Roadmap Preventing Falls in Hospital

7/27/2019 Roadmap Preventing Falls in Hospital

1/4

Roadmap

Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care

Section Action Steps Tool That Supports Action Who Should Use The Tool

Overview Enlist support of senior leaders Word Version[ - 30.6 KB]; Senior manager

Section 1 Are you ready for this change?

1.1 Assess the culture of safety in

your hospital

Tool 1A, Hospital Survey on

Patient Safety Culture;Word

Version[ - 49.85 KB]

All interdisciplinary team members

1.2 Evaluate current organizational

attention to falls

Tool 1B, Stakeholder Analysis;

Word Version[ - 30.26 KB]

Implementation Team leader

1.3 Assess and develop leadership

support for the fall prevention

program

Tool 1C, Leadership Support

Assessment;Word Version[

- 29.62 KB]

Tool 1D, Business Case Form;



1.5 Identify resources that are

available and resources that are

needed

Tool 1E, Resource Needs

Assessment;Word Version[

- 28.99 KB]


1.7 Assess your progress on

completing readiness for change

activities

Tool 1F, Organizational

Readiness Checklist;Word



Section 2 How will you manage change?

2.1 Identify your Implementation

Team

Tool 2A, Interdisciplinary Team;



2.2 Assess the current status of fall

prevention activities in your

hospital

Tool 2B, Quality Improvement

Process;Word Version[ -

30.48 KB]

Tool 2C, Current Process

Analysis;Word Version[ -

Implementation Team leader,

individuals designated by the

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30.33 KB]

Tool 2D, Assessing Current Fall

Prevention Policies and

Practices;Word Version[ -

33.9 KB]

Determine staff knowledge

about fall prevention

Tool 2E, Fall Knowledge Test;


Staff nurses and nursing assistants

2.3 Set goals for improvement

based on outcomes and

processes

Tool 2F, Action Plan;Word


Implementation Team leader with

quality improvement/safety/risk

manager


completing the managing

change activities

Tool 2G, Managing Change

Checklist;Word Version[ -

29.25 KB]


Section 3 Which fall prevention practices do you want to use?

3.1 Identify how fall prevention care

processes connect to one

another

Tool 3A, Master Clinical

Pathway for Inpatient Falls;


Quality improvement/safety/risk

manager, staff nurses, nursing

assistants

3.2 Implement universal fall

precautions

Tool 3B, Scheduled Rounding

Protocol;Word Version[ -

29.92 KB]

Tool 3C, Tool Covering

Environmental Safety at the

Bedside;Word Version[ -

36.01 KB]

Tool 3D, Hazard Report Form;


Tool 3E, Clinical Pathway for

Safe Patient Handling;Word


Unit manager, staff nurses, nursing

assistants, facility engineer, hospital

employee who enters patient rooms

3.3 Identify important risk factors

for falls in your patients

Tool 3F, Orthostatic Vital Sign

Measurement;Word Version[

- 32.37 KB]

Staff nurses, pharmacist, nursing

assistants
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Tool 3G, STRATIFY Scale for

Identifying Fall Risk Factors;

Tool 3H, Morse Fall Scale for

Identifying Fall Risk Factors;

Tool 3I, Medication Fall Risk

Score and Evaluation Tools;

3.4 Use identified fall risk factors to

implement fall prevention care

planning

Tool 3J, Delirium Evaluation

Bundle: Digit Span, Short

Portable Mental Status

Questionnaire, and Confusion

Assessment Method;

Tool 3K, Algorithm for

Mobilizing Patients;Word


Tool 3L, Patient and Family

Education;Word Version[ -

29.6 KB]

Tool 3M, Sample Care Plan;


Educators, staff nurses, physicians,

nurse practitioners, physician

assistants, nursing assistants

3.5 Assess and manage patients

after a fall

Tool 3N, Postfall Assessment,

Clinical Review;Word Version[

- 33.64 KB]

Tool 3O, Postfall Assessment for

Root Cause Analysis;Word


Staff nurses and physicians


completing the best practices

activities

Tool 3P, Best Practices


29.23 KB]

Implementation Team Leader

Section 4 How do you implement the fall prevention program in your organization?

4.1 Assign staff roles and

responsibilities for tasks

identified in set of best practices

Tool 4A, Assigning

Responsibilities for Using Best

Practices;Word Version[ -

Implementation Team Leader, Unit

manager
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oolkit/fallpxtk-tool3g.html


4/4

29.14 KB]

Tool 4B, Staff Roles;Word

Version[ - 31 KB]

4.3 Assess current staff education

practices and facilitate

integration of new knowledge

on fall prevention into existing

or new practices

Tool 4C, Assessing Staff

Education and Training;Word




implementing best practices

activities

Tool 4D, Implementing Best

Practices Checklist;Word



Section 5 How do you measure fall rates and fall prevention practices?

5.1 Collect the right data to learn

about falls, fall-related injuries,

and their causes

Tool 5A, Information To Include

in Incident Reports;Word


Quality improvement/risk manager,

information systems staff

5.2 Measure fall prevention

practices

Tool 5B, Assessing Fall

Prevention Care Processes;


Unit manager and unit champions


measuring progress activities

Tool 5C, Measuring Progress


29 KB]


Section 6 How do you sustain an effective fall prevention program?

6.3 Identify factors need to sustain

your fall prevention efforts

Tool 6A, Sustainability Tool;


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Roadmap Preventing Falls in Hospital

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Transcript of Roadmap Preventing Falls in Hospital