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Multi Faceted Approach To Fall Prevention With A Focus On Hourly Rounding
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Book Synopsis Multi-faceted Approach to Fall Prevention with a Focus on Hourly Rounding by : Derinda Grimshaw
Download or read book Multi-faceted Approach to Fall Prevention with a Focus on Hourly Rounding written by Derinda Grimshaw and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on quality data that is reported, patient falls are identified as the highest occurring patient safety event in acute care settings. Approximately 50% of patients admitted to the acute care setting will suffer a fall and approximately one half of those who fall will sustain an in injury. Patient falls result in increased length of stay, increased cost and decreased patient outcomes. Research has identified that a multi-faceted approach which includes intentional hourly rounding is the most effective intervention for improving patient safety. Focusing on fall risk assessment and re-assessment, documentation, communication among caregivers and intentional hourly rounding has resulted in decreased patient falls. Focusing on addressing patient needs through a proactive approach of hourly rounding provides the patient the reassurance that assistance will come and prevents the need for utilizing a call light and waiting on someone to answer it. The reassurance that someone will check in with in an hour encourages the patient to wait for assistance and prevents the risk of falls in addition to increasing patient satisfaction. The implementation plan for effective fall prevention includes education of staff and patients, which includes overall information on fall statistics and patient safety. Quality monitoring of documentation, intervention implementation and fall rates will be continually assessed to identify areas of opportunity for improvement. Nurse involvement and buy-in are key to implementation of hourly rounding and a successful fall prevention program.
Book Synopsis Implementing a Fall Prevention Program: a Quality Improvement Project to Promote Patient Mobility on the Medical-surgical Unit by : Alba Araiza
Download or read book Implementing a Fall Prevention Program: a Quality Improvement Project to Promote Patient Mobility on the Medical-surgical Unit written by Alba Araiza and published by . This book was released on 2019 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Implementing a fall prevention program is imperative in acute healthcare settings. Falls are one of the top reported events that occur in hospitals and it is a patient safety concern that requires the implementation of evidence-based practices to reduce falls. This quality improvement project will be developed by a master's prepared clinical nurse leader (CNL) on a medical-surgical unit to improve patient safety. Problem Maintaining patient safety is the most important priority in health care. Health care organizations implement protocols, policies and procedures to ensure that care is provided in a safe manner to minimize preventable harms. However, falls are unexpected incidences that occur in health care settings but are considered to be preventable occurrences. Falls can lead to serious injuries and even death; these events are known as sentinel events (The Joint Commission [TJC], 2013). According to the TJC (2016) inpatient falls are one of the top reported sentinel events occurring in hospitals and are considered a serious problem because it compromises patient safety. According to Walsh et al. (2018) and Zhao et al. (2019) in the U.S. the average fall rate of adults in a medical and surgical (M/S) unit is 3-5 falls per 1,000 patient days, in which 26.1% result in serious injuries including death. The existing problem in a Medical-Surgical (M/S) unit is that there was a 44% increase in falls this year in comparison to the previous year. Therefore, implementing a fall prevention program focusing on patient mobility is imperative. Context The M/S is an inpatient unit that has three floors with a total of 110 beds that serves a diverse population of patients. The M/S unit provides medical services adult patients. The unit provides treatment for acute and chronic medical conditions such as cardiovascular, pulmonary, and renal diseases as well as others. The M/S unit has been diligently working on focusing on purposeful hourly rounding as a method to decrease in patient falls but it has not yielded the desirable outcome of a reduction in falls. Interventions The proposed plan is to implement a fall prevention program that is centered around promoting patient mobility on the M/S unit to decrease patient falls. The CNL will establish a multidisciplinary team known as the mobility/fall task