Transcript Jewish General Hospital

Rapid Fire Team Presentation
Julie Valiquette, Physiotherapist & Jessica Emed, Clinical Nurse Specialist
www.saferhealthcarenow.ca
Falls Facilitated Learning Series
Who We Are
Jewish General Hospital
Montreal, Quebec
Acute care hospital
637 beds
Over 24 800 admissions/year
Affiliated with McGill University
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Falls Facilitated Learning Series
AIM
• To engage fall prevention team members in the National Falls Facilitated
Learning Series (FFLS) to work towards reducing fall rates and injuries from
falls
• To learn and integrate strategies of sustainability into our organization's falls
improvement plans
• To network with other enrolled teams in the FFLS program
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Falls Facilitated Learning Series
Team Members
•Team sponsors
• Judy Bianco, Interim Associate Nursing Director, Critical Care Services
• Chantal Bellerose, JGH Accreditation Coordinator & Quality Improvement Advisor
• Department Chiefs for Nutrition, Physiotherapy, Occupational Therapy
•Team leaders
•Julie Valiquette, Physiotherapist
•Jessica Emed, Clinical Nurse Specialist
•Team members
•Zeina Aoude, Dietician
•Helena Etrata, Nursing Education Consultant
•Rania Ibrahi, Occupational Therapist-Psychiatry
•Maya Lallouz, Physiotherapist
•Yanna Mentakis, Occupational Therapist
•Jocelyne Pépin, Pharmacist
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Falls Facilitated Learning Series
Falls Change Ideas
tested to date in our organization
Changes Implemented
within Organization
Working/Not Working
Facilitators/Barriers
identified
New Policy and Procedure on Fall
Assessment and Intervention
Working
Assessment and Intervention Tool in
admission package
Working
F: easy access to documentation and
use; includes risk assessment and
individualized intervention plan
Presentation of tool during general
orientation to nursing staff
Working
F: increase awareness
B : limited to nursing staff
Reminder to fill out the tool in
multidisciplinary rounds
Not working yet
B: only implemented on 1-2 units
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Falls Facilitated Learning Series
Measures
• 3 of the 4 in-patient units targeted for audits have shown
improvements in completing fall risk assessments on admission and
documenting individualized intervention plans
• Special attention to one unit not yet showing improvements
•Overall number of falls did increase slightly in the last fiscal year,
may be attributed to:
• More complex patient population
• Possibility of increased reporting related to awareness-raising
activities
• Promotion of early mobilization as much as possible
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Falls Facilitated Learning Series
Lessons Learned on Sustaining Falls
Improvement Work during Action Period
•Importance of team work and involvement of all hospital departments
•Importance of designated team members with protected time to work on
fall prevention
•Importance of sustained efforts to implement changes and keep up
momentum
•Fall prevention is a key component in patient safety
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Falls Facilitated Learning Series
Challenges to Sustaining Falls Improvement
• Very short time period for an institution with high turnover and a high
numbers of admissions
• Time allowance to implement changes
• Given the program
• Given size of our institution, competing demands
• Some falls are very difficult to prevent (e.g., patients with mental status
changes)
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Falls Facilitated Learning Series
6 Month Post FFLS Sustainability Plans for Falls Improvement Work
Goal Description
Action
Timeframe
(What is AIM)
(What STEPS are to be taken
to achieve)
(When to be
done by)
Increase rates of
assessments and
intervention plans on
admission
Nominate a champion for each
unit
Introduce the Fall
Prevention Policy &
Procedure to new staff
Increase awareness of
medications that can
increase fall risk
Designate day in the week
where tools can be updated
Ongoing audits and feedback
Mandatory hospital wide
orientation to Fall Prevention
Implement a visual alert on the
medication administration
record
Person Responsible
Metrics: What is
to be
monitored to
identify
achievement
1 month
Head nurses, Clinical Nurse Specialists and
Nursing Educators
Percentage of
tool filled should
increase
6 months
6 months
Research Assistant
Department of Training and Development in
collaboration with Physiotherapy,
Occupational Therapy, Nutrition
3 months
Fall Prevention Committee
Pharmacy and Nursing Departments
Decrease in fall
rates
Decrease in fall
rates
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Falls Facilitated Learning Series
6 Month Post FFLS Sustainability Plan (continued)
Goal Description
Action
Timeframe
Person Responsible
Metrics: What is to
be monitored to
identify
achievement
(What is AIM)
(What STEPS are to be taken
to achieve)
(When to be
done by)
Increase awareness of
clutter as a
contributor to falls
Improve assessment
and monitoring after
a fall; help prevent
recurrences
Organize a hospital-wide “declutter" contest
6 months
Fall Prevention Committee
Decrease in fall rates
Implement a post fall
assessment tool and policy and
procedure
6 months
Nursing Department
Decrease in injury or
injury severity;
decrease in
recurrences
Multidisciplinary team
Fall Prevention Committee
Pilot huddle meetings with
multidisciplinary team to discuss
circumstances of falls and
changes to be implemented in
care
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Falls Facilitated Learning Series
Contact Information
Julie Valiquette
[email protected]
(514)340-8238
Jessica Emed
[email protected]
(514)340-8222 ext. 2726
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