2.50
Hdl Handle:
http://hdl.handle.net/10755/164092
Category:
Abstract
Type:
Presentation
Title:
Falling Stars: Fall Prevention Through Transformational Leadership
Author(s):
Kratz, Ann
Author Details:
Ann Kratz, MSN, RN, APRN, ANP-BC, APNP, Aurora Medical Center, Hartford, Wisconsin, USA, email: ann.kratz@aurora.org
Abstract:
PURPOSE/OBJECTIVES: The literature is clear that prevention of falls involves multifactorial interventions and interdisciplinary collaboration. Falls are the most common cause of non fatal injuries for people older than 65 years old in the United States and increases the person's morbidity and mortality. SIGNIFICANCE: Based on the new CMS guidelines decreasing patient falls is an important intervention for all hospitals. BACKGROUND/RATIONALE: An innovative approach to fall analysis and prevention was lead by transformational leaders. Framework: The philosophy of Planetree as well as a partnership between nurses and patients. All patients admitted to the Medical-Surgical unit at Aurora Medical Center Washington County a Magnet recognized Rural Community Hospital were included. A systematic Ql process through round-table discussion on every fall experienced was initiated in mid 2008. An interdisciplinary approach, in-depth analysis, brainstorming for opportunities for improvement for each fall was the goal of these discussions. The literature was reviewed and summarized during the round tables. The team included quality, staff nurses, mangers, clinical nurse specialists and other disciplines related to each fall. DESCRIPTION: Interventions were designed and implemented that focused on partnership behaviors to decrease falls. Innovative interventions included the implementation of a fall safety protocol on all stroke patients, hourly rounding with scripting, late evening MORSE fall scale assessment, improved nursing education and competency for nursing staff as well as the interdisciplinary team. In November of 2008, the team investigated sitter usage with a goal to prevent falls while decreasing the use of sitters. OUTCOME: This unit experienced a 22% decrease in falls and reached the national benchmark for falls. Since the inception of the reduction of sitters initiative, this unit decreased sitter usage in November and December of 2008 by 98% while maintaining a fall rate for those months of 2.1. The fall rate continues below the national benchmark. INTERPRETATION/CONCLUSION: Transformational leadership through critical analysis was beneficial in meeting the benchmark for patient falls. Continued awareness and prevention is important in this healthcare environment. Other hospitals could replicate these innovative interventions to improve patient falls in the journey to provide evidence based care to patients. IMPLICATIONS FOR PRACTICE: Further testing of these innovations should be considered at larger hospitals' throughout the United States to ensure the interventions are best practice.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleFalling Stars: Fall Prevention Through Transformational Leadershipen_GB
dc.contributor.authorKratz, Annen_US
dc.author.detailsAnn Kratz, MSN, RN, APRN, ANP-BC, APNP, Aurora Medical Center, Hartford, Wisconsin, USA, email: ann.kratz@aurora.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/164092-
dc.description.abstractPURPOSE/OBJECTIVES: The literature is clear that prevention of falls involves multifactorial interventions and interdisciplinary collaboration. Falls are the most common cause of non fatal injuries for people older than 65 years old in the United States and increases the person's morbidity and mortality. SIGNIFICANCE: Based on the new CMS guidelines decreasing patient falls is an important intervention for all hospitals. BACKGROUND/RATIONALE: An innovative approach to fall analysis and prevention was lead by transformational leaders. Framework: The philosophy of Planetree as well as a partnership between nurses and patients. All patients admitted to the Medical-Surgical unit at Aurora Medical Center Washington County a Magnet recognized Rural Community Hospital were included. A systematic Ql process through round-table discussion on every fall experienced was initiated in mid 2008. An interdisciplinary approach, in-depth analysis, brainstorming for opportunities for improvement for each fall was the goal of these discussions. The literature was reviewed and summarized during the round tables. The team included quality, staff nurses, mangers, clinical nurse specialists and other disciplines related to each fall. DESCRIPTION: Interventions were designed and implemented that focused on partnership behaviors to decrease falls. Innovative interventions included the implementation of a fall safety protocol on all stroke patients, hourly rounding with scripting, late evening MORSE fall scale assessment, improved nursing education and competency for nursing staff as well as the interdisciplinary team. In November of 2008, the team investigated sitter usage with a goal to prevent falls while decreasing the use of sitters. OUTCOME: This unit experienced a 22% decrease in falls and reached the national benchmark for falls. Since the inception of the reduction of sitters initiative, this unit decreased sitter usage in November and December of 2008 by 98% while maintaining a fall rate for those months of 2.1. The fall rate continues below the national benchmark. INTERPRETATION/CONCLUSION: Transformational leadership through critical analysis was beneficial in meeting the benchmark for patient falls. Continued awareness and prevention is important in this healthcare environment. Other hospitals could replicate these innovative interventions to improve patient falls in the journey to provide evidence based care to patients. IMPLICATIONS FOR PRACTICE: Further testing of these innovations should be considered at larger hospitals' throughout the United States to ensure the interventions are best practice.en_GB
dc.date.available2011-10-27T11:41:53Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:53Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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