force to collaborate on developing a standardized mobility program that can be modified to meet the needs of each patient. This program will be multifaceted as it will also include performing a fall and mobility assessment and the use of several mobility tools in place along with the development of a patient mobility goal plan tool that will be incorporated into this fall prevention program. The goal is to reduce the incidence of inpatient falls occurring in the M/S unit by 25% by the end of December 2019 and 50% by December 2020. This program is currently underway. Measures To determine the success of this project, several data sets will be collected by auditing nursing documentation of the following: nursing fall risk and functional mobility assessments, patient daily mobility activities, and hourly rounding. Additional data will be collected through the review of incident fall reports as well as the review of monthly length of stay. These measurements will be analyzed first on a weekly basis for two weeks, followed by a bi-weekly basis for four weeks, then monthly for six months, and every three months thereafter. The data collected will then be entered in a Microsoft Excel spreadsheet to graph the information to depict the changes occurring over time. The graphs will reflect if there are any changes indicating positive outcomes through the introduction of this fall prevention program. Results The fall prevention program was initiated in August 5, 2019 and trialed for two weeks on all three floors in the M/S unit. The program officially began on August 19, 2019. The outcomes measured included fall rates, percent of patient being ambulated and length of stay. At this point, there is insufficient data available to determine the trend of the success, but the initial results indicate positive outcomes since the program was implemented. Although it is not the target goal of 25% reduction, data indicates that there has been a 7% reduction in falls. Further, data shows that there also was a decrease in length of stay (LOS). However, the percent of patients being ambulated was below the desired target goal. Conclusion The preliminary results indicate that having the CNL implement and lead the fall prevention program has shown positive outcomes in the reduction of falls occurring in the M/S unit per month. To continue the success of the program, the CNL will continue working closely with staff to assign a unit champion by floor per shift to ensure sustainability. The mobility/fall task force will continue meeting regularly to monitor success of the program and discuss ways to continue preventing falls. The success of this program will indicate that having a CNL collaborate with a team to implement quality improvement projects can lead to improved patient safety and better patient outcomes.
Book Synopsis Significance of Hourly Rounding on Fall Prevention by : Richard Bryant
Download or read book Significance of Hourly Rounding on Fall Prevention written by Richard Bryant and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Acute care patient falls are identified as a high priority issue with regard to patient safety. All People over the age of 65 will experience a fall event. Fall events with elderly patients are most likely to occur when there is no one with the patient and most likely to happen in the patient's room. Elderly patient falls may have long term detrimental effects both physically and emotionally to the patient. Injuries as a result of a patient fall can increase the hospital length of stay and increase the operating costs to a hospital because the patient may require additional surgery, treatment, diagnostic tests, physical therapy treatment, long term care, and insurance providers may not cover these additional expenses from a patient fall. Reducing patient falls makes a safer environment for healing and reduces hospital expenses from the increase expense of fall events. Documented studies indicate that intentional hourly rounding by nursing staff can reduce the incidence of hospital falls. Using targeted interventions at the bedside at regular frequent intervals has been shown to reduce fall rates. A literature review on hourly rounding was conducted, then an implementation plan was developed in order to proactively address physical and emotional patient needs, and keep the environment free of hazards. The plan focuses on educating both staff and hospitalized patients on the purpose of hourly rounding to prevent falls in order to increase awareness, change perspectives and modify current practice to use hourly rounding. Hospital fall events are a problem which by instituting hourly rounding by using a well-constructed implementation plan in acute care units can potentially decrease the number of fall events.
