patient care quality and safety project - qsen...fall risk protocol determine if patient is a high...
TRANSCRIPT
Patient Care Quality and Safety Project
Fall Risk Protocol Determine if patient is a high fall risk-
Conley Scale— (2 times per shift) Score of 2 or higher
Implement Interventions: Identifiers, environmental modifications, education
If needed apply advanced fall precaution measures
Process to Improve Patient Identifier Implementation:
Gown, socks, ID band
Who Will Improve This Process?
The Fall Prevention Team: Nursing, case management, pharmacy,
environmental services, transport, PT, OT, RT, and patient care-techs are all represented
Interdisciplinary team, involving all staff members, rather than only direct-caregivers
Staff education to answer call lights Staff meetings regarding fall protocol Family education
Flowchart
Process Breakdown
Clothing and patient identifiers yielded the lowest percentages of implementation
Advanced data excluded
PDCA -Plan Fall risk bundle Rounding- setting new standards Communication/Education Floor Recognition/ Encouragement
PDCA -Do Once a shift rounding Address during transfer of trust Document check list
PDCA -Check
Implement check list during rounding and document: If required materials and education were
employed Reinforce Clutter-free environment
Decreased incidence of falls unit and hospital wide
PDCA -Act Increase bundle awareness or
implement Ensure completeness of bundle Make rounding specific to fall
prevention Develop new charting template
specific to fall prevention materials Update fall prevention protocol
Questions?