Patient Safety In Healthcare Setting And Falls Risk Analysis

Great Essays
Patient Safety in a Healthcare Setting and Falls Risks Falls are a common event that occurs every day in the healthcare setting. First, they can be prevented by a little education and background. Centers for Disease Control and Prevention (2015) reviewed that more than 10,000 Americans turn 65 in a year, and that same year every 13 seconds the Emergency Department treats fall related injuries and claim a life every 20 minutes. Falls are becoming one of the most common injuries in the healthcare field. 1 out of 3 adults fall every year, and only half inform their healthcare professional. With preparation and education on fall prevention, patients and healthcare workers are more understanding and educated on what rules to follow when the time …show more content…
FSI investigates fall risk scenes and provides a proactive approach to help fall prevention. According to Boothe and Harris (2010), The Centers for Medicare and Medicaid Services have labeled hospital-acquired falls as “never events” – preventable incidents that should never occur in a clinical care setting. It is now a law that hospitals can’t charge the patient for a fall because these are addressed as “never events”. The FSI’s job is to examine and review the fall that’s occurred, and implement new ways to prevent future falls. In order for this to become a success, the care team, family, and client all must apply the same rules of fall prevention. A few questions that should be addressed when performing a fall scene investigation: What’s the diagnosis of the patient? What medications are involved? What was the patient doing that caused the fall? Could other prevention strategies have been implemented? What lessons were learned? Because of the FSI team, nurses are now becoming more aware and fast acting towards fall risks and safety hazards. There …show more content…
In Goldsack et al. (2015), successful programs typically include combinations of strong leadership and support, a culture of safety, front-line staff who are engaged in program design, a multidisciplinary team that guides the prevention program, staff education and training, and changes in pessimistic attitudes toward fall prevention. Implementing an hourly rounding program helps improve the safety and care of the patient. This program can help build safety and with the right education and training, the nursing staff will be able to perform this task. In one year, the average falls per 1,000 patients was 3.9 falls/1,000 patients. After the hourly rounding program was performed the next year, the fall rate decreased to 2.5 falls/1,000 patients. In order for the hourly rounding to be successful, every 2 weeks the staff should have a meeting to discuss factors related to the program such as pros and cons. Another purpose for hourly rounding that has shown to be very effective is reducing call bells. If you’re rounding hourly, the patient’s will have a chance to ask any questions they might have, receive any food or drink needed, bathe, and any other activities of daily living that need to be met. Hourly rounding can also help ensure pain assessment, scheduled toileting, and positioning will be achieved. The education and performance of this program can help decrease the rate

Related Documents

  • Improved Essays

    Although multifactorial fall risk assessment and management programs seem to be a reasonable and appealing approach for preventing falls and fall related injuries in the elderly, it is not backed by strong evidence. Present evidence implies that it may decrease the number of falls in the elderly by only a minimal amount. Evidence of its effects on other outcomes as in the rate of falls and injuries is inadequate. Rigorous interventions that provide actions to address risk factors rather than evidence with referrals could be more effective.…

    • 87 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    Summary of Article “Fall Prevention in Acute Care Hospitals” The purpose of this study was to determine if a fall prevention tool kit would decrease patient falls within a hospital using health information technology. The study used both quantitative and qualitative data. The Morse Fall Scale was the tool used, and it provides scores that range from (0-125 points) based off of six focal points. The focal points included recent fall history (25 points), presence of secondary diagnosis (15 points), need for ambulatory aid (0-30 points), receiving IV therapy (20 points), gait characteristics (0-20 points) and imparted mental status (15 points) (Dykes, Carroll, Hurley 2010).…

    • 239 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Case Analysis Paper

    • 1103 Words
    • 5 Pages

    Is the resident’s documentation complete, and where could advances towards fall prevention be made Could the nursing program use improvement and…

    • 1103 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Elder Loss Research Paper

    • 277 Words
    • 2 Pages

    About one third of the elder population over the age of 65 falls each year [TPS+01]. The risk of an elderly falling increases with age, which also applies for people with neurodegenerative diseases, dementia, delirium, or psychotropic medication [HA10]. As a result, fall related injuries are the number one reason for emergency room visits, and it is also the leading cause of deaths among adults above the age of 65 [JS06].…

    • 277 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    Fall Prevention in Hospitals, Adult WHAT ARE SOME SAFETY TIPS FOR PREVENTING FALLS? If you or a loved one has to stay in the hospital, talk to the health care providers about the risk of falling. Find out which medicines or treatments can cause dizziness or affect balance. Make a plan with the health care providers to prevent falls.…

