2.50
Hdl Handle:
http://hdl.handle.net/10755/182605
Category:
Abstract
Type:
Presentation
Title:
A Multidisciplinary and Evidence-Based Approach to Fall Prevention in Acute Care
Author(s):
Taniguchi, Nicole; Chism, Sara
Author Details:
Nicole Taniguchi, PT, MPT, Alaska Native Medical Center, Anchorage, Alaska, USA, email: nttaniguchi@anmc.org; Sara Chism, RN, BSN
Abstract:
Poster Presentation: Regulatory agencies acknowledge that billions of healthcare dollars are spent due to increases in length of stay as a result of patient falls. Patient falls contribute to a significant decrease in health status and functional level for patients in acute care. Yet, falls are preventable. A sound evidence-based fall prevention program will reduce falls, related injuries, improve patient safety as well as increase patient, family and staff satisfaction. Most importantly, all patients deserve to be cared for in a safe environment, free of injury and harm. Strong evidence exists in the literature to support a multi-factorial and multidisciplinary approach to fall prevention. Key interventions include: proper risk assessment and identification, low bed height, regular toileting, environmental control, rounding by hospital personnel, physical activity and the use of proper assistive devices. We have designed a robust staff and patient education program, an innovative assessment process that identifies fall risks and encourages reporting of near misses plus an innovative interdisciplinary collaboration process that includes hourly rounding coupled within a non-punitive environment. The Iowa Model of Evidence-based Practice to Promote Quality Care was used to guide the pilot project on the adult Medicine/Telemetry Unit. Pre-pilot data collection included staff perceptions of fall risk factors, fall prevention techniques and how to accurately report and document near misses and falls. Staff education was tailored based on the pre-pilot responses. Prior assessment and documentation forms were updated to reflect the literature and identified problem areas. Piloting the protocol and the monitoring of interdisciplinary staff documentation have supported a culture shift of fall prevention on a unit which historically has had our highest fall rates. In the first few weeks of the pilot, staff nurses provided valuable input toward ensuring that risk factors are correctly...[Please contact the primary investigator for more information about this poster presentation.] References: Browne JA, Covington BG, Davila Y. Using information technology to assist in redesign of a fall prevention program. Journal of Nursing Care Quality 2004; 19 (3) 218-225. Cameron I, Murray R, Gillespie LD, Cumming RG, Robertson MC., Hill K, Kerse. Interventions for preventing falls in older people in residential care facilities and hospitals (Protocol for Cochran Review). In: The Cochrane Library, Issue 4, 2006. Oxford: Updated Software. Dochterman J, Titler M, Wang J, Reed D, Petit D, Mathew-Wilson M, Budreau G, Bulechek G, Kraus V, Kanak M. Describing use of nursing interventions for three groups of patients. Journal of Nursing Scholarship 2005; 31(1) 57-66. Fonda,D., Cook, J et al. "Sustained reduction in serious fall-related injuries in older people in hospital". Med Jour of Australia; April 17,2006;184,8;379 Giles LC, Bolch D, Rouvray R, McErlean B, Whitehead CH, Phillips PA, Crotty M. Can volunteer companions prevent falls among inpatients? A feasibility study using a pre-post comparative design. BMC Geriatrics 2006; 6 (11). Grahn Kronhed A-C, Blomberg C, Lofman O, Timpka T, Moller M. Evaluation of an osteoporosis and fall risk intervention program for community-dwelling elderly. Aging clinical and experimental research 2006; 18(3) 235-41. Jasniewski, Janet. "Putting a lid on medication-related falls" Nursing 2006; vol36, no.6, pg22-24 Lawson C. Planning to improve the hospital experience for older inpatients. Nursing Times 2006; 102(39) 30-1. Meade,C, Bursell, A, Ketelsen, L. "Effects of Nursing Rounds on Patient's Call light use, satisfaction, and safety". AJN; September 2006; Vol 106, no9; pg 58-70. Mills PD, Neily J, Luan D, Stalhandske E, Weeks WB. Using aggregate root cause analysis to reduce falls and related injuries. Joint Commission Journal on Quality and Patient Safety 2005; 31(1) 21-31. McCarter-Bayer A, Bayer F, Hall K. Preventing falls in acute care: an innovative approach. Journal of Gerontological Nursing 2005...[Please contact the primary investigator for additional information about this study.] References: Conway J, Johnson B, Edgman-Levitan S, Schlucter J, Ford D, Sodomka P, Simmons L. Partnering with Patients and Families To Design a Patient-and Family-Centered Health Care System: A Roadmap for the Future. Presented at Institute for Family-Centered Care and the Institute for Healthcare Improvement Invitational Meeting. Cambridge, Mass: June 2006. The Advisory Board Company, Washington D.C.: Nursing Executive Center Practice Brief: The Family as Patient Care Partner: Leveraging Family Involvement to Improve Quality, Safety, and Satisfaction. American Hospital Association, Institute for Family-Centered Care. Strategies for Leadership: Patient-and Family-Centered Care. Chicago, IL: American Hospital Association: 2004.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, 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.titleA Multidisciplinary and Evidence-Based Approach to Fall Prevention in Acute Careen_GB
