Qip Fall Prevention

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The document discusses a quality improvement program at Guru Nanak CARE Hospital aimed at reducing patient falls through various prevention methods.

The aim of the quality improvement program (QIP) is to reduce the incidence of falls and risk of falls, and to improve staff knowledge regarding fall risks.

The program objectives are to improve nurses' competency in assessing vulnerable patients, raise awareness of patient safety protocols, safety policies, and fall prevention methods like grab bars.

Fall Prevention

QUALITY
IMPROVEMENT
PROGRAMME
Guru Nanak CARE Hospital, Musheerabad
QIP – Fall Prevention

Team Members
GUIDE – Dr. Naresh L. Vadlamani
FACILITATOR – Sr. Rajakumari
DATA COLLECTION – Sr. Shirley Thomas

MEMBERS – All In charge sisters


QIP – Fall Prevention

Aim of the QIP

 To reduce incidence of falls and risk of falls

 To improve knowledge of the staff regarding the risk of Falls.

Duration
 May 2010 – Till date
QIP – Fall Prevention

Objective

 To improve nurses competency to assess vulnerable

patients
 awareness about patient safety protocol.

 Improvement of awareness in safety policies of hospital

 Improve nurses awareness about Fall prevention methods

followed (Grab bars etc)


QIP – Fall Prevention

Data Collection Method and Analysis


Sampling method
Convenient sampling

Sampling Time
10:00 AM – 11:30 AM, Incidents informed by the nursing
stations & other sources

Time frame
Within 24 hours of patient admission
QIP – Fall Prevention

Data Collection Method and Analysis


Methodology
Assessment of vulnerable patient.
Introduction of “Vulnerable patient / fall risk
assessment oral feed back”
Nurses training on fall prevention/Vulnerable patients
policy
INCIDENTS – PATIENT FALLS
Date Area Details
29/06/2010 II Floor, Patient came for OP dialysis  
Patient S*** Patient fell down in corridor of dialysis while going
home  
Returned back & given 25% dextrose  
After dialysis GRBS 40,
Sent after stabilized

16/10/2010 301 NS Patient wants to go toilet without calling help, attender


Pt. M.L. was sleeping.
Age: 73/F, Pt. got down from the bed, fell down & had lacerated
injury also haematoma formed at lower jaw.
Pt. Attendant came and informed to sister
Dressing done, informed to CMO & followed the
advised medication.

There was no side rails when it was happened.


Staff didn’t follow the policy for vulnerable patients
INCIDENTS – PATIENT FALLS
Date Area Details
28/11/2010 315 NS;
Post CAG Patient (fell down while walking at
NRSRDY*
** ward on Sunday. Skin peeling was there at knee
site.
Attendant was there with the patient.
No harm

Action taken:
Counselled and trained all the staff on fall risk assessment as well as
vulnerable patient policy
Regular audit of nurses admission assessment for fall risk is in progress
Results QIP – Fall Prevention

 Comparative graph of reduced incidence of falls


QIP – Fall Prevention

Quality Measures taken


 Fall prevention Education Program for nurses

 Introduced fall risk assessment in nurses admission assessment.

 RCA carried out for the incidence of fall.

 Side railing installed for 70% of patient cots.

 Introduced wheel chairs and trolleys with safety belt and lock.

 Discussed with the management to install Grab Bars in all patient toilets.

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