Falls Prevention Virtual Learning Collaborative

Rapid Fire Team Presentation Virtual Learning Session # 4

Name of Presenter: Barbie Cook

Name of Organization: Lillian Fraser Memorial Hospital

Location of Facility: Tatamagouche, N.S.

Number of Patients/Residents/Clients: 10 short stay inpatient beds and 2 observation beds. On average we have 1 palliative and 2-4 alc.

Who We Are

AIM

•Reduce incidence of falls (fall rate) by 40% from baseline at Lillian Fraser Memorial Hospital by March 2011

•Reduce injury from falls by 40% from baseline at Lillian Fraser Memorial Hospital by March 2011

Team Members

Barbie Cook: Site ManagerBrenda Mackinnon: LPNJanet Mattatall: Patient Care LeaderBecky McCarthy: Occupational TherapistNancy Smith: Physiotherapist Erin Pope: LPNShannon Anderson: CEHHA Director of Rehab Services

Change Ideas

1)Safety Huddles

2)Implementation of a Falls Care Plan

Measures

Falls-Acute 2 - Percent of of Falls Causing Injury

0%10%20%30%40%50%60%70%80%90%

100%

Apr2008

Jul2008

Oct2008

Jan2009

Apr2009

Jul2009

Oct2009

Jan2010

Apr2010

Jul2010

Oct2010

Jan2011

Apr2011

Jul2011

Oct2011

Month

Perc

enta

ge o

f Har

mfu

l Fal

ls

Actual Goal

Falls-Acute 5 - Percentage of "At Risk" Patients with Falls Prevention/Injury Reduction Plan Documented

0%

20%40%

60%80%

100%

Apr 2

008

May

200

8Ju

n 20

08Ju

l 200

8Au

g 200

8Se

p 20

08Oct

2008

Nov 2

008

Dec 2

008

Jan

2009

Feb

2009

Mar

2009

Apr 2

009

May

200

9Ju

n 20

09Ju

l 200

9Au

g 200

9Se

p 20

09Oct

2009

Nov 2

009

Dec 2

009

Jan

2010

Feb

2010

Mar

2010

Apr 2

010

May

201

0Ju

n 20

10Ju

l 201

0Au

g 201

0Se

p 20

10Oct

2010

Nov 2

010

Dec 2

010

Jan

2011

Feb

2011

Mar

2011

Apr 2

011

May

201

1Ju

n 20

11Ju

l 201

1Au

g 201

1Se

p 20

11Oct

2011

Nov 2

011

Dec 2

011

Month

Perc

enta

ge w

ith

Impl

emen

ted

Falls

Pr

even

tion

/Inj

ury

Redu

ction

Actual Goal

MeasuresMeasures

Falls-Acute 5 - Percentage of "At Risk" Patients with Falls Prevention/Injury Reduction Plan Documented

0%

20%40%

60%80%

100%

Apr 2

008

May

200

8Ju

n 20

08Ju

l 200

8Au

g 200

8Se

p 20

08Oct

2008

Nov 2

008

Dec 2

008

Jan

2009

Feb

2009

Mar

2009

Apr 2

009

May

200

9Ju

n 20

09Ju

l 200

9Au

g 200

9Se

p 20

09Oct

2009

Nov 2

009

Dec 2

009

Jan

2010

Feb

2010

Mar

2010

Apr 2

010

May

201

0Ju

n 20

10Ju

l 201

0Au

g 201

0Se

p 20

10Oct

2010

Nov 2

010

Dec 2

010

Jan

2011

Feb

2011

Mar

2011

Apr 2

011

May

201

1Ju

n 20

11Ju

l 201

1Au

g 201

1Se

p 20

11Oct

2011

Nov 2

011

Dec 2

011

Month

Perc

enta

ge w

ith

Impl

emen

ted

Falls

Pr

even

tion

/Inj

ury

Redu

ction

Actual Goal

Lessons Learned Make sure everyone is educated prior to the implementation of a new form or process.

Allow time to regroup often, to monitor how things are going.

Start Small

Make your goals and progress visible so that staff can see that what they are doing is making a difference.

Keep people involved!

Barriers:- Our forms were not very user-friendly- Staff resistance to change. “its just another piece of

paper”.

Moving Forward:- Continuously working on care plan to make it more

user friendly.- Make the benefit visible- Staff education- Communication

Challenges

1) Whiteboards by each patient bed.2) Methods of communication.3) Coming up with a logo.

Next Steps

Name: Barbie Cook

Email: barbara.cook@cehha.nshealth.ca

Phone Number: 657-0211 ext- 120

Contact Information