    • 669 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Acute Rehab Case Study

    • 1526 Words
    • 6 Pages

    How Study to be Conducted This study will focus on protecting patients from fall and fall-related injuries after stroke in an Acute Rehab Unit. At first it would identify the patients who are at great risk of fall currently and after going back to the community. The Morse Fall Risk Assessment (MFA) tool will be used to initially identify fall risk patients in the unit. CDC’s Injury Center has created a tool kit, called STEADI (Stopping Elderly Accidents Deaths and Injuries).…

    • 1526 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Fall Prevention

    • 682 Words
    • 3 Pages

    When concluding the educational session, the nurse asked each patient to recall three ways they could not become a fall victim after their surgery. 19 of the patient from this group missed their session with the nurse educator so they were added to the control group. The control group consisted of 172 patients and did not receive any fall prevention education before surgery (Clarke et al, 2011). The average age of all participants was…

    • 682 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Knowing these determinants, officials and healthcare establishments can implement and enhance patients’ quality of life by creating fall prevention plans for their residents.…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Generally, falls risk increases as people ages. Secondary level of fall prevention involves identifying persons who are at a greater risk of falling and need immediate interventions, such as those who are very old and cognitive impaired, or live alone and have had fallen multiple times previously. Tertiary level of prevention focuses on managing the impairments that have already occurred with the goal is to decrease deterioration rate or limit permanent disabilities caused by the illnesses (CurrentNursing.com, 2012; Learning House Admin, 2012). The interventions involve tertiary falls prevention may need a collaboration from other health care professionals such as occupational…

    • 1097 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Evaluating Organizational Change A fall is the loss of an upright position, producing an uncontrolled and unintentional placement of an individual’s body from one surface to another. Many times serious injuries can result in the frail geriatric population. According to the Centers for Disease Control and Prevention (n.d.), lacerations, hip fractures, head traumas, and death can result from a fatal fall.…

    • 1324 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Patient Fall Prevention

    • 95 Words
    • 1 Pages

    Advancing quality measurements around fall prevention in the hospital have created a nursing-sensitive indicator.…

    • 95 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Mr. Delk, a stroke rehabilitation patient had the highest risks of falls and injuries and stroke victims also have a high incident of hip fractures. Therefore, the nurse should have a more thoughtful assessment, aggressive safety precautions, monitoring and constant inspection of patient’s surrounding environment. The plan of care should be based on those assessments and inspections, including self-care deficit, balance impairment and hemiparesis with motor impairment and gait impairment. According to Maslow’s Hierarchy of needs safety is identified as one of the significant domains. In this particular case, the risk was clearly involved while two to three persons needed to get involved to transfer the patient with a gait belt with pivot maneuver…

    • 1075 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Fall is one of the common problems in the hospital. It can be due to various reasons such as accident, related to medical condition such as vasovagal, dizziness related to postural hypotension or physical condition such as leg amputation, swollen or sore feet or negligence of the patient or carer including nurses. However, whatever is the cause of fall it can be reduced or prevented by appropriate assessment and interventions. In relation with the situation I experienced the incident can be prevented by proper assessment and good communication with the patient (Lovallo, Rolandi, Rossetti, & Lusignani, 2010).…

    • 777 Words
    • 4 Pages
    Decent Essays
  • Superior Essays

    Inpatient Falls Prevention

    • 1563 Words
    • 7 Pages

    Prevention of Inpatient Falls Patient falls remain the most common adverse event in acute care facilities, with 2%-15% of hospitalized patients reported to fall at least once. Falls can lead to pain, loss of function, fear of further falls and even death (Tanaka, Sakuma, Ohtani, Toshiro, Matsumura, & Morimoto, 2012). An increased focus is being placed on inpatient falls because of morbidity, mortality, increased cost of care, and lack of reimbursement (Cumbler, Simpson, Rosenthal, & Likosky, 2013). The National Database of Nursing Quality Indicators (NDNQI) defines a fall as “an unplanned descent to the floor with or without injury to the patient” (Miake-Lye, Hempel, Ganz, & Shekelle, 2013).…

    • 1563 Words
    • 7 Pages
    Superior Essays
  • Superior Essays

    (2005) study. In the effort to improve patient safety, specifically rate of patient falls as it relates to nursing staff, it is important to implement evidence-based measures on a scale that can produce positive results, in a timeline that will allow health professions to provide most up-to-date practice, and the measure of effectiveness to provide valid evidence that can further the discussion and study of this…

    • 1658 Words
    • 7 Pages
    Superior Essays