Situation
The lead hospital for an integrated healthcare provider was concerned about its relatively low ranking among peer hospitals in patient fall experience.
Team Engagement Strategy
A cross-shift team of nurses and support staff alongside a patient safety director were engaged to take on the challenge using Rapid Action, an “all in one” team engagement toolkit for accelerating results.
Rapid Action Project Charter
How can we create a comprehensive patient fall-prevention program in order to elevate the hospital to the top tier in performance levels among peer hospitals?
Sample of Solutions Implemented
- Installed a new Fall Risk Assessment Tool (modeled on evidence-based best practice models) to identify high-risk patients upon admission.
- Created a Falls-Prevention Packet for high-risk patients to ensure immediate identification and highlight extra safety measures such as grab bars, non-skid socks, gait belt, room signage, and more.
- Evaluated hospital environmental conditions for fall risks and installed preventive measures such a non-skid surfacing on frequently wet floors as well as easier access to walkers and other assistive devices.
- Developed an education program on fall prevention for staff, patients, and families.