Book Synopsis Multifaceted Multidisciplinary Fall Prevention Intervention in Hospitalized Patients by : Jancy John
Download or read book Multifaceted Multidisciplinary Fall Prevention Intervention in Hospitalized Patients written by Jancy John and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Accidental falls are frequent in hospitalized patients especially depending on the population considered. In hospitalized patients it is estimated that 78% of falls can be characterized as expected physiological falls (Lovallo, Rolandi, Rossetti, and Lusignani, 2010). This paper along with other recognized studies raise mounting concern in hospitalized patient falls. This can lead to a burden not only for patients and families, but for healthcare organizations too because costs are increased by prolonged hospital stay. The literature review reports that in spite of all the existing fall prevention schemes; falls among hospitalized clients remain as a rising concern. The focus of this study is to recognize the key risk elements for inpatient falls and revise the prevailing fall prevention strategy with multifaceted multidisciplinary risk specific (MMRS) fall prevention intervention (FPI) in inpatient settings. Significant ideas were composed from prevailing fall evaluation tactics, literature reviews, present evidence-based practices (EBP), and hospital fall recording systems for a revised FPI. Modified fall risk evaluation devices and risk specific fall intervention protocols can be introduced to decrease falls for hospitalized patients. The study suggests that a multidisciplinary team approach in fall prevention for hospitalized clients will substantially decrease inpatient falls and thus healthcare costs, morbidity, mortality, and other long term concerns. Noncompliance of the staff to the FPI is one of the major barriers for the successful application of the FPI scheme.
Book Synopsis Fall Prevention with Hourly Rounding by : Susan R. Foster
Download or read book Fall Prevention with Hourly Rounding written by Susan R. Foster and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on documented studies, patient falls in acute care settings occur with unsafe ambulation while attempting to use the bathroom, reach personal items or because of physical environment hazards. Falls increase hospital stays, lead to poor clinical outcomes and increased costs to the hospital and patient. Addressing the patient's needs each hour while offering assistance to the bathroom, repositioning, pain medication and access to personal items has been found to reduce anxiety and prevent unsafe ambulation in patients. In systematic reviews of several studies it was found that hourly rounds by nursing staff reduce falls, reduce call light use, reduce decubitus ulcers and increase patient satisfaction. Educating nursing staff on the purpose of hourly rounds and the proper method of addressing the patient during the rounds, can potentially prevent falls from unsafe ambulation, decrease length of hospital stays, increase patient satisfaction and reduce health care costs. Trialing hourly rounds on a medical-surgical unit over a six week period will provide the needed statistical data to determine the rates of falls, call light use and patient satisfaction scores over the designated time period. Incorporating this into practice will require a change in process for all nursing staff in the acute care setting on a medical floor, thereby potentially reducing health care costs and injury to patients.
Book Synopsis Interdisciplinary Team Approach in Fall Prevention: Physician Perspective Focus by : Anna Gryn
Download or read book Interdisciplinary Team Approach in Fall Prevention: Physician Perspective Focus written by Anna Gryn and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: An in-hospital fall is a devastating event for patients and care providers resulting in injuries, physiological and psychological patient declines, and sometimes deaths. Furthermore, fall related costs greatly increase hospitals0́9 expenses and cause massive distress to caregivers and health providers. Many patient-specific, organizational, and seemingly erratic factors contribute to the occurrence of in-hospital falls. Despite this, hospitals must undertake consistent evidence-based measures to prevent fall occurrences as much as possible. The traditional nursing approach to falls prevention is not sufficient to control fall rates because the issue is too complex and must be approached from multiple perspectives rather than just nursing. Therefore, innovative practices and approaches were explored to provide additional fall preventive measures. International and local U.S. practices emphasize the importance of an interdisciplinary approach to falls prevention. This model includes multiple clinicians with diverse backgrounds, such as physicians, physical therapists, and pharmacists, who assess patient fall risks together and implement measures to effectively decrease the risks. Limited guidelines and lack of conclusive research about the interdisciplinary approach lead the team of Master of Science in Nursing Clinical Nurse Leader students to investigate the roles of multidisciplinary team members for falls prevention in great detail. As a result, a blueprint of team role descriptors was created and offered for implementation in the medical-surgical elderly client population unit. This project provides innovative guidelines for falls prevention. These guidelines have the potential to decrease patient falls by 20-30 % in the hospital. This paper is particularly focused on the physician0́9s role in fall prevention. In addition, this paper represents a modified compilation of current innovative hospital practices and evidence-based research findings.
