2.50
Hdl Handle:
http://hdl.handle.net/10755/602863
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Falls Reduction
Author(s):
Hart, Amy; Parsons, Mickey L.; Parsons, Mickey L.
Lead Author STTI Affiliation:
Non-member
Author Details:
Amy Hart, RN, alhart_2001@yahoo.com; Mickey L. Parsons, RN, PhD, MHA, FAAN
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Purpose:  The purpose of the macrosystem practice change project was to become a “Falls Free” Hospital. Objective: Engage and involve the clinical leaders of all microsystems (patient care units) in the change process and to implement the evidenced based fall reduction/safety reduction bundle. Methodology:  Through the use of the Method for Microsystems Change Process a falls reduction plan was created utilizing the thirteen steps in collaboration and commitment of all clinical leaders. The opportunity for improvement and expected outcome were identified, evidence based best practices reviewed, and all hospital wide stakeholders engaged. Expected staff patient care practices were identified and the clinical policy revised substantially. The leaders designed and committed and to a new practice bundle process which is summarized as follows: 1-  A fall risk assessment upon each patient’s admission, transfer, each shift and change of condition. 2-  A ‘falls report’ to identify all high risk fall patients on each unit would be printed from the clinical documentation system each shift by the Charge Nurse. 3-  A safety huddle, with all scheduled staff highlighting all of the patients considered to be a high risk for falls, would be lead each shift by the Charge Nurse. 4- Hourly patient care rounds would be made by a nurse or certified nursing assistant. 5- The ‘falls report’ would be reviewed by the Nursing Manager to follow-up and assure the staff were practicing the new patient care bundle. 6- Weekly and monthly outcome reports would be reviewed by Nursing Managers. 7-  If a fall occurred, review and follow up would be provided by the appropriate Nurse Manager and a report at the monthly Falls Review Committee Meeting. The Nurse Manager, where a fall occurred, was accountable for appropriate counseling and possible disciplinary action per the revised policy and practice bundle. Results:  The practice bundle went into effect ten months ago. During the first month falls were reduced by 68% from the year prior. The outcomes have been maintained for ten consecutive months. Conclusions:  Fall reduction has continued with the comprehensive change strategy. The key difference has been the structured planning process that clearly delineated the expectations and accountability for patient care practices and management. Implications: The microsystem practice change method contributed to the hospital’s success in assuring practice sustainability and through that, outcome sustainability. A comprehensive falls reduction practice bundle may be useful to other facilities to achieve significant clinical outcomes.
Keywords:
fall reduction; practice change; sustained results
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15EB2.13
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleFalls Reductionen
dc.contributor.authorHart, Amyen
dc.contributor.authorParsons, Mickey L.en
dc.contributor.authorParsons, Mickey L.en
dc.contributor.departmentNon-memberen
dc.author.detailsAmy Hart, RN, alhart_2001@yahoo.com; Mickey L. Parsons, RN, PhD, MHA, FAANen
dc.identifier.urihttp://hdl.handle.net/10755/602863en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Purpose:  The purpose of the macrosystem practice change project was to become a “Falls Free” Hospital. Objective: Engage and involve the clinical leaders of all microsystems (patient care units) in the change process and to implement the evidenced based fall reduction/safety reduction bundle. Methodology:  Through the use of the Method for Microsystems Change Process a falls reduction plan was created utilizing the thirteen steps in collaboration and commitment of all clinical leaders. The opportunity for improvement and expected outcome were identified, evidence based best practices reviewed, and all hospital wide stakeholders engaged. Expected staff patient care practices were identified and the clinical policy revised substantially. The leaders designed and committed and to a new practice bundle process which is summarized as follows: 1-  A fall risk assessment upon each patient’s admission, transfer, each shift and change of condition. 2-  A ‘falls report’ to identify all high risk fall patients on each unit would be printed from the clinical documentation system each shift by the Charge Nurse. 3-  A safety huddle, with all scheduled staff highlighting all of the patients considered to be a high risk for falls, would be lead each shift by the Charge Nurse. 4- Hourly patient care rounds would be made by a nurse or certified nursing assistant. 5- The ‘falls report’ would be reviewed by the Nursing Manager to follow-up and assure the staff were practicing the new patient care bundle. 6- Weekly and monthly outcome reports would be reviewed by Nursing Managers. 7-  If a fall occurred, review and follow up would be provided by the appropriate Nurse Manager and a report at the monthly Falls Review Committee Meeting. The Nurse Manager, where a fall occurred, was accountable for appropriate counseling and possible disciplinary action per the revised policy and practice bundle. Results:  The practice bundle went into effect ten months ago. During the first month falls were reduced by 68% from the year prior. The outcomes have been maintained for ten consecutive months. Conclusions:  Fall reduction has continued with the comprehensive change strategy. The key difference has been the structured planning process that clearly delineated the expectations and accountability for patient care practices and management. Implications: The microsystem practice change method contributed to the hospital’s success in assuring practice sustainability and through that, outcome sustainability. A comprehensive falls reduction practice bundle may be useful to other facilities to achieve significant clinical outcomes.en
dc.subjectfall reductionen
dc.subjectpractice changeen
dc.subjectsustained resultsen
dc.date.available2016-03-21T16:38:19Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:38:19Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.