2.50
Hdl Handle:
http://hdl.handle.net/10755/203140
Type:
Presentation
Title:
Using a Practice Improvement Model to Reduce Falls and Harm From Falls
Abstract:
(Improvement Science Research Network) Background: The prevention of falls and harm from falls continues to be a challenge. All in-patient falls are deemed preventable and classified as adverse events. Falls are the most frequently reported adverse event in the in-patient setting. Falls increase morbidity, mortality, and length of stay. The Center for Medicare and Medicaid Services has placed falls on the list of eleven hospital acquired conditions. Purpose: The purpose of this improvement initiative was to use evidence-based strategies and best practices to reduce falls and harm from falls by implementing four improvements: a) improving data quality by standardizing definitions, data collection, analysis, and reporting, b) standardizing and simplifying the fall risk assessment, c) stratify interventions to the fall risk assessment, and d) using organizational processes to augment clinical processes. Materials and Methods: Seven hospitals, both tertiary and community settings, volunteered to be part of the improvement project. The IHI Improvement Methodology was used. Three PDSA cycles of change lasting a total of nine weeks were completed. A Fall Reduction Toolkit was developed that included a new fall risk and harm assessment tool and intervention form, standardized definitions and data analysis methods, three levels of fall and harm from falls reduction interventions based on risk, TeamSTEPPS tools to augment the clinical process change, an educational module for the staff, forms and templates to track the improvement process change, and the education completed. Results: All of the units that participated in the improvement project pilot decreased the fall index rate and six out of seven units decreased the falls with injury rate. Conclusions: The goals of simplifying falls assessment, stratifying interventions based on risk and patient needs, standardizing definitions, data collection and reporting were achieved. The Falls Reduction Improvement Initiative was a success and will be spread throughout the North Shore LIJ Health System. Bibliography: Kolin, M. M., Minnier, T., Hale, K. M., Martin, S. C., & Thompson, L. E. (2010, September 1). Fall initiatives redesigning best practice. JONA, 40(9), 384-391. Mills, P., Waldron, J., Quigley, P., Stalhandske, E., & Weeks, W. (2003). Reducing falls and fall related injuries in the VA system. Journal of Healthcare Safety, 1, 25-33. Safeguarding against never events best practices for preventing pressure ulcers and patient falls. (2009). Washington DC: The Advisory Board Company. [© Improvement Science Research Network, 2011. http://www.improvementscienceresearch.net/.]
Keywords:
Model; Falls
Repository Posting Date:
16-Jan-2012
Date of Publication:
3-Jan-2012
Sponsors:
UTHSCSA Improvement Science Research Network

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing a Practice Improvement Model to Reduce Falls and Harm From Fallsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/203140-
dc.description.abstract(Improvement Science Research Network) Background: The prevention of falls and harm from falls continues to be a challenge. All in-patient falls are deemed preventable and classified as adverse events. Falls are the most frequently reported adverse event in the in-patient setting. Falls increase morbidity, mortality, and length of stay. The Center for Medicare and Medicaid Services has placed falls on the list of eleven hospital acquired conditions. Purpose: The purpose of this improvement initiative was to use evidence-based strategies and best practices to reduce falls and harm from falls by implementing four improvements: a) improving data quality by standardizing definitions, data collection, analysis, and reporting, b) standardizing and simplifying the fall risk assessment, c) stratify interventions to the fall risk assessment, and d) using organizational processes to augment clinical processes. Materials and Methods: Seven hospitals, both tertiary and community settings, volunteered to be part of the improvement project. The IHI Improvement Methodology was used. Three PDSA cycles of change lasting a total of nine weeks were completed. A Fall Reduction Toolkit was developed that included a new fall risk and harm assessment tool and intervention form, standardized definitions and data analysis methods, three levels of fall and harm from falls reduction interventions based on risk, TeamSTEPPS tools to augment the clinical process change, an educational module for the staff, forms and templates to track the improvement process change, and the education completed. Results: All of the units that participated in the improvement project pilot decreased the fall index rate and six out of seven units decreased the falls with injury rate. Conclusions: The goals of simplifying falls assessment, stratifying interventions based on risk and patient needs, standardizing definitions, data collection and reporting were achieved. The Falls Reduction Improvement Initiative was a success and will be spread throughout the North Shore LIJ Health System. Bibliography: Kolin, M. M., Minnier, T., Hale, K. M., Martin, S. C., & Thompson, L. E. (2010, September 1). Fall initiatives redesigning best practice. JONA, 40(9), 384-391. Mills, P., Waldron, J., Quigley, P., Stalhandske, E., & Weeks, W. (2003). Reducing falls and fall related injuries in the VA system. Journal of Healthcare Safety, 1, 25-33. Safeguarding against never events best practices for preventing pressure ulcers and patient falls. (2009). Washington DC: The Advisory Board Company. [© Improvement Science Research Network, 2011. http://www.improvementscienceresearch.net/.]en_GB
dc.subjectModelen_GB
dc.subjectFallsen_GB
dc.date.available2012-01-16T10:57:07Z-
dc.date.issued2012-01-03en_GB
dc.date.accessioned2012-01-16T10:57:07Z-
dc.description.sponsorshipUTHSCSA Improvement Science Research Networken_GB
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