This document outlines a fall prevention program for a hospital. It defines what constitutes a fall, notes that falls are common among elderly and confused patients and can result in serious injury. It stresses the importance of identifying patients at risk of falls through assessment tools like the Morse Fall Scale and implementing prevention strategies like hourly rounding, ensuring call lights and other items are within reach, and using devices to prevent falls for high-risk patients. The overall goal is to prevent falls and injuries to increase patient safety and reduce healthcare costs from fall-related injuries.
Spinal immobilization using long board micro teaching 2019Sasha Bondi
demonstration and micro-teaching on spinal immobilisation and log-roll. these manoeuvres save lives and help us healthcare workers to carefully work with patients with possible or actual spinal and/or pelvic injuries.
Spinal immobilization using long board micro teaching 2019Sasha Bondi
demonstration and micro-teaching on spinal immobilisation and log-roll. these manoeuvres save lives and help us healthcare workers to carefully work with patients with possible or actual spinal and/or pelvic injuries.
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
International-Patient-Safety-GoalsGoal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
Capstone Project Change Proposal Presentation for Faculty Review a.docxbartholomeocoombs
Capstone Project Change Proposal Presentation for Faculty Review and Feedback
Assessment Description
Create a 10-15 slide Power Point presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in the digital classroom for feedback from the instructor.
PICOT Question (See other file uploaded)
Interventions
Falling incidences can cause several complications, including health care costs, severe health issues, immobility, etc. With the severity of this issue, appropriate interventions should take place. In this context, proper monitoring is one of the significant interventions to prevent this incidence (Huang et al., 2020). Hence, incorporating educated and efficient technicians while providing patient care can be an essential step. Yet, due to decreased mobility or functionality, older people often require help in doing basic activities, in this aspect, providing help to the patients while changing to hospital-approved gowns (Liu-Ambrose et al., 2019). In addition, one significant and effective intervention is providing quick education to the patient regarding fall prevention strategies (Radecki, Reynolds & Kara, 2018). Another critical aspect is providing a safe environment for clinical care. Outpatient clinics should improve their workflow and environmental condition, such as removing hazardous materials, and keeping the floor clean and dry, so that the clinic can provide a safe area for older patients. These interventions can help prevent falls (Guirguis-Blake et al., 2018).
Benchmark - Capstone Change Project Objectives
1. Prevent elderly falls in an outpatient radiology clinic.
Rationale: Falls occur as age advances due to individual risk factors or environmental factors. For example, gait or balance deficits, chronic conditions, medications, and footwear the patient is wearing. Assisting these patient populations can prevent falls in the department.
2. Educate patients and people in the community on how to prevent falls.
Rationale: Educate patients regarding physical changes and chronic health conditions that cause or probability of falls.
3. Provide a safe environment for clinical care in the outpatient clinical setting.
Rationale: Design the clinical area accessible to patients in wheelchairs, with assistive devices, and with mobility deficits. Have handrails on walls and hallways for support, clean, non-skid floors, and lighted pathways in hallways, rooms, and bathrooms.
4. A patient care technician (PCT) is available in the outpatient clinical area for patients.
Rationale: Having a PCT in the clinical area, especially around the dressing rooms, would benefit the patients needing help when changing to hospital-approved gowns and monitoring patients for risk.
patient safety and staff Management system ppt.pptxanjalatchi
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
patient safety and staff Management system ppt.pptxanjalatchi
What is Patient Safety? Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities. It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
Surgical Risk Assessment is an Important Factor in any Surgical TreatmentJohnJulie1
Surgical risk is a form of assessing the clinical conditions and health conditions of a person who will undergo surgery, so that the risks of complications are identified throughout the period before, during and after surgery. It is calculated through a physician’s clinical assessment and the requirement for some tests, but to facilitate the assessment, there are also some protocols which have better directing in medical thinking. Any doctor can make this assessment, but most often it is done by a general practitioner, a cardiologist and an anesthesiologist. In this way, it is possible for each person to receive some attention before the surgery, such as seeking more appropriate tests or performing treatments to reduce the risk.
Surgical Risk Assessment is an Important Factor in any Surgical Treatmentsuppubs1pubs1
Surgical risk is a form of assessing the clinical conditions and health conditions of a person who will undergo surgery, so that the risks of complications are identified throughout the period before, during and after surgery. It is calculated through a physician’s clinical assessment and the requirement for some tests, but to facilitate the assessment, there are also some protocols which have better directing in medical thinking. Any doctor can make this assessment, but most often it is done by a general practitioner, a cardiologist and an anesthesiologist. In this way, it is possible for each person to receive some attention before the surgery, such as seeking more appropriate tests or performing treatments to reduce the risk.
