Fall Prevention Interventions - Washington State Hospital Association

Report
Fall Prevention
Interventions
It Starts with You…
Preventing Falls
Improving Lives
2014 Fall Prevention Education Series brought to you by the Washington State Hospital Association
Why focus on preventing falls?
Preventing falls:
• Increases patient trust
• Improves care
• Improves patient satisfaction
• Decreases unnecessary costs for both
the patient and the hospital
What can I do to prevent falls?
Leadership & Frontline Staff Involvement
Identify Fall & Injury Risk Patients
Monitor Performance
Research Proven Interventions
What can I do to prevent falls?
What can I do to prevent falls?
What can I do to prevent falls?
What can I do to prevent falls?
What can I do to prevent falls?
What can I do to prevent falls?
Culture of Fall Prevention
- involving all disciplines
Patient and Family Engagement
= Better Outcomes
Mr. Walt
Demographic Information: 82 year old male
Admitted with: Lower GI Bleed, r/o diverticula
Social Situation: Lives at Assisted Living Facility, Family supportive
Medications: Vitamins, low dose aspirin daily, famotidine, IV
Fall History: Last admission was related to Fall w/injury 3 months ago
Additional Observations: Mild dementia, uses walker, hard of hearing,
Morse Fall Scale risk assessment at 47 (high risk falls)
Mr. Walt
Which interventions would you implement for all
patients, including Mr. Walt?
•
•
•
•
•
•
Communicate High Risk at Bedside Shift Report
Shift/Safety Huddle Communication
Hourly Rounding with P’s Action
Patient Communication White Board
Bed in Lowest Position/Call Bell in Reach
Include Family in Care Plan
Mr. Walt
What other interventions would you
implement for Mr. Walt?
•
•
•
•
•
High Fall Risk Signage
Fall Risk Armband
Staying Within Arms Reach
Bed and Chair Alarm
PT/OT Consult
What have we learned?
• Complete Fall Risk Assessment
• Design an Individualized Care Plan
• Some interventions discussed include:






Bedside Shift Report
Shift/Safety Huddles
White Board Communication
Purposeful Hourly Rounds
Stay Within Arms Reach for Toileting
Use Alarms, Signage, Armbands as
Notification Devices
 PT/OT Consult
Other presentations
in this series
Fall Risk Assessment
Fall Prevention Interventions,
Patient and Family Engagement
Post-Fall Huddles and Analysis
Brought to you by the Washington State Hospital Association
Resources
The analyses upon which this publication
is based were performed under
Contract Number
HHSM-500-2012-00008C
entitled
"Hospital Engagement Contractor for
Partnership for Patients Initiative.”

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