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Twilight (The Flamingo Hotel)
Monday, 29 January 2007
6:30 PM - 8:00 PM
Twilight (The Flamingo Hotel)
Tuesday, 30 January 2007
4:30 PM - 6:00 PM
Reducing patient fall in Hospital setting using PDSA cycle
Shaheena S. Sheikh, Manager, Nursing Practices, The Aga Khan University Hospital, PO.BOX 3500,STADIUM ROAD,, KARACHI, 74800 PAKISTAN, KARACHI, Pakistan and Amina Malik, BScN, RN, Nursing Services, The Aga Khan University Hospital, PO BOX,3500,STADIUM ROAD, KARACHI, 74800 PAKISTAN, KARACHI, 74800, Pakistan.
Falls are among the most common, yet potentially preventable, adverse events experienced by patients in hospitals Such serious outcomes as physical and emotional injury, increased dependence, admission to a long-term care facility, and poor quality of life can result from falling. Traditionally, elderly patients have been at highest risk for falling, with many falls resulting in serious injury. These injuries cost billions of dollars and expose hospitals and their staff to liability. Nurses are the first line of care in prevention of falls. Educating nurses about risk factors, prevention strategies and application of fall index and fall injury statistics can improve the safety of fall-prone patients. Refining, modifying and individualizing fall risk factors and prevention interventions for traditional and nontraditional high-risk groups is a necessary focus for future research. The fall rate reported by NDNQI shows high number of fall at The Aga Khan University Hospital (AKUH) in one surgical nursing unit. This study identifies the evidence that the proper identification and addressing the risk factors can reduce the incidence of falls in the hospital setting.
Objective:
(a) To test the efficacy of a targeted risk factor reduction core care plan in reducing risk of falling while in hospital
(b) To apply and check the effectiveness of the principle of Plan-Do- Study and Act
Sample:
All patients admitted in the surgical ward AKUH during year 2005-2006
Methodology:
Some of the interventions that is introduction of patient fall risk identification at the time of initial assessment and related interventions were carried out by staff for each patient identified at high risk for fall. Staff used a standardized nursing care plan for patients identified as at risk of fall and introduced appropriate remedial measures. Numbers of falls in each month were then compared.
Results:
:
After introduction of the Fall assessment protocol and Care plan there was a significant reduction in the fall rate which was reduced to 4 patient fall in 2005 2nd quarter.(9 patient fall rate in 2005 1st quarter) It was further reduced to 2 patent fall in 2005 3rd quarter. The difference in change before the interventions and after the interventions was highly significant.
Conclusion:
The use of a standarized care plan targeting risk factor reduction in hospital in-patients was associated with a reduction in the relative risk of recorded falls.
Objective:
(a) To test the efficacy of a targeted risk factor reduction core care plan in reducing risk of falling while in hospital
(b) To apply and check the effectiveness of the principle of Plan-Do- Study and Act
Sample:
All patients admitted in the surgical ward AKUH during year 2005-2006
Methodology:
Some of the interventions that is introduction of patient fall risk identification at the time of initial assessment and related interventions were carried out by staff for each patient identified at high risk for fall. Staff used a standardized nursing care plan for patients identified as at risk of fall and introduced appropriate remedial measures. Numbers of falls in each month were then compared.
Results:
:
After introduction of the Fall assessment protocol and Care plan there was a significant reduction in the fall rate which was reduced to 4 patient fall in 2005 2nd quarter.(9 patient fall rate in 2005 1st quarter) It was further reduced to 2 patent fall in 2005 3rd quarter. The difference in change before the interventions and after the interventions was highly significant.
Conclusion:
The use of a standarized care plan targeting risk factor reduction in hospital in-patients was associated with a reduction in the relative risk of recorded falls.
See more of Using Quality Indicators to Achieve Quality Improvement
See more of The NDNQI Data Use Conference (January 29-31, 2007)