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Falls Prevention Virtual Learning Collaborative
Rapid Fire Team Presentation Virtual Learning Session # 4
Name of Presenter: Barbie Cook
Name of Organization: Lillian Fraser Memorial Hospital
Location of Facility: Tatamagouche, N.S.
Number of Patients/Residents/Clients: 10 short stay inpatient beds and 2 observation beds. On average we have 1 palliative and 2-4 alc.
Who We Are
AIM
•Reduce incidence of falls (fall rate) by 40% from baseline at Lillian Fraser Memorial Hospital by March 2011
•Reduce injury from falls by 40% from baseline at Lillian Fraser Memorial Hospital by March 2011
Team Members
Barbie Cook: Site ManagerBrenda Mackinnon: LPNJanet Mattatall: Patient Care LeaderBecky McCarthy: Occupational TherapistNancy Smith: Physiotherapist Erin Pope: LPNShannon Anderson: CEHHA Director of Rehab Services
Measures
Falls-Acute 2 - Percent of of Falls Causing Injury
0%10%20%30%40%50%60%70%80%90%
100%
Apr2008
Jul2008
Oct2008
Jan2009
Apr2009
Jul2009
Oct2009
Jan2010
Apr2010
Jul2010
Oct2010
Jan2011
Apr2011
Jul2011
Oct2011
Month
Perc
enta
ge o
f Har
mfu
l Fal
ls
Actual Goal
Falls-Acute 5 - Percentage of "At Risk" Patients with Falls Prevention/Injury Reduction Plan Documented
0%
20%40%
60%80%
100%
Apr 2
008
May
200
8Ju
n 20
08Ju
l 200
8Au
g 200
8Se
p 20
08Oct
2008
Nov 2
008
Dec 2
008
Jan
2009
Feb
2009
Mar
2009
Apr 2
009
May
200
9Ju
n 20
09Ju
l 200
9Au
g 200
9Se
p 20
09Oct
2009
Nov 2
009
Dec 2
009
Jan
2010
Feb
2010
Mar
2010
Apr 2
010
May
201
0Ju
n 20
10Ju
l 201
0Au
g 201
0Se
p 20
10Oct
2010
Nov 2
010
Dec 2
010
Jan
2011
Feb
2011
Mar
2011
Apr 2
011
May
201
1Ju
n 20
11Ju
l 201
1Au
g 201
1Se
p 20
11Oct
2011
Nov 2
011
Dec 2
011
Month
Perc
enta
ge w
ith
Impl
emen
ted
Falls
Pr
even
tion
/Inj
ury
Redu
ction
Actual Goal
MeasuresMeasures
Falls-Acute 5 - Percentage of "At Risk" Patients with Falls Prevention/Injury Reduction Plan Documented
0%
20%40%
60%80%
100%
Apr 2
008
May
200
8Ju
n 20
08Ju
l 200
8Au
g 200
8Se
p 20
08Oct
2008
Nov 2
008
Dec 2
008
Jan
2009
Feb
2009
Mar
2009
Apr 2
009
May
200
9Ju
n 20
09Ju
l 200
9Au
g 200
9Se
p 20
09Oct
2009
Nov 2
009
Dec 2
009
Jan
2010
Feb
2010
Mar
2010
Apr 2
010
May
201
0Ju
n 20
10Ju
l 201
0Au
g 201
0Se
p 20
10Oct
2010
Nov 2
010
Dec 2
010
Jan
2011
Feb
2011
Mar
2011
Apr 2
011
May
201
1Ju
n 20
11Ju
l 201
1Au
g 201
1Se
p 20
11Oct
2011
Nov 2
011
Dec 2
011
Month
Perc
enta
ge w
ith
Impl
emen
ted
Falls
Pr
even
tion
/Inj
ury
Redu
ction
Actual Goal
Lessons Learned Make sure everyone is educated prior to the implementation of a new form or process.
Allow time to regroup often, to monitor how things are going.
Start Small
Make your goals and progress visible so that staff can see that what they are doing is making a difference.
Keep people involved!
Barriers:- Our forms were not very user-friendly- Staff resistance to change. “its just another piece of
paper”.
Moving Forward:- Continuously working on care plan to make it more
user friendly.- Make the benefit visible- Staff education- Communication
Challenges