Fall Risk Prevention

Many of these inpatient falls can be prevented when following the proper fall prevention measures. Not only does patient safety make preventing falls a priority but the financial impact these falls have on an institution make it a priority as well.

Thank you for your information. I total agree evidence-based practice in fall prevention has improved patients' outcome. In my hospital, we did have 75 patients fall last year and one of them even caused the fracture which cost an arm and a leg. Therefore, the manager searches the evidence -based research and try to prevent these accidents. After implementing the fall prevention protocol with evidence-based practice, we have decreased our fall to 7 from the beginning of this year to the present. The real example can be the strong evidence to support that evidence-based practice can benefit from patients,

The purpose of quality management in healthcare is a continuous process that improves health care performance and increase customer satisfaction. Within health organizations there are many entities such as pharmacies and clinics all of which need to provide quality services to their patients. Quality improvements are organizational strategies incorporating evidence-based practice to improve healthcare (Huber, 2010). Reviewing why and how the need for quality management in a health care organization will be discussed.

An hourly rounding is an excellent precaution strategy to make sure that patients’ alarms, call lights, and personal belongings are within reach. One benefit of hourly rounding is that it is pro-active. It reduces patients’ need to get up, thus reduced falls. In Kamehameha Nursing Home, hourly round is required, but because nurses are most of the time busy, they often forget to implement it. This needs to be addressed in order to reduce the number of falls in the facility (Agency for Healthcare Research and Quality, 2013). If Universal Precautions is effectively implemented, Kamehameha Nursing Facility’s fall incident will decrease.

Brittany Nix- This writer believes a key point or concern for health care professionals is how to keep the middle age group safe while maintaining privacy and independence. In comparing the first research to the current, data findings revealed the incidence of falls in middle-aged inpatients were similar to older inpatients. Far too often this writer feels the nursing profession stereotypes the older population while overlooking the risk in middle aged adults. This writer believes this research challenges nursing professionals to implement individualized fall prevention for patients, regardless of

The nursing process has been improved along the way, from Orlando’s original four step process in the late 1950’s, then, a separate step of a nursing diagnosis was added. As to the American Nurses Association Scope and Practice (2nd Edition, 2010), there was another important step of expected outcomes to identify patient goals. So, as the nursing process has been re-evaluated and improved the patient is re-evaluated and improved by the improved nursing process-problem solver. My fall prevention project has revealed to me and my readers there are vast numbers of risk factors that are involved in falls including medications, nutrition, cultures (beliefs), mental status and a history of falls. The nursing process has been and will always be used

During hospitalizations, falls are amongst the highest preventable consistent adverse events. Preventing such undesirable events, enhances patient overall experience, as well as increased trust in the health care professional team (Fragata, 2011). The importance of fall prevention lies with the many serious unfavorable health outcomes it can pose on the patient. Falls have the potential increase length of hospital stay, limit mobility, independence, but can ultimately lead to health deterioration, including death. Worldwide, falls are the second leading cause of accidental death. In addition to the life-threatening health and safety risks falls have to the patient, it also as a financial impact,

Falls are a serious health concern for people and an important issue for nurses. Many factors contribute to the causes of falls, apart from cognitive impairment. The consequences of patient falls are becoming a serious issue for patients and society.

Qualitative data analysis was obtained in this study in which eight major themes were revealed. The overall perception includes past falls, fall risks, and fear of fall-related injuries. (Shuman, 2016). Overall, the initial perception of the patients was they did not receive fall prevention information. As the interview continues the participants were able to give examples of fall preventions given to them by the healthcare providers’. The data analysis supports the conclusion that healthcare providers need provide clarity to patients and family member in order to prevent falls.

When asked to compare the policies of the clinical facility to that of the best-practice recommendations the following was revealed. First, the acute-care facility does utilize a fall risk assessment similar to that of the Morse fall scale. The patient is then identified as a fall risk one, two, or three. Based on the score, basic fall interventions are required. For example, a fall risk one requires safety rounds every two hours whereas a fall risk three require hourly safety

At the center of a successful falls prevention program is an organizational culture that values safety for both patients and associates. Creating a culture of safety is one of the key interventions that reduce harm for patients in a heath care setting (Quigley & White, 2013). If a health care organization fails to protect patients from harm, there are both legal and financial implications. In the effort to prevent harm to patients and hospital acquired injuries, the Centers for Medicare and Medicaid Services (CMS) introduced pay-for-performance and the value-based purchasing program in 2008. These non-payment programs, withhold payments to organizations that report hospital acquired injuries such as falls (Rheaume & Fruh, 2015). A reduction is reimbursements leaves a health care organization vulnerable to financial instability. A lack of financial resources can lead to staffing reductions and lack of investment in patient safety interventions; both have been shown to lead to poor patient outcomes (Trepanier & Hilsenbeck, 2014).

Fall risk assessments tools, which help to identify those patients at risk of falling, play a vital role in reducing the number of falls. The basis for this assessment is that if patients at high fall risk can be

As a nurse we want to ensure that our patients receive a high quality of care. Patients should feel safe and satisfied while hospitalized. Many hospitals are continually looking for answers and implementation to significantly reduce the inpatient fall incidents. According to Bechdel et al (2014), the top priority of health care organizations nationwide is to reduce and eliminate falls within the clinical care settings. One of the serious problems in acute care hospital is the patient’s fall. The unfamiliar environment, acute and co-morbid illnesses, prolonged bedrest, polypharmacy, and the placement of tubes and catheters are common challenges that place patients at risk of falling. Most of the falls that I have encountered while working involves

Falls are considered a leading cause of mortality and injury among older adults and majority of the falls occurs while hospitalized. One would think being in the hospital would be one of the safest places for older adults as far as fall prevention is concern due to the fact that hospitals provide staffing around the clock for patients but more and more falls have been occurring in the hospital especially in the older adult population. Fall is an unintended descent to the ground. It raises public and family care liability; it also decreases patient’s functioning because it causes pain and suffering, and increases medical costs (Saverino et al, 2015). The Center for Disease Control

Problem: Patient falls have long been a common and serious problem in hospitals across the nation, causing