Premium Essay

Falls

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Submitted By dpaint
Words 497
Pages 2
Falls
A medical surgical unit where falls began to jump, and we don’t know why. Was it that we weren’t assessing correctly, were we not putting the right interventions in place, or was it that our patient population changed—or a combination? That’s the question that started us down this road. A record called a hybrid version of several other falls risk assessments. During the next several months, the committee has the following four goals:
• Decrease falls at North Adams by 10% 12 months after plan implementation
• Review and revise falls policy and procedures based on evidence-based data
• Recommend necessary education for staff members
• Develop ongoing performance improvement monitoring
Once the falls problem was identified and brought to the attention of the hospital’s patient safety committee, a falls subcommittee was formed and staff nurses recruited. The committee has representation from inpatient and outpatient areas of the hospital and meets weekly to discuss current practice and published research on the subject. The committee discussed various journal articles and literature found online and evaluated models used by other healthcare organizations. The committee examined the assessment, Morse and Hendrick models, used by a handful of neighboring organizations.
The committee started by analyzing its current falls assessment process, including interventions. A revised model for assessing a patient’s risk and preventing falls based on the research and analysis done by the committee. The model includes:
• Addition of IV criteria to the assessment tool
• Institution of primary interventions for every patient who comes to the hospital for care and additional interventions for patients scored at low or high risk for falls • Required documentation of interventions and completion of a falls risk assessment every eight hours and with any change…...

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