Using a Fall Prevention Checklist to Reduce Hospital Falls: Results of a Quality Improvement Project

The American Journal of Nursing
Madeline Johnston, Morris A Magnan

Abstract

: Purpose: This quality improvement (QI) initiative aimed to promote patient safety by improving adherence to an existing hospita-approved fall prevention protocol. Specific aims of the initiative were to evaluate the impact of using a fall prevention checklist on (1) the implementation of a bundle of 14 specific interventions (the fall prevention protocol) and (2) the incidence of falls on participating units. A QI team conducted a 26-day fall prevention initiative. Data were collected on day and night shifts for 13 days each. We evaluated the effect of using a new 14-item checklist based on the existing hospitalapproved fall prevention protocol on the nursing staff's adherence to each intervention and on the incidence of falls on the test unit. Oncoming staff used the checklist during change-of-shift handoffs to determine whether all prevention interventions were in place before accepting care of the patient. The incidence of falls was tracked daily. Thirty-seven nursing staff members (RNs and nursing assistants) participated in the pilot study and completed 90 fall prevention checklists. The most frequently missed intervention was setting the bed alarm, which was set incorrectly 19% of the time. There were no patient falls d...Continue Reading

References

Jun 29, 2002·Clinical Journal of Oncology Nursing·Sandra Holley
Sep 23, 2006·Journal of Critical Care·Brigette M Hales, Peter J Pronovost
Nov 13, 2012·Journal of Patient Safety·Erin L D BouldinRonald I Shorr
Apr 25, 2017·JAMA Internal Medicine·Matthew E GrowdonSharon K Inouye

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Citations

Dec 2, 2020·Critical Care Nurse·Linda M Hoke, Rachel T Zekany
May 1, 2021·International Journal of Environmental Research and Public Health·Yeji SeoJi-Su Kim

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