Transcript Final Rapid Fire Presentation

Rapid Fire Team Presentation Template
Name of Presenter:
Treena Slate
www.saferhealthcarenow.ca
Falls Facilitated Learning Series
Who We Are
Name of Organization:
Brandon Regional Health Center
Location of Facility: Brandon, MB
Number of Patients/Residents/Clients: 305 Inpatient Acute Care Beds
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Falls Facilitated Learning Series
AIM
The purpose of our project is to promote fall
prevention within the Brandon Regional Health
Centre. We will work as a team to enhance our
existing Fall Prevention Program and involve all
stakeholders to promote a culture of safety.
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Falls Facilitated Learning Series
Team Members
•Bev Cumming, VP Acute Care Nursing, Executive Sponsor
•Treena Slate, Manager Inpatient Rehab, Chair
•Cindy Bauche, Quality Patient Safety and Risk, Facilitator
•Linda Kawa, Director Acute Care Nursing
•Vickie White, Nurse Educator Inpatient Surgical
•Scott Kirk, Manager Cancer Care
•Donna Townsend, Clinical Resource Nurse Inpatient Long Term Care
•Kelly Peloquin, Manager Inpatient Medicine
•Marilyn Day, Manager Inpatient Mat/Child
•Sheilagh Remillard, Nurse Educator Emergency
•Monique Clarke, Educator Diagnostic Imaging
•Noreen Weflen, Clinical Resource Nurse Surgical Suite
•Rick Paddock-Thiessen, Staff Nurse Hemodialysis
•Stephanie Wood, Staff Nurse Float Pool
•Kyla Brown, Physiotherapist Inpatient Medicine
•Nicole Van De Keere, Occupational Therapist Geriatric Adult Psychiatry
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Falls Facilitated Learning Series
Review Falls Change Ideas tested to date in
your organization
Changes Implemented
within Organization
Working/Not Working
Facilitators/Barriers
identified
Fall Prevention Bulletin
Board implemented on
inpatient Rehab unit
Working
Accessible to patients
Falls posters installed in
patient washrooms in
Surgical Suite
Working
Accessible to patients
Co-bedding posters installed
in all maternity rooms
Working
Picture posters that are
understood by all
nationalities
Frequent faller specific
PDSAs completed.
Working
Not all patients are
compliant with changes
Distribution of unit specific
falls data
Working
Data needs to be shared
with
all staff
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Falls Facilitated Learning Series
Measures
Percentage of Patients with Completed Morse Falls Assessment on Admission
Month
Sept 2011
Nov 2011
Jan 2012
Admissions
10
10
11
Completed
Assessment
7
9
10
Percentage
70%
90%
91%
Percentage of “High-Risk” Patients with Completed Intervention Strategies on Admission
Month
Sept 2011
Nov 2011
Jan 2012
High-Risk Patients
10
6
9
Completed
Interventions
2
5
3
Percentage
20%
83%
33%
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Falls Facilitated Learning Series
Lessons Learned on Sustaining Falls
Improvement Work during Action Period
What advice would you give to other teams?
•Involve all stakeholders, especially front line staff
•Circulate and review data with front line staff
•Use data for planning of fall prevention strategies
What are your key insights?
•Further work required to review/revise current facility fall prevention policy and
program
•Focus of program should be on prevention strategies and harm reduction vs.
assessment
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Falls Facilitated Learning Series
Challenges to Sustaining Falls Improvement
• What were some barriers?
 Multiple priorities within the organization
• What are some facilitators?
 Support from Executive Management
 Releasing Time to Care Initiative
 State of readiness as an organization
• How do you propose to move forward?
 Develop and work through falls prevention action plan
 Update current Regional Falls policy
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Falls Facilitated Learning Series
6 Month Post FFLS Sustainability Plans for Falls Improvement Work
Goal Description
Action
Timeframe
(What is AIM)
(What STEPS are to be
taken to achieve)
(When to be done by)
Review compliance of
completion of Morse Falls
Assessment Scale and
Interventions
Canadian Falls Prevention
Course
Audit 10 charts from each
unit
April 2012
All
Research and finalize
cost/dates/availability for
course in Brandon
Meet as a smaller group
to determine questions
for unit falls audit
Example:
Poster/Powerpoint/room
with examples
Review compliance to
Morse Falls Scale/audit 10
charts
June 2012
Cindy/Rick/Scott
June 2012
Linda/Stephanie/Treena/
Monique
Define Questions for Falls
Prevention Program Audit
Design an internal
education process
Complete an audit after
education
Person Responsible
Metrics: What is to be
monitored to identify
achievement
September 2012
Will start after policy
revision
All
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Falls Facilitated Learning Series
Contact Information
Name: Treena Slate
Email: [email protected]
Phone Number: (204) 578-4609
www.saferhealthcarenow.ca