Safety Auditing as a Nursing Accountability Measure for Hospital Fall Prevention

2.50
Hdl Handle:
http://hdl.handle.net/10755/603311
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Safety Auditing as a Nursing Accountability Measure for Hospital Fall Prevention
Other Titles:
How Can We Increase Patient Safety? [Session]
Author(s):
Huntley, Nicole; Crock, Johanna; Shiskowsky, Kaycee; Crock, Johanna; Shiskowsky, Kaycee
Lead Author STTI Affiliation:
Alpha Kappa-at-Large
Author Details:
Nicole Huntley, RN, nbraunrn@hotmail.com; Johanna Crock, AGNP-C, OCN; Kaycee Shiskowsky, RN-BC
Abstract:
Session presented on Tuesday, November 10, 2015: Preventing falls is important to patient safety.  Despite 15 years of focused, evidence-based efforts our hospital was not consistently reducing falls to desired benchmarks.  Decreasing falls through a sustainable culture change where healthcare providers are held accountable for intervention compliance was instituted.  Institution of a baseline then quarterly Safety Audits by Fall Unit Peer Leaders in every hospital area.  The Safety Audit Form is a visual representation of evidence and hospital policy based intervention requirements based on a patient’s Fall Risk Assessment Score.  The Safety Audits were performed from the Form and afforded direct remediation and correction of staff shortcomings in fall prevention by the unit peer leader immediately, increasing knowledge and awareness of all staff.  At timed intervals Unit Fall Peer Leaders (UFPL) audit their units and turn in the Safety Audit Form to one of the hospital’s Fall Committee Co-Chairs for Audit Evaluation.  Audit Evaluations were compiled and returned to the UFPL and manager that day for sharing with unit staff and development of action plans to correct issues and knowledge deficits in real time.  Audit results were shared at Fall Committee meetings, Risk and Quality Committee meetings, and Shared Leadership meetings to address compliance and accountability by all hospital staff.  There were 8 fall prevention interventions that were routinely audited.  From baseline to most recent audit (July 2014) each area showed a percent increase in compliance.  In Critical Care areas there was an 81% increase in compliance with correct documentation, 48% increase in compliance with bed in lowest position, and 171% increase in bed/chair alarm compliance.  In Floor Areas there was a 50% increase in compliance with correct documentation, 20% increase in compliance with having non-skid footwear available, and 33% increase in bed/chair alarm compliance.  Within the first three months of Safety Audit institution falls decreased from 3.41 to 3.05 falls/1000 patient days.  The overall annual benchmark goal of 3.17 falls/1000 patient days was achieved.  Fall rates continued to decrease; at the 11-month mark post culture change the average was 2.76 falls/1000 patient days.  Fall prevention is important for patient safety and satisfaction.  Our hospital needed a sustainable culture change to ensure patient safety and reduce patient fall rates.  Safety Audits as part of a culture change and as an accountability measure has proven a marked increase in intervention compliance and decrease of hospital fall rates.
Keywords:
Fall Prevention; Acute Care; Auditing
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15G07
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.typePresentationen
dc.titleSafety Auditing as a Nursing Accountability Measure for Hospital Fall Preventionen
dc.title.alternativeHow Can We Increase Patient Safety? [Session]en
dc.contributor.authorHuntley, Nicoleen
dc.contributor.authorCrock, Johannaen
dc.contributor.authorShiskowsky, Kayceeen
dc.contributor.authorCrock, Johannaen
dc.contributor.authorShiskowsky, Kayceeen
dc.contributor.departmentAlpha Kappa-at-Largeen
dc.author.detailsNicole Huntley, RN, nbraunrn@hotmail.com; Johanna Crock, AGNP-C, OCN; Kaycee Shiskowsky, RN-BCen
dc.identifier.urihttp://hdl.handle.net/10755/603311en
dc.description.abstractSession presented on Tuesday, November 10, 2015: Preventing falls is important to patient safety.  Despite 15 years of focused, evidence-based efforts our hospital was not consistently reducing falls to desired benchmarks.  Decreasing falls through a sustainable culture change where healthcare providers are held accountable for intervention compliance was instituted.  Institution of a baseline then quarterly Safety Audits by Fall Unit Peer Leaders in every hospital area.  The Safety Audit Form is a visual representation of evidence and hospital policy based intervention requirements based on a patient’s Fall Risk Assessment Score.  The Safety Audits were performed from the Form and afforded direct remediation and correction of staff shortcomings in fall prevention by the unit peer leader immediately, increasing knowledge and awareness of all staff.  At timed intervals Unit Fall Peer Leaders (UFPL) audit their units and turn in the Safety Audit Form to one of the hospital’s Fall Committee Co-Chairs for Audit Evaluation.  Audit Evaluations were compiled and returned to the UFPL and manager that day for sharing with unit staff and development of action plans to correct issues and knowledge deficits in real time.  Audit results were shared at Fall Committee meetings, Risk and Quality Committee meetings, and Shared Leadership meetings to address compliance and accountability by all hospital staff.  There were 8 fall prevention interventions that were routinely audited.  From baseline to most recent audit (July 2014) each area showed a percent increase in compliance.  In Critical Care areas there was an 81% increase in compliance with correct documentation, 48% increase in compliance with bed in lowest position, and 171% increase in bed/chair alarm compliance.  In Floor Areas there was a 50% increase in compliance with correct documentation, 20% increase in compliance with having non-skid footwear available, and 33% increase in bed/chair alarm compliance.  Within the first three months of Safety Audit institution falls decreased from 3.41 to 3.05 falls/1000 patient days.  The overall annual benchmark goal of 3.17 falls/1000 patient days was achieved.  Fall rates continued to decrease; at the 11-month mark post culture change the average was 2.76 falls/1000 patient days.  Fall prevention is important for patient safety and satisfaction.  Our hospital needed a sustainable culture change to ensure patient safety and reduce patient fall rates.  Safety Audits as part of a culture change and as an accountability measure has proven a marked increase in intervention compliance and decrease of hospital fall rates.en
dc.subjectFall Preventionen
dc.subjectAcute Careen
dc.subjectAuditingen
dc.date.available2016-03-21T16:47:50Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:47:50Zen
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
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