Download or read book Fall Prevention written by Shital Shah and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Established on documented studies, patient safety has been and remains one of the top priorities for all health care disciplines. Nurses are on the front lines for patient care, and they hold great responsibility in performing interventions that keep patients safe from harm and keep environments of care free from danger. One of the greatest risks to nursing practice is when a patient suffers a fall. Research has showed a definitive problem in identifying those Geriatric patients at risk for fall. The work shows that quality care revolves around safety, effectiveness, patient centered care, appropriate time of intervention, and efficiency. When patients fall and injuries occur, the end products are increased length of hospital stay, longer and more difficult recovery periods, and often, an increase in the time away from their families and their employment. 0−́The average hospital stay for patients who fall is 12.3 days longer, and injuries from falls lead to a 61 percent increase in patient care costs,0+́ according to a report from American Nurse Today last year. Several strategies such as hourly rounding, and fall risk assessment tools have shown benefits in achieving patient safety. Implementing standardized screening tools and starting treatment based on established protocols, can reducing the number of falls and increasing patient satisfaction. In most scenarios, hourly rounding is a nursing task, though policies differ from facility to facility and department to department. These interventions can possibly lessening length of hospital stay and health care expenses.
Book Synopsis Use of Hourly Rounds and Visual Monitoring in Fall Prevention by : Immaculata Ifeyinwa Anthony
Download or read book Use of Hourly Rounds and Visual Monitoring in Fall Prevention written by Immaculata Ifeyinwa Anthony and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls are the leading cause of injury death for older patients. Each year, one in every three adults ages 65 and older falls and two million are treated in emergency departments for fall related injuries. Falls threaten the elderly patient's safety and independence and also generate enormous economic and personal costs. According to the U.S centers for disease control and prevention, one third of Americans aged 65 and above falls each year. (Center for Disease control, 2013). Falls can limit the ability of the elderly patient to live a healthy life. Although fall prevention may not be a lively topic to discuss, it is important to prevent falls among the elderly. This is a proposition on the use of hourly rounding to prevent falls among the elderly patients. 15 articles were used to help in writing this paper. This paper will look at the problem that requires change, ways of getting the necessary approval and support from stakeholders, it will discuss the solution description, the implementation plan and the description of implementation logistics, resources required for the implementation plan and stakeholders needed for evaluation of the change. The evaluation plan, the dissemination plan, incorporated theory, and the review of literature. The methods used to evaluate the outcome of the change project includes the survey of staff attitudes and contributions to the job satisfaction before and after initiating the change. Information were obtained about the fall rates before and after change initiation. Also, comparison were made on patient use of call light and low beds before and after the initiation of the change. Nurses were interviewed about the difference between the pre and post implementation process. Questionnaires were also developed to check the effectiveness of hourly rounding in the prevention of falls. The variables used includes the attitudes of staff and their perception of the change, patient fall rates before and after initiation of the change, and patient satisfaction. The results obtained from the questionnaire and the interview show a remarkable improvement (about 80%). Because hourly rounds includes visual monitoring of the patient, it will help to lower call light use, will also help to reduce patient use of call light, and will increase patient satisfaction, but most importantly, hourly rounds will help to reduce or prevent falls among hospitalized patients.
