2.50
Hdl Handle:
http://hdl.handle.net/10755/183110
Category:
Abstract
Type:
Presentation
Title:
Improving Patient Safety Through Fall Reduction Practices on Intermediate Care Unit
Author(s):
Tonnesen, Lorrie; Milam, Wendy
Author Details:
Lorrie Tonnesen, RN, BSN, CCRN, Munroe Regional Medical Center, Ocala, FL, email: lorrietonnesen@mrhs.org; Wendy Milam, RN, MS, CCRN
Abstract:
Purpose:
To achieve a 25% or greater reduction in total patient falls through implementation and evaluation of nursing interventions that would be effective in fall reduction.

Method:
A literature review was conducted of research and other articles on use and effectiveness of fall prevention protocols. A gap analysis was conducted comparing current policies and practices with best practice and a plan was developed and implemented. Fall reduction strategies included implementation of the following three nursing initiatives:
1) Hourly rounds on all patients.
2) Signage inside rooms with the four reminders.
3) Fall risk assessment on each patient within four hours of admission.

Other strategies included:
1) Analysis of falls and documentation of fall prevention measures monthly.
2) Use of Fall Risk armbands with standardized yellow color.
3) Development of fall prevention program brochure for patient/family education.

Findings:
As a result of implementation of the fall program measures, total patient falls were reduced on the unit by 40%. In addition, other positive process improvements and outcomes were achieved, including increased awareness of all staff regarding the importance of fall prevention and how early recognition can help, improvements in the daily goal sheets used in grand rounds, the importance of use of signage as reminders, and recognition of need to modify PCT documentation screens to improve compliance with hourly patient safety checks.
Discussion:
Patient falls are the single most significant adverse event experienced in hospitals. The three main strategies chosen focused on research of national data, which showed that falls occur due to lack of caregiver communication, incomplete assessment and lack of re-assessment. National data also supports hourly rounding to reduce falls. This project results support the effectiveness of implementing these strategies for the overall reduction of patient falls.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
6th Annual Florida Magnet Research Conference
Conference Host:
University of South Florida College of Nursing; Magnet Hospitals of Florida; Sigma Theta Tau International; Florida Organization of Nurse Executives
Conference Location:
Kissimmee, Florida
Description:
6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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.titleImproving Patient Safety Through Fall Reduction Practices on Intermediate Care Uniten_GB
dc.contributor.authorTonnesen, Lorrieen_US
dc.contributor.authorMilam, Wendyen_US
dc.author.detailsLorrie Tonnesen, RN, BSN, CCRN, Munroe Regional Medical Center, Ocala, FL, email: lorrietonnesen@mrhs.org; Wendy Milam, RN, MS, CCRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/183110-
dc.description.abstractPurpose: <br/>To achieve a 25% or greater reduction in total patient falls through implementation and evaluation of nursing interventions that would be effective in fall reduction.<br/><br/>Method:<br/>A literature review was conducted of research and other articles on use and effectiveness of fall prevention protocols. A gap analysis was conducted comparing current policies and practices with best practice and a plan was developed and implemented. Fall reduction strategies included implementation of the following three nursing initiatives: <br/>1) Hourly rounds on all patients.<br/>2) Signage inside rooms with the four reminders.<br/>3) Fall risk assessment on each patient within four hours of admission.<br/><br/>Other strategies included:<br/>1) Analysis of falls and documentation of fall prevention measures monthly. <br/>2) Use of Fall Risk armbands with standardized yellow color.<br/>3) Development of fall prevention program brochure for patient/family education.<br/><br/>Findings:<br/>As a result of implementation of the fall program measures, total patient falls were reduced on the unit by 40%. In addition, other positive process improvements and outcomes were achieved, including increased awareness of all staff regarding the importance of fall prevention and how early recognition can help, improvements in the daily goal sheets used in grand rounds, the importance of use of signage as reminders, and recognition of need to modify PCT documentation screens to improve compliance with hourly patient safety checks.<br/>Discussion:<br/>Patient falls are the single most significant adverse event experienced in hospitals. The three main strategies chosen focused on research of national data, which showed that falls occur due to lack of caregiver communication, incomplete assessment and lack of re-assessment. National data also supports hourly rounding to reduce falls. This project results support the effectiveness of implementing these strategies for the overall reduction of patient falls.en_GB
dc.date.available2011-10-28T16:14:58Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T16:14:58Z-
dc.conference.date2009en_US
dc.conference.name6th Annual Florida Magnet Research Conferenceen_US
dc.conference.hostUniversity of South Florida College of Nursingen_US
dc.conference.hostMagnet Hospitals of Floridaen_US
dc.conference.hostSigma Theta Tau Internationalen_US
dc.conference.hostFlorida Organization of Nurse Executivesen_US
dc.conference.locationKissimmee, Floridaen_US
dc.description6th Annual Florida Magnet Research Conference � Theme: Research at the Point of Care. Held 12-13 February 2009 at Gaylord Palms Resort and Convention Center, Kissimmee, Florida, 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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