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Elizabeth brown & Raymond carr Sierra Providence East Medical Center

Watch out!. Elizabeth brown & Raymond carr Sierra Providence East Medical Center. Falls in 2011 on the Med-Surg unit was 2.35% per 1,000 patient days February 2011 there were 6 falls alone! Unit Council members took initiative to correct issue

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Elizabeth brown & Raymond carr Sierra Providence East Medical Center

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  1. Watch out! Elizabeth brown & Raymond carrSierra Providence East Medical Center

  2. Falls in 2011 on the Med-Surg unit was 2.35% per 1,000 patient days February 2011 there were 6 falls alone! Unit Council members took initiative to correct issue Action was taken to increase awareness and communication of high fall risk patients Introduction

  3. A white magnetic board was created with rooms 4001-4030 divided by blocks Patients identified as high fall risk per Morse fall screening tool with a score of 75 or higher have a red button on their room number to signify “watch out” that particular patient has a great risk for falling If the call bell for that room sounds………… DO NOT pick up the call bell phone, immediately go to the room for bedside assistance methods

  4. Illustration of fall board

  5. Process was discussed on the floor with all staff and education was provided at unit meetings Process was demonstrated and modeled by unit council members and management High fall risk patients are updated on the fall board every shift by charge nurse Method

  6. Fall rate for Med-Surg in 2012 was 2.17% Fall rate overall as a facility was 1.87% Overall response time for answering call bells improved on unit Results

  7. Results

  8. Effective communication among healthcare providers is essential to provide safe patient care Open awareness of high risk patients conveys a team effort to meet the needs of our patients Nurses are the frontline clinicians who are critical in improving overall patient safety Conclusion

  9. Ohrn, A. Rutberg, H. Nilsen, N. (2011). Patient Safety Dialogue: Evaluation of an Intervention Aimed at Achieving an Improved Patient Safety Culture. Journal of Patient Safety.7(4):185-192. Chipps, E. Wills, C. Tanda, R. Patterson, E. S. Elfrink, V, Brodnik, M. Schweikhart, S. Wenger-Ryan, N. (2011). Registered Nurses’ Judgments of the Classification and Risk Level of Care Errors. Journal of Nursing Care Quality. 4 (26): p. 302-310. References

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