dc.contributor.authorTaniguchi, Nicoleen_US
dc.contributor.authorChism, Saraen_US
dc.author.detailsNicole Taniguchi, PT, MPT, Alaska Native Medical Center, Anchorage, Alaska, USA, email: nttaniguchi@anmc.org; Sara Chism, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182605-
dc.description.abstractPoster Presentation: Regulatory agencies acknowledge that billions of healthcare dollars are spent due to increases in length of stay as a result of patient falls. Patient falls contribute to a significant decrease in health status and functional level for patients in acute care. Yet, falls are preventable. A sound evidence-based fall prevention program will reduce falls, related injuries, improve patient safety as well as increase patient, family and staff satisfaction. Most importantly, all patients deserve to be cared for in a safe environment, free of injury and harm. Strong evidence exists in the literature to support a multi-factorial and multidisciplinary approach to fall prevention. Key interventions include: proper risk assessment and identification, low bed height, regular toileting, environmental control, rounding by hospital personnel, physical activity and the use of proper assistive devices. We have designed a robust staff and patient education program, an innovative assessment process that identifies fall risks and encourages reporting of near misses plus an innovative interdisciplinary collaboration process that includes hourly rounding coupled within a non-punitive environment. The Iowa Model of Evidence-based Practice to Promote Quality Care was used to guide the pilot project on the adult Medicine/Telemetry Unit. Pre-pilot data collection included staff perceptions of fall risk factors, fall prevention techniques and how to accurately report and document near misses and falls. Staff education was tailored based on the pre-pilot responses. Prior assessment and documentation forms were updated to reflect the literature and identified problem areas. Piloting the protocol and the monitoring of interdisciplinary staff documentation have supported a culture shift of fall prevention on a unit which historically has had our highest fall rates. In the first few weeks of the pilot, staff nurses provided valuable input toward ensuring that risk factors are correctly...[Please contact the primary investigator for more information about this poster presentation.] References: Browne JA, Covington BG, Davila Y. Using information technology to assist in redesign of a fall prevention program. Journal of Nursing Care Quality 2004; 19 (3) 218-225. Cameron I, Murray R, Gillespie LD, Cumming RG, Robertson MC., Hill K, Kerse. Interventions for preventing falls in older people in residential care facilities and hospitals (Protocol for Cochran Review). In: The Cochrane Library, Issue 4, 2006. Oxford: Updated Software. Dochterman J, Titler M, Wang J, Reed D, Petit D, Mathew-Wilson M, Budreau G, Bulechek G, Kraus V, Kanak M. Describing use of nursing interventions for three groups of patients. Journal of Nursing Scholarship 2005; 31(1) 57-66. Fonda,D., Cook, J et al. "Sustained reduction in serious fall-related injuries in older people in hospital". Med Jour of Australia; April 17,2006;184,8;379 Giles LC, Bolch D, Rouvray R, McErlean B, Whitehead CH, Phillips PA, Crotty M. Can volunteer companions prevent falls among inpatients? A feasibility study using a pre-post comparative design. BMC Geriatrics 2006; 6 (11). Grahn Kronhed A-C, Blomberg C, Lofman O, Timpka T, Moller M. Evaluation of an osteoporosis and fall risk intervention program for community-dwelling elderly. Aging clinical and experimental research 2006; 18(3) 235-41. Jasniewski, Janet. "Putting a lid on medication-related falls" Nursing 2006; vol36, no.6, pg22-24 Lawson C. Planning to improve the hospital experience for older inpatients. Nursing Times 2006; 102(39) 30-1. Meade,C, Bursell, A, Ketelsen, L. "Effects of Nursing Rounds on Patient's Call light use, satisfaction, and safety". AJN; September 2006; Vol 106, no9; pg 58-70. Mills PD, Neily J, Luan D, Stalhandske E, Weeks WB. Using aggregate root cause analysis to reduce falls and related injuries. Joint Commission Journal on Quality and Patient Safety 2005; 31(1) 21-31. McCarter-Bayer A, Bayer F, Hall K. Preventing falls in acute care: an innovative approach. Journal of Gerontological Nursing 2005...[Please contact the primary investigator for additional information about this study.] References: Conway J, Johnson B, Edgman-Levitan S, Schlucter J, Ford D, Sodomka P, Simmons L. Partnering with Patients and Families To Design a Patient-and Family-Centered Health Care System: A Roadmap for the Future. Presented at Institute for Family-Centered Care and the Institute for Healthcare Improvement Invitational Meeting. Cambridge, Mass: June 2006. The Advisory Board Company, Washington D.C.: Nursing Executive Center Practice Brief: The Family as Patient Care Partner: Leveraging Family Involvement to Improve Quality, Safety, and Satisfaction. American Hospital Association, Institute for Family-Centered Care. Strategies for Leadership: Patient-and Family-Centered Care. Chicago, IL: American Hospital Association: 2004.en_GB
dc.date.available2011-10-28T15:31:42Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:31:42Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_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.-
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