Fall-related injuries can be some of the most common, disabling, and expensive health conditions encountered by adults, especially older adults. According to researcher Janice Morse, approximately 14% of all falls in hospitals are accidental, another 8% are unanticipated and 78% are anticipated falls. Guideline to prevent falls in the hospital has helped to bring down the numbers and improve patient safety.
Simple and Safe Approaches Towards Patient SafetyEhi Iden
A conference presentation on simple approaches and steps in achieving and managing patient safety in health. It talks about team approach, mutual support, just system, leadership commitment, complications of blame game and case study of the popular Kimberly Hiatt story.
2. FALL PREVENTION PROGRAM
It is everyone's responsibility to provide a safe environment for patients.
Fall prevention is one aspect of patient SAFETY goals according with
JCAHO and hospital policy.
5. WHAT IS A FALL ?
A fall is defined according to the facility or hospital policy.
FRHG policy defined a fall as a unpleasant experience that involve patient ,
family or staff and may or may not have side effects or medical
consequences or legal actions.
7. Fall among hospital
inpatients are
common among
confused and
elderly patients.
Patients who fall incur
in serious physical
injuries, results in
fractures, subdural
hematomas, even
death.
FALL PREVENTION PROGRAM
8. FALL PREVENTION PROGRAM
Injuries due to falls increase health care costs.
Patient that sustain injury have approximately hospital charges over 7 to 8
times higher than those patients who do not fall.
9. FALL PREVENTION PROGRAM
EVERY ACUTE HEALTH CARE SETTING MUST IDENTIFY THE PATIENTS AT
RISK FOR FALL TO PREVENT OR MINIMIZE PATIENT FALLS AND
INJURIES WHILE HE/SHE IS IN THE HOSPITAL.
11. FALL RISK ASSESSMENT
FALL RISK ASSESSMENT MUST BE PERFORMED UPON ADMISSION TO
IDENTIFY RISK FACTORS SUCH AS :
1- COGNITIVE DYSFUNCTION.
2- DEMENTIA
3- IMPAIRED MOVILITY
4- MEDICATIONS
5- ENVIRONMENTAL.
12. Patient must be
assessed:
On every shift.
When patient condition
changes.
When patient
medications changes
When patient is
transferred to another
unit.
After a fall.
FALL RISK ASSESSMENT
13. FALL PREVENTION PROGRAM
1- Identifying causes and risk factors of falls is very important.
2- Falls may be caused by environmental or physiologic factors.
3- Some of them cant be predicted nor prevented.
4- Most of them are anticipated and identified through fall risk assessment.
14. FALL PREVENTION PROGRAM
1- Instruct the patient to request assistance as needed.
2- Keep rooms and hallways clear of obstacles.
3- Place assistive devices such as walkers and canes within a patients
reach.
4- Do not leave at – risk patients unattended in diagnostic or treatment
areas.
15. Fall prevention:
Communicate the
patients at risk status
with colleagues and
others disciplines.
Inform patient and family
regarding plan of care
to prevent falls.
Raise the side rails as
appropriate or
following hospitals
policies
FALL PREVENTION PROGRAM
16. The Morse fall
scale is a rapid
and simple
method of
assessing a
patients
likelihood of
falling.
FALL PREVENTION PROGRAM
17. Morse fall scale
assessment tool is
commonly tool used for
fall assessment.
Use variable descriptions
and scoring hints such
as:
1- History of falling
2- Ambulatory aids
3- Iv access.
4- Gaits
5- Mental status.
FALL PREVENTION PROGRAM
18. 1- Make hourly rounds.
2- Teach patients to call
for help.
3- Place the following
items within patient
reach:
Call lights.
Water
Trash can
Phone
TV-remote control.
4- Place any fall
prevention devices to
high risk fall patients.
5- Position the bed to
the lowest position.
6- Leave the room free
from clutter.
7- Answer call light
promptly.
FALL PREVENTION RECOMMENDATIONS
19. Inpatient falls are
persistent
problems in a
hospital. There are
a lot of
characteristics,
circumstances,
activities that
contributes to falls.
Determines fall risk
factors increase
patients safety.
Planning
interventions in
place decrease
incidents reports
for falls.
Staff education
increase fall
prevention
awareness.
FALL PREVENTION PROGRAM SUMMARY
20. The goal for fall
prevention
program is
Patient SAFETY.
FALL PREVENTION PROGRAM