Fall in hospital

Helps for quick lectures

1. FALL IN HOSPITAL Prepared by, MS .Soumya Poulose

2. WHAT IS FALL The National Quality Forum (NQF) defines a fall as an unplanned descent to the floor (or extension of the floor e.g., trash can or other equipment) with or without injury to the patient

3. SCOPE OF ISSUE * Leading cause of non fatal injuries *Leads to negative outcome *Prolongs hospitalization *Legal liability

4. WHY DO PATIENT FALL? INDIVIDUAL FACTORS -Comorbidities -Behavioral disturbance -Agitation -Confusion -Vision problem -Delirium -Muscle weakness -Urinary incontinence -Impaired balance

5. ENVIRONMENTAL FACTORS -Poor workflow design -Inadequate lighting -Trip hazards -Faulty equipment -Poorly defined process -Staff attitude -Lack of education -Nursing unit design flaws

6. HIGH RISK GROUPS 1.MEDICATIONS -Antipsychotics -Benzodiazepines -Hypnotics/Sedatives -Digoxin 2.ORTHOSTATIC HYPOTENSION 3.POOR VISION 4.IMPAIRED MOBILITY 5.UNSAFE BEHAVIOUR

7. TYPES OF FALL

8. FALL RISK ASSESSMENT

9. FALL RISK ASSESSMENT TOOL

10. LEVELS OF INJURY

11. POST FALL PROTOCOL * First aid *Ensure that patient is safe from further danger *Ask for help *Do not reposition the patient until patient is ready to do so *Move the patient safely with attention to moving& handling *Complete post fall reassessment *Report fall *Patient& family education

12. DATA COLLECTION TOOL MONTH: YEAR:2020 Description of Indicator Indicator Name: Patient Fall rate Numerator: Number of patient falls occurred within a specific period Denominator: Number of Patient days (Total Number of patient) Selection Criteria: All Patients admitted in the unit (in-patient) Target: same as bench marking Bench Mark: Patient fall 0.31 per 1000 patient care day Frequency: Monthly Source of Data: Patient Medical Records. Responsible Party: Quality Nurse Coordinator Reported to: Nursing Director, Q.M. Director, Medical Director, Q.I. & P.S. Committee Type of Indicator: Structure Process Outcome Criteria Total No. % of Compliance Remarks Number of patient falls occurred within a specific period         Number of Patient days (Total Number of patient).     Data collected by : Quality Nurse Coordinator Name: _______________________________   Signature: _____________________________   Data reviewed by : Quality Director Name: ________________________________ Signature: _____________________________