Pa tie nt Ca re Qua lity a nd Sa fe ty Pro je c t
F a ll Risk Pro to c o l De te rmine if pa tie nt is a hig h fa ll risk- Co nle y Sc a le — (2 time s pe r shift) Sc o re o f 2 o r hig he r I mple me nt I nte rve ntio ns: I de ntifie rs, e nviro nme nta l mo dific a tio ns, e duc a tio n I f ne e de d a pply a dva nc e d fa ll pre c a utio n me a sure s
Pro c e ss to I mpro ve Pa tie nt I de ntifie r I mple me nta tio n: Go wn, so c ks, I D b a nd
Who Will I mpro ve T his Pro c e ss? T he F a ll Pre ve ntio n T e a m: Nursing , c a se ma na g e me nt, pha rma c y, e nviro nme nta l se rvic e s, tra nspo rt, PT , OT , RT , a nd pa tie nt c a re -te c hs a re a ll re pre se nte d I nte rdisc iplina ry te a m, invo lving a ll sta ff me mb e rs, ra the r tha n o nly dire c t-c a re g ive rs Sta ff e duc a tio n to a nswe r c a ll lig hts Sta ff me e ting s re g a rding fa ll pro to c o l F a mily e duc a tio n
F lo wc ha rt
Pro c e ss Bre a kdo wn Clo thing a nd pa tie nt ide ntifie rs yie lde d the lo we st pe rc e nta g e s o f imple me nta tio n Adva nc e d da ta e xc lude d
PDCA -Pla n F a ll risk b undle Ro unding - se tting ne w sta nda rds Co mmunic a tio n/ E duc a tio n F lo o r Re c o g nitio n/ E nc o ura g e me nt
PDCA -Do Onc e a shift ro unding Addre ss during tra nsfe r o f trust Do c ume nt c he c k list
PDCA -Che c k I mple me nt c he c k list during ro unding a nd do c ume nt: I f re q uire d ma te ria ls a nd e duc a tio n we re e mplo ye d Re info rc e Clutte r-fre e e nviro nme nt De c re a se d inc ide nc e o f fa lls unit a nd ho spita l wide
PDCA -Ac t I nc re a se b undle a wa re ne ss o r imple me nt E nsure c o mple te ne ss o f b undle Ma ke ro unding spe c ific to fa ll pre ve ntio n De ve lo p ne w c ha rting te mpla te spe c ific to fa ll pre ve ntio n ma te ria ls Upda te fa ll pre ve ntio n pro to c o l
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