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Patient Engagement for Falls Prevention Program

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Patient Engagement for Falls Prevention Program

  1. 1. Kaiser Permanente, Northern California Caritas in Action How Caring Science informs and inspires KP caregivers and affirms our commitment to provide our patients and their families exceptional care Caritas Consortium 2014 Patient Engagement for Falls Prevention Program Honoring Health, Healing & Wholeness
  2. 2. Patient Engagement for Falls Prevention Program Intent to Contribute Statement: Examining fall events at Kaiser Permanente Santa Clara, (KP SCL) practices using only external approaches, such as: yellow identification bracelets, signage on doors, floor pads, and alarms have not proven effective in reducing the volume of falls. KP SCL desires to dramatically reduce the fall rate. Discovering new practices of patient education was observed at the 2012 Caritas Consortium. Additionally, Northern California HEROES monthly meeting had identified a best practice program called “No One Walks Alone” from KP San Diego Medical Center. This program consisted of the following: universal fall precautions for all patients; alarms (bed and chair) for all patients; all patients are accompanied when getting out of bed. KP SCL reviewed this best practice and added several more elements to create an expanded “Falls Prevention Bundle”. Co-creating is described as the ability to work with others to develop a healing environment for the physical and spiritual self who respects human dignity. Patient engagement is critical in the success of collaboration with any prevention program. Using the caring science to co-create a partnership with our patients allowed them to directly participate in their own identification of risks about falling. Page 2
  3. 3. Page 3 … Continued We augmented the current nurse centered Schmid Fall Risk Assessment and supplemented this risk assessment with the Patient Partnership Agreement from KP San Diego. The Schmid Fall Assessment Tool was converted specifically for patients who read and speak English at a reading level of fifth grade vetted through Health Education, Compliance, Public Affairs, and reviewed with patients along with front line staff. The “Patient Partnership Agreement” reviews the risks, informs the patients his/her role in fall prevention, what the nurse will do for them and how to partner to prevent falls. A pilot was conducted on a high fall department and shared among our Nurses, Unit Assistants, Patient Care Technicians, Physical Therapist, and Mobility Team. Of all of the new strategies implemented, the single greatest impact came from the patient education bundle which directly engaged the patient on the real risks of falls based on their assessment using the Schmid Fall Assessment and Patient Partnership Agreement. Patients were surprised that they were at risk. Often times voicing their concern that they don’t think they will fall. Reinforcement of the Patient Education Bundle upon admission, transfers in and during Nursing Knowledge Exchange with monitoring equipped the staff and patient to co-create an approach to stop falls beyond our pilot. Patient Engagement for Falls Prevention Program
  4. 4. Inspired Contributor(s) :  Kathy Ricossa ------ Service Area: Santa Clara Medical Center: SCL Affiliation: PCS ------ Year Shared: 2014 Venue: Caritas Consortium Format: Poster ID #: Q02 Keyword TAGs: Identifier  Consortium2014-June, Santa Clara, Poster, Patient Care Services, Adult Services  Education & Staff Dev, Hospital Initiatives, Patients/Families Descriptor  Mentoring/Empowering Others, HEROES Page 4 Patient Engagement for Falls Prevention Program
  5. 5. Page 5 Patient Engagement for Falls Prevention Program << Insert Photo(s) here >>

Editor's Notes

  • Good morning, I am delighted and honored to be here today to recognize and reflect on how Caring Science is enabling us to transform the caring-healing culture within Northern California Kaiser Permanente.
  • And finally, the time we’ve been waiting for…
    The joyful moment when we are able to Harvest the Bounty of all the thoughtful attention, dedication, good intentions and caring energy we have poured into tending the garden
    The exuberant recognition that harnessing our capacity to Flourish has enabled us to Realize our Fullest Potential

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