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IMPROVING A FALL PREVENTION PROGRAM 1Capstone Project Change ProposalRoshanda Dixon Grand Canyon University: NRS-490 August 13, 2018
IMPROVING A FALL PREVENTION PROGRAM Improving a Fall Prevention Program in a Clinical Environment Falls are very important and preventing these falls are the most important goal and plan for every patient’s safety that encounters healthcare settings. There are many ways in preventingfalls such as new trainings, new bed alarm tones and even hourly rounding. Daily improving to bedside reporting is another suggestion this field of study. Failing to increase measures in implementing change can lead to death and or longer hospitalization stays. Detecting problems early and adjusting to change will help with improvement of falls. Patients will build confidence and a trusting relationship that will help secure a solid foundation for the healthcare setting. Background University of Louisville Hospital is a Level Trauma 1 Center in the state and nearby surrounding states. Admissions records over 3,000 patients a year and half of them are from outside of the county. Decreasing patients falls is the most important. In order to promote this proposition we need to set up teams that are willing to work together and communicate. University of Louisville hospital has had a total of 45 falls this year from January thru May. According to research, falls have been around for over 50 plus years. Incident reports are avoided when these happen the best thing is adverse events. Healthcare facilities need to make sure they understand the interventions and not focus on the quantity of falls which is very important. Inpatient fall rates range from 1.7 to 25 falls per 1,000 patient days, depending on the care area, with geropsychiatric patients having the highest risk (NCBI, 2007). Falls inpatient hasincreased in some facilities. The facility that I am employed at fall cases have decreased through 2
IMPROVING A FALL PREVENTION PROGRAM interventions and hourly rounding. Falls may never be fixed but we can all work together to decrease the chances and give the proper teachings. Problem Statement According to research falls have been around for over 50 plus years. Incident reports are avoided when these happen the best thing is adverse events. Falls in hospital are associated with excess financial and opportunity costs (Oxford Academic, 2008). The majority of falls in healthcare facilities are patients over 70 years of age and the youth between 18-39 years of age. Falls inpatient has increased in some facilities and this is why interventions are needed. Falls canbe very costly towards everyone’s pockets and also their health. Prolonged hospital and even injuries such as fractures and death can occur if proper precautions are not in place. Liabilities can also occur which can cost the hospital more funds than actually receiving to improve better care. Consequently, various hospitals falls, prevention programs have been implemented in the last decades (BMC Health Services Research, 2006). Fall cases have decrease over time at the