Join the Falls Prevention Virtual Learning Collaborative Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template Organization: Queensway Carleton Hospital-Ottawa Speakers: Colleen O’Brien & Shirley Francis

38 Bed Acute Medicine Unit in a Community Hospital in Ottawa Who We Are

Team Members Team MemberRole Colleen O’Brien RN Co-Lead Shirley Francis RN Rita Leung RN Marion O’Connor RN Christine Bidmead Director Co-Lead Member Sponsor

AIM By March 2011: Reduce incidence of falls by 40% from baseline (baseline fall rate=7.4) Reduce injury from falls by 40% from baseline by March 2011 (baseline injury rate=1.5)

Change Ideas Reviewed Use of Existing Falls Assessment Risk Tool (FRAT) & Falls Statistics, Adapted and adopted new FRAT. Staff Education and One on One Coaching on: Prevention Strategies Completing weekly New FRAT Identification of High Risk Patient Identification of Interventions Importance of Documentation

Measures Falls Rate: 7.4→6.8 (Oct. →Dec statistics) % of Falls Causing Injury: 20.27%→27.94 (Oct. →Dec statistics) Implementation of New Tool = January 22, 2011: Completed Falls Risk Assessments: 88→100% Identification of High Risk Patients: 57→ 90% % of High Risk Patients with a Prevention/Injury reduction plan: 50 →82% Documentation: 50 →27%

Lessons Learned Lessons Learned/Key Insights Benefits of one-on-one bedside education (Teachable Moment!) Resources Culture change/Age-related changes (e.g. bladder capacity) Challenges of documentation

What are some things you will do to sustain the work on reducing falls and injury from falls and by what date? Next Steps Key Sustainability Steps/Plan:Target Dates New FRAT to Forms Cmte.March 1, 2011 FRAT from Unit →HospitalSafe Mobility Team Medicine Meeting/March Presentation OpportunitiesProfessional Practice Day/May Nursing Leadership/June

Colleen O’Brien, Clinical Nurse Specialist/Geriatrics X 4920 Shirley Francis, Clinical Nurse Educator X 2742 Contact Information