Authors

  1. Radecki, Bethany MSN, RN, ACNS-BC
  2. Keen, Alyson MSN, RN, ACNS-BC
  3. Miller, Joan MSN, RN, PCCN
  4. McClure, Janelle K. MSN, RN, CEN
  5. Kara, Areeba MD, MS, FACP

Abstract

Background: Injury falls are common, with nearly a million hospitalized patients falling annually. Fall risk identification and prevention are largely clinician-centric, lacking patient input.

 

Local Problem: Our fall rates were below the national mean; however, patients who fell and sustained injury were at or above the mean. We lacked processes that engaged patients as safety collaborators.

 

Methods: This was a quality improvement study examining the effect of a collaborative fall intervention on (1) patient knowledge in action and (2) incidence of falls.

 

Intervention: The patient fall assessment tool was implemented to facilitate collaborative safety conversations.

 

Results: We achieved a statistically significant improvement (P = .0007) in the patient's participation in the development of the safety plan, with a 25% reduction in total falls and a 67% reduction in injury falls.

 

Conclusions: The patient fall assessment tool may be a successful strategy to engage patients in the development of their safety plan and positively affect safety partnerships.