rapid fire team presentation template
DESCRIPTION
Rapid Fire Team Presentation Template. Nancy Fletcher, Suzanne Vanderlip and Kelly Stajer. Markham Stouffville Hospital Markham, Ontario. Number of Patients/Clients: 200. AIM. - PowerPoint PPT PresentationTRANSCRIPT
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Rapid Fire Team Presentation Template Nancy Fletcher, Suzanne Vanderlip and Kelly Stajer
www.saferhealthcarenow.ca
Falls Facilitated Learning SeriesMarkham Stouffville Hospital
Markham, Ontario
Number of Patients/Clients: 200
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Falls Facilitated Learning Series
AIM
“To learn and integrate strategies of sustainability into our organization’s falls improvement plans to ensure we increase the likelihood of sustaining practice change for prevention of falls and injury reduction while holding the gains over time. We will be active participants in data submission to SHN Falls Intervention and network with other enrolled teams in the National Falls Facilitated Learning Series (FFLS)”
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Falls Facilitated Learning SeriesNancy Fletcher Team sponsor,
Prof.Practice
Suzanne Vanderlip
Team lead, Prof.Practice
Toni Britton Data support
Karen Hickman Professional Practice Med
Doreen Kaneko Professional Practice Surg
Kelly Stajer Professional Practice Peds
Roger Perez Professional Practice ED
MaryLou James Quality and Risk
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Falls Facilitated Learning SeriesChange Ideas tested to date
Changes Implemented within Organization
Working/Not Working
Facilitators/Barriers identified
New falls policy June 2011 Interprofessional & included clinical and non clinical staff, MDs & volunteers
Ongoing education to continue to sustain practice and maintain awarenessFalls Champions (IDHCT)
-New risk assessment tool -New post falls monitoring tool with classification of falls into Type I & Type II(unwitnessed, bleeding risk & witnessed & no bleeding risk)-ID cards made for clinical & non clinical staff
100% compliance with completion of falls risk within 24h of admission
Post falls monitoring tapered off after 4 – 8h monitoring
Time frame for post falls monitoring =37h for Type I (not completed)Falls champions developed a tick sheet tool that helped prompt when the next monitoring was due
Leaf identifiers -client door, aids, chart, communication boards
Consistency with all locations except for spine of chart
Challenges with identifying risk client when not on unit eg. DI
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Falls Facilitated Learning Series
Type I FallUnwitnessed,
witnessed with head injury, bleeding risk
• Q15mins x4• Q1h x4• Q4h x8• Then as ordered
Type II FallWitnessed without
head injury, no bleeding risk
• Q30mins x4• Q1h x4• Then as ordered
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Falls Facilitated Learning SeriesChange Ideas tested to date
Changes Implemented within Organization
Working/Not Working
Facilitators/Barriers identified
Revised audit tool and 10 charts audited each month in all areas
Currently professional practice completing audits need to extend this to the falls champions
Challenges with accessing falls champions & tool is a visual audit of identifiers & electronic auditN eurological
E nvironmentA ctivityT oilet
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Falls Facilitated Learning SeriesChange Ideas tested to date
Changes Implemented within Organization
Working/Not Working
Facilitators/Barriers identified
Adoption of a specific tool for obstetrical patients intra/post partum
Similar challenges as mentioned previously with other adult population
Similar as other adult population
Adoption of a Pediatric tool “Humpty Dumpty”
Similar challenges as with adult population
Similar to adult
N eurologicalE nvironmentA ctivityT oilet
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Falls Facilitated Learning Series
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Falls Facilitated Learning Series
Lessons Learned on Sustaining Falls Improvement Work during Action
PeriodInclude all members of the team• Ensure senior team involved• Include clinical and non clinical staff• Include MDs and volunteers• Engage front line champions
Regular auditing with feedbackShare stories & learn from each other
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Falls Facilitated Learning Series
• Ongoing education on falls prevention• Continue to use the NEAT acronym but
incorporate into daily work • Include patient/family in prevention
strategies• Work on ways to communicate falls
risks
Challenges to Sustaining Falls Improvement
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Falls Facilitated Learning Series
Remember to “Focus on Falls”
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Falls Facilitated Learning Series
Name: Suzanne Vanderlip
Email: [email protected]
Phone Number: 905 472-7373 6241
Contact Information