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Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template. MICs Group of Health Services-Anson General Hospital:. Diane Martin, Tammy Brown. Join the Falls Prevention Virtual Learning Collaborative. Who We Are. Anson General Hospital. - PowerPoint PPT Presentation
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Join the Falls Prevention Virtual Learning Collaborative
Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template
MICs Group of Health Services-Anson General Hospital:
Diane Martin, Tammy Brown
Anson General Hospital•One of three partners in the MICs Group of Health Services•Small Hospital in Northern Ontario
• Acute care: 19 beds• Complex Continuing Care: 15 beds
Who We Are
Team Members
Team Member Role
Karen Hill Chief Nursing Officer-Executive sponsor
Isabelle Boucher Director of Quality, Risk and Patient Safety-team lead
Patsy Huber Director of NursingDiane Martin, Cathy Bolton, Tammy Brown
Nursing champions
Joyce Rickard Pharmacy representativeErica Burton DieticianCraig Ogden Physiotherapist
AIM
Purpose of Falls Prevention TeamTo lead and coordinate team learning, process and care improvements; to ensure our targeted goals are achieved in falls and injury reduction and that we contribute as active participants in the SHN Falls Prevention VLC
Scope & Boundaries1.Patients at risk for Falls and Injury from Falls2.Target patients from Acute Care at Anson General Hospital
AIM
Improvement AimReduce incidence of falls (fall rate) by 40% from baseline by March 2011Reduce injury from falls by 40% from baseline by March 2011
Change Ideas
List Changes you have tested during Falls VLC PDSA Cycles:•Adoption of Falls Morse Scale tool on all new admissions•Conduct post falls “huddle” using post falls checklist with all new falls•Ensure high risk patients have documents fall prevention strategies on their care plans•Ensure high risk patients have “apple” logo on spine of chart, at bedside and on white board to communicate risk to other staff•Ensure high risk patients are in a “high-low” bed if available
Baseline Measures
Indicator Baseline measure Target
Fall rate per 1000 patient days 12.44% Reduce by 40%
Percentage of Falls Causing Injury 54.5% Reduce by 40%
Percentage of Patients with completed falls risk assessment on admission 0 100%
Percentage of Patients with completed falls risk assessment following a fall or significant
change in medical status0 100%
Percentage of “At Risk” Patients with a documented falls prevention/injury reduction
plan0 100%
Percentage of residents with restraints in place 90%Maintain atbaseline or
below
Fall Rate per 1000 patient days
% Falls causing harm
55%67%
33%43%
50% 50%
0%10%20%30%40%50%60%70%80%
Baseline October November December January Februarymonths
% of harmful falls
Morse Falls Scale
0%20%40%60%80%100%120%
November December January FebruaryMonths
% Completed Morse Falls Scale on Admission
Completion rate
Goal
Post Fall “Huddles” using Checklist
0%
20%
40%
60%
80%
100%
November December January February
Post Falls Huddles using Checklist
Post Falls Checklist
Post Falls Prevention VLC
Indicator Baseline measure Target February
2010
Fall rate per 1000 patient days 12.44% Reduce by 40% 4.88%
Percentage of Falls Causing Injury 54.5% Reduce by 40% 50%
Percentage of patients with completed falls risk assessment on
admission0 100% 88%
Percentage of patients with completed post falls checklist
following a fall0 100%
Percentage of “At Risk” Patients with a documented falls
prevention/injury reduction plan0 100% 100%
Lessons LearnedList any “key” advice or insights you would like to share with other teams?
Lessons Learned/Key Insights
•Team member roles and responsibilities need to be clear•Team member engagement and commitment is key
•Education for all staff involved is necessary to ensure success•Regular follow-up with progress and data collection
•Measure, measure, measure!
•Reward and recognize team member’s efforts
What are some things you will do to sustain the work on reducing falls and injury from falls and by what date?
Next Steps
Key Sustainability Steps/Plan: Target Dates
Develop standard “falls prevention strategies” for patients at high risk for falls
May 2011
Ensure high risk patients have documents fall prevention strategies on their care plans
May 2011
Continue to conduct post falls “huddle” using post falls checklist with all new falls
ongoing
Name: Isabelle BoucherPatsy Huber
Email: [email protected]@micsgroup.com
Phone Number: (705) 273-2424 ext 1156(705) 258-3911 ext 3301
Contact Information
