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LAMP

FALL PREVENTION. LAMP. Presentation to Patient Care Services Board July 25, 2000. FALL PREVENTION. LAMP. MULTIDISCIPLINARY TEAM. Leaders: Terri Crutcher and Susie Leming-Lee Julie Foss Laura Kelley Anne Peterson Debbie Harrell Penny Powers Deborah Robin MD Audrey Kuntz

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LAMP

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  1. FALL PREVENTION LAMP Presentation to Patient Care Services Board July 25, 2000

  2. FALL PREVENTION LAMP MULTIDISCIPLINARY TEAM • Leaders: Terri Crutcher and Susie Leming-Lee • Julie Foss • Laura Kelley • Anne Peterson • Debbie Harrell • Penny Powers • Deborah Robin MD • Audrey Kuntz • Steve Deppen

  3. FALL PREVENTION LAMP FALL: “A person coming to rest unintentionally on the ground or lower level, not as a result of a major intrinsic event or overwhelming hazard.” Salgado et al., Gerontology, 1994

  4. FALL PREVENTION LAMP 1. Falls are the second leading cause of unintentional-injury deaths in the United States for persons of all ages. 2. Two-thirds of those falls were people who were 75 years of age or older. 3. Patient falls lead to increase cost and a decrease in patient, physician, and staff satisfaction.

  5. FALL PREVENTION LAMP WHAT ARE WE TRYING TO ACCOMPLISH?

  6. FALL PREVENTION LAMP AIM: To improve/promote patient safety by reducing patient falls through implementation of a Falls Prevention Program based on the assumption that providing the right care is the “right thing” to do.

  7. FALL PREVENTION LAMP HOW WILL WE KNOW ACHANGE = IMPROVEMENT?

  8. FALL PREVENTION LAMP • Decrease incidence of patient falls • Decrease number of fall related injuries • Decrease use of restraints • Decrease use of sitters • Decrease cost of fall related issues • Decrease number of fall related claims/lawsuits

  9. FALL PREVENTION LAMP WHAT CHANGES CAN WE MAKE THAT WILL LEAD TO AN IMPROVEMENT?

  10. FALL PREVENTION LAMP • Develop a process to identify patients at risk for falls • Develop/implement interventions to reduce the risk • Use data over time to evaluate/improve Fall Prevention Program

  11. FALL PREVENTION LAMP • Important to find the best current evidence • Literature focuses on Nursing Homes and Community • Nursing Research is the primary contributor

  12. FALL PREVENTION LAMP • Developed VUMC Program with consideration of • research/evidence and the specific needs of VUMC patients • and facility. • “Best Practice” advocates that we evaluate the effectiveness • of our program. • We are committed to asking “answerable clinical • questions”

  13. LAMP

  14. FALL PREVENTION LAMP Of 13 patients who fell, 10 were assessed to be at risk for fall

  15. FALL PREVENTION LAMP • Spot check - 39% of patients were assessed • to be at risk for fall • Indicators most often noted on FRAT • decreased mobility • weakness • unsteady gait

  16. FALL PREVENTION LAMP EDUCATION • Staff • Other Departments • Physicians

  17. LAMP FALL PREVENTION

  18. LAMP FALL PREVENTION

  19. FALL PREVENTION LAMP LESSONS LEARNED • Importance of Multidisciplinary Team • Base Decisions on Evidence • Importance of a Physician Champion • Importance of Staff Feedback • Data Over Time shows Trends/Patterns • Importance of data collected at the unit level

  20. FALL PREVENTION LAMP NEXT STEPS

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