Book Synopsis Significance of Hourly Rounds in Reducing Fall of Elderly Patients by : Bindu Paul
Download or read book Significance of Hourly Rounds in Reducing Fall of Elderly Patients written by Bindu Paul and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fall is defined as an unplanned descent to the floor which can be associated with or without injury. Among the reported incidents of the hospitals, patient fall is one of the largest in its category. Health care expense is increased due to the injury caused from fall and the suffering of patient increases. According to Centers of Disease Control and Prevention (CDC), fall injuries for those 65 years of age and above costs $19 billion and one in every three adults age 65 and above falls each year (CDC, 2012). A person's ability to function as a productive member can be affected significantly by the fall. Health care organizations are impacted financially as the health insurance does not reimburse the expense caused by the fall. The direct medical cost of fall was $ 30 billion in 2010 (CDC, 2012). The second most frequent cause of harm in the hospitals is patient falls. Hospitals are making every effort to prevent the fall- associated mortality and morbidity in older adults. Patients are assessed for fall risk and the fall prevention programs are initiated on admission and every shift. Even with these programs in place, fall rate continued to remain high. So hourly rounding on patients was implemented as a measure and studies were conducted to determine the effectiveness of this intervention. This intervention of hourly rounding addressing the needs of pain, potty, personal belongings and position has found to be effective for not only decreasing the falls, but also increasing the patient satisfaction. Hourly rounding significantly decreased the use of call light, increased patient satisfaction, and improved patient safety. So hourly rounding is suggested to be an operational change in hospitals for fall prevention. In order to implement this intervention, a multi-modal intervention of education is conducted among the health care workers to make them aware of the benefits to the patients as well as the hospitals. The theory of behavioral change is incorporated to change the health care workers' attitude and behavior towards the new intervention. Evaluate the outcome after the implantation to see the effectiveness in reducing falls. Motivation, reminders and rewards are supported by evidence in being compliant with the new intervention. Audits can reveal the outcome in which the patients and the hospitals are benefited.
Book Synopsis Hourly Rounding for Falls Prevention by : Nkechi Nwokocha
Download or read book Hourly Rounding for Falls Prevention written by Nkechi Nwokocha and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This project aims at determining the rate of fall reduction for patients and old people after intervention. The project described the problem identified and individuals likely to fall both in the hospital and at home. The number of patient falls has increased in the recent years. The huge increase in the falls has resulted into severe injury and in some cases death of the victims. The amount involved in treating and solving cases that result from the fall is so high that it has become difficult to estimate. For instance, a rough estimation of '15 million per year is used for immediate healthcare treatment. However, this is an underestimation of the burden that goes to rehabilitation and social care services of the victims. This amount is difficult to estimate because the services offered cannot be easily quantified. The most reasonable and effective way of solving the issue in the hospital is through hourly rounds nurses make on their patients. Home based treatment and the effectiveness of the solution is presented to the stakeholders as the means of reducing patient falls. In cases where patients are at home, they should be visited regularly to determine the effect of the strategy to them. Nurses should also apply patient safety interventions to improve the patient's state of illness that may otherwise lead to death. Also there is need for every anticipated intervention to be carried out to sustain a base that identifies the need for nurses to make a difference on the rate of patient's death or harm.
Book Synopsis Professional Capstone Project by : Sabrina Palacios
Download or read book Professional Capstone Project written by Sabrina Palacios and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls in patients cause injury and harm to patients on a daily basis. This paper will discuss the effect falls have on patients, their families, and healthcare professionals. Many factors affect why a patient is considered a fall risk and there are many tools out there to assist healthcare professionals in assessing whether a patient is considered high risk for falling. Every year one in three persons over the age of 65 falls each year, and this number increases to one in two by the age of 80 (National Counsil on Aging, 2014). There are 37.3 million falls that are severe enough to require medical attention each year. Prevention strategies should emphasize education, training, creating safer environments, prioritizing fall-related research and establishing effective policies to reduce risk (World Health Organization, 2014). One solution to falls would be the initiation of hourly rounding. Hourly rounding has been shown to reduce falls as well as improve patient satisfaction and promotes quality use of healthcare worker's time. The implementation of hourly rounding would require a team of workers dedicated to the work of fall prevention. This team would work together to educate professionals on hourly rounding using presentations and pamphlets. Evaluation is key to understand where work can improve in the hourly rounding process and to support findings no matter how small or large. Implementation should be done for a minimum of twelve weeks along with support from leaders and team members. Following implementation and evaluation, dissemination is key to acknowledge the work done and the effort done by staff.
