2.50
Hdl Handle:
http://hdl.handle.net/10755/182788
Category:
Abstract
Type:
Presentation
Title:
Make a Move to Zero Falls
Author(s):
Douglas, Karen
Author Details:
Karen Douglas, RN, BC, BSN, Centra Health, Lynchburg, Virginia, USA, email: karen.douglas@centrahealth.com
Abstract:
Poster Presentation: A Sentinel event in January of 2006, coupled with a continued disappointing increase in monthly patient falls, was the catalyst for a Falls Reduction Team. Utilizing FOCUS/PDSA methodology, our Patient Safety Committee, a multidisciplinary committee charged with implementing and monitoring measures to comply with the JCAHO NPSGs, began to "Make a Move to Zero Falls". * Reviewed our current falls risk assessment tool and determined it to be appropriate as it was developed from evidence based practice. * Developed "Falls Bundles" to improve compliance with implementing the protocol that identifies patients who are assessed as "High Risk" for falls. The bundles include: patient/family education literature; green "awareness" bracelet for patient to wear; green magnet for patient's door; green sticker for patient's chart; re-educated staff regarding "low risk" vs. "high risk" falls assessments. Inpatient units initiated q1-2 hour rounding. * Provided education sessions for nursing, radiology techs and physical therapy staff on setting bed and chair alarms for "High Risk" patients. *Monthly reporting of overall and unit specific falls rates. Since the initiation of our Make a Move to Zero Falls performance improvement effort, the monthly falls rate through December 2006 has stabilized around the target of 0.373. The variation between the monthly rates was reduced, stabilizing the process between a high of 0.427 falls per 100 patient days and a low of 0.296. For the month of December, our falls rate of 0.296 was at its lowest point since August, 2005. (248) References: Evans D, Hodgkinson B, Lambert L, Wood J. Falls Risk Factors in the Hospital Setting: A Systematic Review. International Journal of Nursing Practice 2001; 7:38-45. Hendrich A, Nyhuis A, Kippenbrock T, Soja ME. Hospital Falls: Development of Predictive Model for Clinical Practice. Applied Nursing Research 1995; 8:129-139. Hendrich A, Bender P, Nyhuis A. Validation of the Hendrich II Fall Risk Model: A Large Concurrent Case/Control Study of Hospitalized Patients. Applied Nursing Research 2003; 1:9-21.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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.titleMake a Move to Zero Fallsen_GB
dc.contributor.authorDouglas, Karenen_US
dc.author.detailsKaren Douglas, RN, BC, BSN, Centra Health, Lynchburg, Virginia, USA, email: karen.douglas@centrahealth.comen_US
dc.identifier.urihttp://hdl.handle.net/10755/182788-
dc.description.abstractPoster Presentation: A Sentinel event in January of 2006, coupled with a continued disappointing increase in monthly patient falls, was the catalyst for a Falls Reduction Team. Utilizing FOCUS/PDSA methodology, our Patient Safety Committee, a multidisciplinary committee charged with implementing and monitoring measures to comply with the JCAHO NPSGs, began to "Make a Move to Zero Falls". * Reviewed our current falls risk assessment tool and determined it to be appropriate as it was developed from evidence based practice. * Developed "Falls Bundles" to improve compliance with implementing the protocol that identifies patients who are assessed as "High Risk" for falls. The bundles include: patient/family education literature; green "awareness" bracelet for patient to wear; green magnet for patient's door; green sticker for patient's chart; re-educated staff regarding "low risk" vs. "high risk" falls assessments. Inpatient units initiated q1-2 hour rounding. * Provided education sessions for nursing, radiology techs and physical therapy staff on setting bed and chair alarms for "High Risk" patients. *Monthly reporting of overall and unit specific falls rates. Since the initiation of our Make a Move to Zero Falls performance improvement effort, the monthly falls rate through December 2006 has stabilized around the target of 0.373. The variation between the monthly rates was reduced, stabilizing the process between a high of 0.427 falls per 100 patient days and a low of 0.296. For the month of December, our falls rate of 0.296 was at its lowest point since August, 2005. (248) References: Evans D, Hodgkinson B, Lambert L, Wood J. Falls Risk Factors in the Hospital Setting: A Systematic Review. International Journal of Nursing Practice 2001; 7:38-45. Hendrich A, Nyhuis A, Kippenbrock T, Soja ME. Hospital Falls: Development of Predictive Model for Clinical Practice. Applied Nursing Research 1995; 8:129-139. Hendrich A, Bender P, Nyhuis A. Validation of the Hendrich II Fall Risk Model: A Large Concurrent Case/Control Study of Hospitalized Patients. Applied Nursing Research 2003; 1:9-21.en_GB
dc.date.available2011-10-28T15:40:07Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:40:07Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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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