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Check the pack so

patient safety doesn’t


lack!
By Trysha Hicks, Brooke Barney, Lizzy Hammond, Sussanna
Sheidt, Carolina, and Lauren Austin
Identified Problems
•  High fall rates
•  Insert stats
•  Lack of implementation of fall prevention resources
•  Patient understanding of fall risk
Possible Causes
•  statistics
Current State (Chart)
•  Fall Stats of inpatient wards in chart
Current State of Inpatient Ward’s
•  What is being implemented: •  Lack of consistency with the
•  Bed alarms on implementation of:
•  Fast team response to bed alarms •  Yellow blankets
•  Non-skid socks •  Yellow socks
•  Beds in low and locked position •  Yellow wristbands
•  Side rails used appropriately •  BMAT rating tool
•  Yellow Fall risk wristbands
•  Wheelchair alarms
Goals
•  Checklists and packages are implemented on all inpatient units
•  Fall rate for upcoming fiscal year decreases by (based off of stats)
•  Hospital-wide understanding of fall prevention tools.
•  Compliance with the fall prevention interventions and tools.
Our Solution
•  Checklist
•  Provided upon admission
•  Signed by health care team member and patient
•  Turned into supervisor
•  Package
•  Kept in Omni Cell
•  Monthly spot checks for compliance
Insert picture of package
Insights from literature review
What Outcome we expect
•  Consistent use of fall prevention interventions and tools by staff
•  Reduced fall rate
•  Shorter hospitalizations
•  Decrease cost
•  less injuries
•  Increase in patient satisfaction
How do we measure the impact?
•  Monthly spot checks to confirm implementation of checklist and package
use
•  Fall rate statistics
•  Quarterly Patient surveys
•  Quarterly Staff surveys
Recommendations for the future
•  Sock colors corresponding to the BMAT rating
•  Staggered shift change times for RNs and NAs
•  Locks on bedside table wheels
Resources

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