Book Synopsis Fall Prevention and Intentional Rounding by : Donna Cahoon
Download or read book Fall Prevention and Intentional Rounding written by Donna Cahoon and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Many interventions exist today to prevent patient falls within hospitals but falls continue to occur causing poor patient outcomes, increasing patient length of stay, and increasing health care cost thus indicating a need for more improved interventions to prevent falls. This study aims to review evidence based articles on initiating intentional hourly rounding as an intervention to decrease falls and falls with injury in the hospitalized adult patient. This review of literature does indicates support for intentional rounding. The Philosophy and Science of Caring Theory is incorporated into this study to include the caring and trusting relationship between patient and nurse to influence compliance. The study will also review the proposal of implementing intentional rounding within the hospital by performing a six month trial on a twenty-three oncology inpatient unit. The study will include in the implementation plan methods of approval, description of the problem, proposed solution, rationale for proposed solution, supporting evidence for the change, and resources for implementation. The evaluation plan will address the variables of this study which is staff compliance. Nurses need to begin helping to change an organizational culture to decrease resistance to change in order to implement proposed new intervention. The evaluation plan also includes proposed staff educational plan which includes a test and a competency checklist. A disseminating plan gives results along with addressing stakeholders that includes nursing, nursing assistants, Directors, Nursing Administration, Falls Committee, and Quality Council. The post six-month study on the twenty-three bed oncology unit decreased falls with injury from nine to two. Fall prevention is a high alert issue among the elderly and especially the acutely ill hospitalized adult and needs to be continually addressed for evidence based practice.
Book Synopsis Understanding and Preventing Falls by : Roger Haslam
Download or read book Understanding and Preventing Falls written by Roger Haslam and published by CRC Press. This book was released on 2005-11-01 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Readable and authoritative, Understanding and Preventing Falls provides a guide to the nature and extent of the problem of falls. Drawing on the latest research, the authors outline the combination of environmental factors that commonly lead to falls and explore how to prevent them. The case is made for a multifaceted approach to falls prevention, taking account of the complex interplay that exists between individuals and the environment. Broad in scope, the book is divided into two parts. The first part examines the current state of knowledge and understanding of the causes and prevention of falls, with chapters on human ambulation and balance on level surfaces and on steps and stairs followed by chapters exploring vision and the effects of aging. Rounding out the coverage, the second part contains a series of case studies illustrating how falls occur in different circumstances and varying approaches to their prevention. While there have been reductions in the number and severity of injuries from other causes over recent decades, the incidence of injuries from falling has remained consistently high. However, many falls are preventable. This unique resource supplies a concise overview of how to minimize the occurrences of slips, trips, and falls in a variety of situations and conditions.
Book Synopsis Using the Fifth "P" in Purposeful Hourly Rounding to Decrease Falls and Improve Patient Experience by : Brenda Hopkins Woodcock
Download or read book Using the Fifth "P" in Purposeful Hourly Rounding to Decrease Falls and Improve Patient Experience written by Brenda Hopkins Woodcock and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls are on the rise at a facility in the Southern part of Virginia. Reducing falls and falls with injury is a goal for this facility. The falls metric is an important nurse-sensitive quality indicator that impacts mortality, the patient experience, and hospital length-of-stay. A pilot study conducted over two months included an interdisciplinary approach to purposeful hourly rounding and the incorporation of a purposeful pause to consider fall-prevention measures before leaving a patient's room. The intervention demonstrated an improvement in the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) overall patient experience of care score as well as an improvement in questions in the responsiveness domain. Falls on the unit slightly increased during the timeframe of the pilot, likely due to other contributing factors, as the hospital was struggling with a high registered nurse vacancy rate of 23% compared to the national average of 9.9% (NSI.com). The Coronavirus-19 (COVID-19) pandemic surge negatively impacted purposeful hourly rounding on inpatient units.
