1 / 27

Falls Prevention & Promotion

Falls Prevention & Promotion. Deborah Birch Consultant Nurse for Frailty. Impact of falls. A fall in hospital can result in an average increase in stay 1-2 days. Research has shown that multiple interventions performed by MDT & tailored to individual can reduce falls by 20-30%.

steviel
Download Presentation

Falls Prevention & Promotion

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Falls Prevention & Promotion Deborah Birch Consultant Nurse for Frailty

  2. Impact of falls • A fall in hospital can result in an average increase in stay 1-2 days. • Research has shown that multiple interventions performed by MDT & tailored to individual can reduce falls by 20-30%. • Falls are estimated to cost the NHS more than £2.3 billion per year (NICE, 2013) and rising

  3. Falls related Anxiety cycle

  4. Lincolnshire

  5. Lincolnshire Demographics Interesting facts 1st policewoman - Edith Smith 1915 (Grantham) • Population of 743,400 • Large proportion of Rural, Retirement • Proportion of people over 75yrs projected to increase by 95% bet 2014-2039. • 4 x CCGs Home to one of only four surviving copies of the Magna Carta Invented the tank

  6. Lincolnshire……

  7. Aims: • Journey so far within ULHT • NHS Improvement collaborative • Ongoing initiatives

  8. Reported falls per 1,000 OBD’s The NPSA calculated the mean rate of falls per 1,000 OBD’s as 5.6 for acute hospitals

  9. The Journey…… • Deputy Chief Nurse with falls remit as part of safety remit - Reinvigorated Trust Falls Group - Monthly Falls Scrutiny Panels • 1st Falls Summit to increase staff awareness • Developed Falls Workbook

  10. Trust Wide Falls Group • Lead • Jenny Hinchliffe (Interim Lead Nurse /Patient safety manager) • Representation from across all sites • Medics, OT, Physio, Nurses, Risk Management • Monthly • Forms part of Ward Accreditation

  11. Falls Scrutiny Panels • The ULHT Falls Scrutiny Panel is a sub-committee of the ULHT Falls Group. • The panel forms part of the Trust’s overall assurance process relating to protecting patient’s safety. • All patients who have sustained severe harm following a fall while in ULHT. • Ward Sister presents timeline to panel • Identifies areas of good practice and gaps in care. • Helps to identify trends • Action Plan

  12. Falls Summit

  13. Falls Workbook

  14. NHS Improvement Falls Collaborative Programme • 90 day improvement cycle aimed at improving the management of falls in the inpatient setting in 19 Trusts • Re-energise the falls prevention improvement movement and ensure that providers have the information, skills and tools to reduce injurious inpatient falls and improve reporting and care • Aimed to achieve a 5% reduction in falls rate • PDSA cycles used to share improvements

  15. Wards involved Ward 3B Trauma Orthopaedic Ward Ward 6B Complex Care of Older Males Ward

  16. First Step:Falls Workbook role out

  17. PDSAa way of testing change

  18. PDSA: Cycle One • Medications • Plan: To Improve the knowledge and awareness of the ‘Red Flag’ medications on each ward. • Do: To place medication prompts of the top 10 risk medications in relation to falls on medication trolleys/ clinical rooms • Study: Pre audit number of recognizable drugs know to staff. Then re-audit monthly • Act: Role out

  19. PDSA: Cycle Two • Lying and Standing Blood Pressure Recording • Plan: To improve the compliance of L&S BP by 75% • Do: To apply stickers into patients notes as a prompt to undertaking the L&S BP • Study: Monitor SQD results • Act: Role out

  20. PDSA: Cycle Three • Fall Hot Spots • Plan: To identify main areas where falls take place • Do: Populate scatter graph onto a ward layout map • Study: Monitor for ‘hot spot’ • Act: ongoing

  21. Falls incidents Wards 3B & 6B

  22. Falls per 1000 bed days Ward 3B

  23. Falls per 1000 bed days Ward 6B

  24. What has the journey taught us so far…. • The need for a whole system approach to change. • The need to change the attitude and culture of falls • That reducing falls needs to be multi faceted • That education and knowledge is power • Small changes lead to a big change

  25. Next steps • Need to consider ‘Multiple Falls’ and the role of safety huddles • Development of e-learning training package to support workbook • Role of L&S stickers across all sites • Role out Medications prompts across all sites • Develop falls ambassadors • Falls as part of the metric for ward accreditation

  26. Ultimately …We need to change the Culture to how we view a fall..

More Related