Reducing patient falls is cited as one of the ten Patient Safety areas identified in the Effectiveness Matters publication (York University, Centre for Reviews and Dissemination, 2013) and several Yorkshire organisations, including community providers, have already asked us for support and nominated clinical teams and leaders to work together on reducing falls.
What we are doing about it
We have developed a framework in which to undertake this safety improvement work and its core principles include:
- Providing support in the team’s own clinical environment at the frontline of care
- Complementing any existing safety improvement work
- Equal partnership which recognises the clinical expertise and knowledge of the team
- Draws upon the evidence based interventions where available
The Academy team provides expertise, support and learning in areas such as team safety culture, improvement science and measuring for improvement.
Current evidence shows that multi-component interventions are effective in reducing falls, including tailored bedside signage, advice on footwear and toileting schedules.
We are supporting teams in testing, implementation and measurement of interventions as follows:
- Falls safety briefings (huddles) - Led by senior clinicians, to support the team to identify those patients most at risk of falling and plan to prevent such a fall
- Above bed signage - to identify at a glance patients who are most at risk of falling
- Reliable, pre breakfast “intervention” for all patients - includes toileting for those most at risk of falling
Teams have been successfully reducing falls and capturing progress on this on improvement run-charts.
Our future plans
We are scaling up and spreading our success across the region in different settings contributing widely to a much needed cultural shift away from accepting inpatient falls as the norm towards a proactive approach to prevention.