Book Synopsis Professional Research Project by : Shahnaz Lakhani
Download or read book Professional Research Project written by Shahnaz Lakhani and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Studies have shown that fall is one of the adverse events in an acute setting (Quigley, 2013). Nurses play a very important role in preventing the falls. It is important to supervise the risk to fall patients constantly. It is a growing challenge for nursing staff to keep the patients safe during their hospital stay (Digby, 2010). Research shows that making frequent proactive rounds help keep the patients safe and satisfied. Patients tend to use less call lights and leave the hospital with great satisfaction. There are less falls reported and especially less unwitnessed falls take place with frequent patient rounding. When the nursing staff makes rounds, they ask pro-actively about patient's pain, toileting, positioning, priority and personal needs of the patients. Patient falls are some of the most frequent accidents in hospitals that can result in personal and financial strain (Jones, Simpson andPieroni, 1991). With the use of tools for hourly rounding and bedside reporting, use of call lights and the restraints went down along with the rate of fall. The patient satisfaction went up (Downs, Standish andAllred, 2012). A total of 15 articles were reviewed and most of them concluded that the patient rounding is very effective in fall prevention. Falls have been increasing tremendously at the writer's work place and therefore it is important to implement this change at the writer's work place. However, in order to implement change successfully, it is important to involve the main stake holders including the staff. Approval has been obtained from the management and with the help of the nursing staff, the plan will be implemented on the writer's unit as a pilot program. In order to have an optimal outcome, continuous evaluation is needed from the staff and the management and a plan for that is in place as well. . Dissemination to the stakeholders and the greater nursing community will enhance nursing practices and facilitate a better outcome.
Book Synopsis Evidence-based Final Proposal for Enhanced Fall Prevention Utilizing Hourly-rounding Targeted Patient Education and Safety Contracts by : Quentana Whitehurst
Download or read book Evidence-based Final Proposal for Enhanced Fall Prevention Utilizing Hourly-rounding Targeted Patient Education and Safety Contracts written by Quentana Whitehurst and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ever since the announcement of the new Centers for Medicare and Medicaid Reimbursement Guidelines (2010), which have demonstrated a significant influence on inpatient care, facilities have placed substantial importance on the prevention of "never events,0+́(Graham, 2012). Just one fall can be catastrophic for a patient, resulting in increased length of stay and additional follow-up care; even loss of function or life. Health care facilities across the country have invested considerable time, money and effort implementing evidence-based protocols to increase patient safety and reduce "never events," (Graham, 2012). Despite One South's best efforts to prevent patient falls, this unit continues to experience patient falls each quarter. To address this concern, this author posed a clinical question. On intermediate postsurgical units with patients at moderate to high risk for falls, does the addition of targeted patient education, hourly rounding, and patient safety contracts for falls education compared to utilization of standard interventions alone, reduce quarterly rates of patient falls? Current research supports the practice of hourly rounding, targeted patient education and patient safety contracts to reduce rates of inpatient falls. This proposal will delineate an implementation plan for incorporating these three nursing interventions into One South's falls prevention protocol.
Book Synopsis Hourly Rounding as an Intervention to Prevent Patient Falls by : Andrea Moye
Download or read book Hourly Rounding as an Intervention to Prevent Patient Falls written by Andrea Moye and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Falls in the hospital can be a devastating event causing serious injury, prolonged hospital stays, and even death. Falls are a nurse-sensitive indicator meaning nurses are in an important position to directly impact and influence ideas and methods to promote patient safety. Research has shown that hourly rounding is a nurse-led intervention to reduce falls in the hospital setting. Rounding is the process of proactively anticipating the needs of the patient before they have to use their call light. Rounding can be successfully integrated into the clinical environment with a strong implementation plan and follow-up as a method to keep patients safe from falling. Education and clear communication is a key component in successfully implementing any change project. Staff must know and understand the background on why they are doing rounding and how it will positively impact patient safety. There must be clear guidelines, expectations, and set outcomes to the change project or it will not be successful. Dissemination allows for the sharing of new information based on solid, quality data regarding the effectiveness, and cost-effectiveness of the proposed change of hourly rounding preventing falls in the adult medical surgical population. The ultimate goal of implementing a change is to put evidence-based knowledge and practices into clinical care to improve patient outcomes. Change can be a daunting task but with strategic planning and incorporating theories that predict behaviors, change can not only be successful but transform how safe patient care is delivered.
