Roadmap Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care Section Action Steps Tool That Supports

Action Word Version [ - 30.6 KB]; Who Should Use The Tool Senior manager

Overview Enlist support of senior leaders Section 1 Are you ready for this change? 1.1 Assess the culture of safety in your hospital

Tool 1A, Hospital Survey on Patient Safety Culture;Word Version [ - 49.85 KB]

All interdisciplinary team members

1.2

Evaluate current organizational attention to falls Assess and develop leadership support for the fall prevention program

Tool 1B, Stakeholder Analysis; Word Version [ - 30.26 KB]

Implementation Team leader

1.3

Tool 1C, Leadership Support Assessment; Word Version [ - 29.62 KB] Tool 1D, Business Case Form; Word Version [ - 29.16 KB]

Implementation Team leader

1.5

Identify resources that are Tool 1E, Resource Needs available and resources that are Assessment; Word Version [ needed - 28.99 KB] Assess your progress on Tool 1F, Organizational completing readiness for change Readiness Checklist; Word activities Version [ - 29.55 KB]

Implementation Team leader

1.7

Implementation Team leader

Section 2 How will you manage change? 2.1 Identify your Implementation Team Assess the current status of fall prevention activities in your hospital Tool 2A, Interdisciplinary Team; Implementation Team leader Word Version [ - 40.94 KB] Implementation Team leader, individuals designated by the Implementation Team leader

2.2

Tool 2B, Quality Improvement Process; Word Version [ 30.48 KB] Tool 2C, Current Process Analysis; Word Version [ -

30.33 KB] Tool 2D, Assessing Current Fall Prevention Policies and Practices; Word Version [ 33.9 KB] Determine staff knowledge about fall prevention 2.3 Set goals for improvement based on outcomes and processes Assess your progress on completing the managing change activities -

Tool 2E, Fall Knowledge Test; Word Version [ - 32.79 KB]

Staff nurses and nursing assistants

Tool 2F, Action Plan; Word Version [ - 34.66 KB]

Implementation Team leader with quality improvement/safety/risk manager Implementation Team leader -

2.4

Tool 2G, Managing Change Checklist; Word Version [ 29.25 KB]

Section 3 Which fall prevention practices do you want to use? 3.1 Identify how fall prevention care Tool 3A, Master Clinical processes connect to one Pathway for Inpatient Falls; another Word Version [ - 61.8 KB] Implement universal fall precautions Tool 3B, Scheduled Rounding Protocol; Word Version [ 29.92 KB] Tool 3C, Tool Covering Environmental Safety at the Bedside; Word Version [ 36.01 KB] Quality improvement/safety/risk manager, staff nurses, nursing assistants Unit manager, staff nurses, nursing assistants, facility engineer, hospital employee who enters patient rooms

3.2

Tool 3D, Hazard Report Form; Word Version [ - 30.13 KB]

Tool 3E, Clinical Pathway for Safe Patient Handling; Word Version [ 3.3 Identify important risk factors for falls in your patients - 61.22 KB] Staff nurses, pharmacist, nursing assistants

Tool 3F, Orthostatic Vital Sign Measurement; Word Version [ - 32.37 KB]

Tool 3G, STRATIFY Scale for Identifying Fall Risk Factors; Tool 3H, Morse Fall Scale for Identifying Fall Risk Factors; Tool 3I, Medication Fall Risk Score and Evaluation Tools; 3.4 Use identified fall risk factors to Tool 3J, Delirium Evaluation implement fall prevention care Bundle: Digit Span, Short Portable Mental Status planning Questionnaire, and Confusion Assessment Method; Tool 3K, Algorithm for Mobilizing Patients; Word Version [ - 96.08 KB] Educators, staff nurses, physicians, nurse practitioners, physician assistants, nursing assistants

Tool 3L, Patient and Family Education; Word Version [ 29.6 KB] Tool 3M, Sample Care Plan; Word Version [ 3.5 Assess and manage patients after a fall - 32.47 KB] Staff nurses and physicians -

Tool 3N, Postfall Assessment, Clinical Review; Word Version [ - 33.64 KB] Tool 3O, Postfall Assessment for Root Cause Analysis; Word Version [ - 43.48 KB]

3.8

Assess your progress on completing the best practices activities

Tool 3P, Best Practices Checklist; Word Version [ 29.23 KB] -

Implementation Team Leader

Section 4 How do you implement the fall prevention program in your organization? 4.1 Assign staff roles and Tool 4A, Assigning responsibilities for tasks Responsibilities for Using Best identified in set of best practices Practices; Word Version [ Implementation Team Leader, Unit manager

29.14 KB] Tool 4B, Staff Roles; Word Version [ 4.3 Assess current staff education practices and facilitate integration of new knowledge on fall prevention into existing or new practices Assess your progress on implementing best practices activities - 31 KB] Implementation Team Leader

Tool 4C, Assessing Staff Education and Training; Word Version [ - 30.88 KB]

4.4

Tool 4D, Implementing Best Practices Checklist; Word Version [ - 29.22 KB]

Implementation Team Leader

Section 5 How do you measure fall rates and fall prevention practices? 5.1 Collect the right data to learn about falls, fall-related injuries, and their causes Measure fall prevention practices Tool 5A, Information To Include Quality improvement/risk manager, in Incident Reports; Word information systems staff Version [ - 30.61 KB] Unit manager and unit champions

5.2

Tool 5B, Assessing Fall Prevention Care Processes; Word Version [ - 41.74 KB]

5.3

Assess your progress on measuring progress activities

Tool 5C, Measuring Progress Checklist; Word Version [ 29 KB] -

Implementation Team Leader

Section 6 How do you sustain an effective fall prevention program? 6.3 Identify factors need to sustain your fall prevention efforts Tool 6A, Sustainability Tool; Word Version [ - 32.85 KB] Implementation Team Leader