The Cumulative Complexity Model and Repeat Falls: A Quality Improvement Project

Professional Case Management
Carl W Stevenson, Meghan M Leis

Abstract

The purpose of this article is to demonstrate the effectiveness of the Cumulative Complexity Model as a framework to build an Excel tool and a Pareto tool that will enable inpatient case managers to predict the increased risk for and prevent repeat falls. The Excel tool is based on work explained in a previous article by and uses a macro to analyze the factors causing the repeat falls and then calculate the probability of it happening again. This enables the case manager to identify trends in how the patient is transitioning toward goals of care and identify problems before they become barriers to the smooth transition to other levels of care. Thus, the case manager will save the facility money by avoiding unneeded days of care and avoiding the costs that result from rendering medical care for the patient who has fallen. In July 2015, a group of nurses at a small Veterans Health Administration Hospital in the Northwest collaborated to find ways to reverse a trend of increasing falls and repeat falls. A retrospective chart review of all falls and repeat falls (N = 73) that happened between January 2013 and July 2015 was used to generate a list of top 11 contributing variables that enabled evaluation of the data. A bundle of 3 in...Continue Reading

References

Aug 23, 2012·Journal of Clinical Epidemiology·Nathan D ShippeeVictor M Montori
Dec 18, 2013·The American Journal of Medicine·Harvey BrownEyal Zimlichman
May 13, 2014·Journal of Evaluation in Clinical Practice·Tanya J DunneMaureen C Ashe
Sep 23, 2014·Journal of Nursing Care Quality·Lisa A Brosey, Karen S March
Dec 6, 2014·The Journal of Nursing Administration·Joanne SpetzCarolyn Aydin
Feb 15, 2015·Journal of Critical Care·David J StoneMarie Csete
Jun 4, 2015·Professional Case Management·Carl W StevensonVictoria E Taylor
Dec 10, 2015·Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing·Apiradee NantsupawatLusine Poghosyan
Apr 24, 2016·Western Journal of Nursing Research·Deleise S WilsonMarita G Titler
Apr 26, 2016·The Health Care Manager·Sam Abraham
Aug 9, 2016·Clinical Rehabilitation·Eeva-Eerika HelminenJari Pa Arokoski
Nov 2, 2016·Nursing Research·Pablo J López-SotoFabio Fabbian

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