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WHDL - 00016444

A REVISED FALL PREVENTION PROTOCOL: CLOSING THE GAP BETWEEN POLICY AND PRACTICE

Amanda J. Brashear

Resource Types

Academic (Thesis, Dissertation, Etc.)

Resource Languages

English

Institutional Repository

Indiana Wesleyan University Institutional Repository

Description / Abstract

Preventable patient falls were a persistent problem in the inpatient setting at the project hospital despite a fall safety protocol, universal fall precautions, and a safety huddle each shift. The purpose of the revised fall prevention protocol project was to decrease patient falls, reduce patient harm and cost, and improve nurse quality indicators. This quality improvement project was piloted at a 278-bed regional academic teaching hospital on four acuity adaptable units. The revised fall prevention protocol included the integration of the Falls TIPS tool; a revision of universal fall precautions to include the use of a bed or chair alarm; patient education on fall prevention; daily rounding by unit managers to monitor staff compliance; and expanding the role of the mobility team specialists to mobilize all physiologically stable patients. The number of reported patient falls was recorded for thirty, sixty, and ninety days post-project implementation. Non-injurious, injurious, and the total number of falls were compared to the previous year’s fall data. In addition, reported falls at this hospital were compared to the national average. Fall rates were not decreased after the implementation of the revised fall protocol.

Keywords: falls, hospital, fall prevention, fall protocol, fall prevention protocol, fall bundle

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Degree AwardedDoctorate of Nursing Practice

Awarding InstitutionIndiana Wesleyan University

Peer Reviewed?No

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Medicine and Health Sciences

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About the Authors

Amanda J. Brashear

2 Resources

English