patient falls after the implementation of the Fall Prevention program. Recommendations: Other ED?s could benefit from the development of a Fall Prevention program to target patients at high risk for falls which includes specific strategies to reduce patient falls and a methodology to track occurrence of patient falls. Ongoing education needs to be implemented to sustain and continue to improve fall risk and reduction of actual patient falls. Upon completion of this poster review, the participant will be able to: 1) Identify those patients at risk for falling in the ED; 2) Establish a Fall Prevention Program specifically for an ED Setting; and 3) Reduce the number of patient falls in their ED. [Clinical Poster Presentation]
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.title"Don't Let a Fall Get You Down" Developing a Program to Reduce Patient Falls in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162956-
dc.description.abstract<table><tr><td colspan="2" class="item-title">&quot;Don't Let a Fall Get You Down&quot; Developing a Program to Reduce Patient Falls in the 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">2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Barry, Margaret, MSN, RN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">New York Presbyterian Hospital, Columbia-Presbyterian Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">622 W. 168th, New York, NY, 10032, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(212) 305-2432</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">MMB265@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Raffaela Pia, MS, RN, C, CCRN; Germaine Nelson, MSN, RN, CEN; Laura Giles, BS, RN; and Tara Cortes, PhD, RN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The purpose of this project was to implement a Fall Prevention program in the Emergency Department (ED) setting. The specific aims of the project were: (a) identification of patients at risk for falling in an ED setting and (b) prevention of patient falls. Two large academic centers identified an increase in patient falls resulting in serious injuries (hip fractures). Reasons for the increase were thought to be a rise in the number of elderly patients seeking emergency care and longer stays in the ED. Patient falls were tracked over a 6 month period and a Fall Prevention Program was established. The Fall Prevention Program included identifying patients at risk for falling, strategies to prevent falls, education of all levels of staff and developing a tool to track patient falls. Implementation: The following steps were implemented: 1. Two academic urban medical centers with over 80,000 annual visits developed a tool to track patient falls for a 6-month period; 2. Current literature was researched to identify common reasons for patient falls; 3. A Fall Prevention Program was initiated with interventions specific to an ED setting; 4. A tool was developed so the staff could easily identify those patients at risk for falling; elderly, intoxicated, confused or unsteady gait; 5. All levels of staff were educated on the Fall Prevention Program. The focus of the program was to identify those patients at risk for falling and implement strategies to prevent falls. Outcomes: Initial data indicated that 50% of patient falls were among elderly patients. In addition, there was another subset of patients who were also identified as being at high risk for falling. Overall there was a 20% reduction in patient falls after the implementation of the Fall Prevention program. Recommendations: Other ED?s could benefit from the development of a Fall Prevention program to target patients at high risk for falls which includes specific strategies to reduce patient falls and a methodology to track occurrence of patient falls. Ongoing education needs to be implemented to sustain and continue to improve fall risk and reduction of actual patient falls. Upon completion of this poster review, the participant will be able to: 1) Identify those patients at risk for falling in the ED; 2) Establish a Fall Prevention Program specifically for an ED Setting; and 3) Reduce the number of patient falls in their ED. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:37:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:37:03Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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