@article{ref1,
title="Designing and implementing a zero harm falls prevention program: a quality improvement study",
journal="Journal of nursing care quality",
year="2022",
author="Wilson, Mary-Agnes and Hacker Teper, Matthew and Sinno, Maya and Kohlberger, Kim and Nuseir, Deema and Chan, Angela and Palomera-Dinglasan, Kristen and Leon, Lauren and Donaldson, Dawn and Taher, Ahmed",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Inpatient falls with harm have severe implications on patients and the health care system. <br><br>PURPOSE: We implemented a zero harm approach to falls prevention, which aimed to reduce falls with injury by 25% within 1 year. <br><br>METHODS: We implemented a multifaceted and multidisciplinary quality improvement falls prevention strategy that included facilitating organization-wide education, adopting the Morse Fall Risk Assessment tool, displaying real-time unit-specific falls rates, and implementing a transparent root-cause analysis process after falls. Our outcome measure was falls with injury per 1000 patient-days. <br><br>RESULTS: We observed a decrease in the rate of patient falls with injury from 2.03 (baseline period) to 1.12 (1 year later) per 1000 patient-days. We also observed increases in awareness around falls prevention and patient safety incident reporting. <br><br>CONCLUSIONS: Our zero harm approach reduced falls with injury while improving our patient safety culture.<p /> <p>Language: en</p>",
language="en",
issn="1057-3631",
doi="10.1097/NCQ.0000000000000617",
url="http://dx.doi.org/10.1097/NCQ.0000000000000617"
}