A6a Rationale for Recommended Change Falls are considered a never event that

A6a rationale for recommended change falls are

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A6a. Rationale for Recommended Change Falls are considered a never event that with the proper safety measures put in place, couldhelp prevent patients from having them. Hester & Davis (2013), stated the cost of a hospitalization increases by an average of $4200 due to a patient fall. Decreasing the amount of falls within an organization is a benchmark goal. According to the most recent Leapfrog scores from spring of 2019, the overall hospital grade of Mercy NWA was a Grade B. However, the hospital performed below average for patient falls and injuries, Mercy NWA scores were 0.914, average 0.435, and best 0.000 per 1,000 patients discharged (Leapfrog Hospital Safety Grade. (2019). A6b. Measures to EvaluateTo evaluate the implementation measure, data on falls obtained from the organizations patient fall reports from the Medical/Surgical unit were provided to determine pre and post three
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CONSULTATIVE CHANGE 7month implementation of the HDS. The primary outcome measure used was, fall rate per 1,000 patient days (pd). The fall rate data from the Medical/Surgical unit based on the last three months, showed there was a total fall reduction of 20%, decreasing the numbers of falls for the three months to 2.9/falls per pd, compared to the pre implementation results of 3.2/falls per pd. The National Database of Nursing Quality Indicators (NDNQI) was used to measure the patient fall rate compared to state norms from similar hospitals of type and size. The Joint Commission (2015) recommends integrating into the electronic medical record (EMR) a validated fall risk assessment defined to identify risk factors for falls. The HDS FRA qualifies for such a tool and has been integrated into the EMR. Mercy NWA will continue to measure fall reports quarterly for one year. At that time after reviewing the data of the collected fall reports, if the outcome continues to decrease or meets the set goal of 0/falls per pd, the HDS FRA will remain in use. If the outcome does not continue to decrease or increases, the facility will re-evaluate and also re-educated it’s staff on the use HDS FRA. ConclusionPreventing falls requires leadership commitment, as well as a systematic, data driven approach to achieve risk reduction and continuous improvement within specific settings and among specific populations (Joint Commission, 2015). In summary, prevention efforts begin with assessing individual patients' risk for falls, the HDS FRA is a tool that Mercy NWA currently has implemented into the EMR with current data showing a decrease in falls. There are other factors that affect this data such as, staff compliance and proper education of the use of the HD FRA. Continued monitoring of both should be maintained based on this conclusion.
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CONSULTATIVE CHANGE 8
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CONSULTATIVE CHANGE 9ReferencesAmerican Association of Colleges of Nursing. (2011). The essentials of master’s education in nursing. Washington, DC. Retrieved from Publications/MastersEssentials11.pdfCommunity Health Needs Assessment. Mercy Hospital Northwest Arkansas (2019). Retrieved from -
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