@article{ref1,
title="Creating a standardized post-fall debrief tool: a quality improvement project",
journal="Journal of nursing care quality",
year="2022",
author="Farley, Holley and Stepanek, Meghan and Aquino, Carla and Whalen, Madeleine",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Performing post-fall debriefing improves patient outcomes through learning from defects and addresses adherence to fall prevention programs. LOCAL PROBLEM: While addressing an increase in fall rates, a quality improvement team discovered there was no standardized tool or process for completing post-fall debriefing. <br><br>METHODS: The team used the Plan-Do-Study-Act (PDSA) process to improve the post-fall debrief tool, with an analysis of pilot using the implementation science RE-AIM framework. INTERVENTIONS: Three units with a high focus on falls and an established debriefing culture participated in pilot to generate and standardize a post-fall debrief tool. <br><br>RESULTS: Through 2 revisions with end user and champion feedback, the tool was refined to assess any contributing factors to the fall. <br><br>CONCLUSION: Through use of the PDSA cycle, the team established content validity of the post-fall debrief tool. This tool is appropriate for inpatient adult and pediatric scale-up and complementary to current fall risk assessment tools.<p /> <p>Language: en</p>",
language="en",
issn="1057-3631",
doi="10.1097/NCQ.0000000000000667",
url="http://dx.doi.org/10.1097/NCQ.0000000000000667"
}