Design of a continuous quality improvement program to prevent falls among community-dwelling older adults in an integrated healthcare system.

BMC Health Services Research
David A GanzPaul G Shekelle

Abstract

Implementing quality improvement programs that require behavior change on the part of health care professionals and patients has proven difficult in routine care. Significant randomized trial evidence supports creating fall prevention programs for community-dwelling older adults, but adoption in routine care has been limited. Nationally-collected data indicated that our local facility could improve its performance on fall prevention in community-dwelling older people. We sought to develop a sustainable local fall prevention program, using theory to guide program development. We planned program development to include important stakeholders within our organization. The theory-derived plan consisted of 1) an initial leadership meeting to agree on whether creating a fall prevention program was a priority for the organization, 2) focus groups with patients and health care professionals to develop ideas for the program, 3) monthly workgroup meetings with representatives from key departments to develop a blueprint for the program, 4) a second leadership meeting to confirm that the blueprint developed by the workgroup was satisfactory, and also to solicit feedback on ideas for program refinement. The leadership and workgroup meetings o...Continue Reading

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Citations

Sep 17, 2013·Revue D'épidémiologie Et De Santé Publique·S LauvergeonI Peytremann-Bridevaux
Dec 22, 2010·Circulation·Judson B WilliamsUNKNOWN Society of Thoracic Surgeons and the National Cardiac Database
May 25, 2011·BMC Health Services Research·Isomi M Miake-LyeDavid A Ganz
Nov 19, 2013·Journal of Safety Research·Meryl LovariniCatherine Dean
Dec 14, 2011·Journal of Safety Research·Mark Speechley
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Aug 14, 2012·Clinical and Translational Science·Laura-Mae BaldwinAlfred O Berg
Apr 3, 2014·Australian and New Zealand Journal of Public Health·Lesley DayMargaret Thomas
Jul 22, 2017·Australian Journal of Primary Health·Claudia MeyerBriony Dow
Jun 25, 2020·The New England Journal of Medicine·David A Ganz, Nancy K Latham
Jan 21, 2017·International Journal of Health Care Quality Assurance·Paul StelsonToni Doolen

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