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Fall prevention needs to be the target of many hospitals. Falls occur each year in hospitals and can be detrimental to the patient, especially the elderly patient (Peel, Travers, Bell, & Smith, 2010). Falls can lead to broken bones, longer stays in the hospital and potentially can lead to death. Falls are expensive to both the patient and the hospital (Trepanier & Hilsenbeck, 2014). This paper would like to take a look at a strategic action plan that would help to prevent falls. This plan of action will includes organizational changes that are geared towards fall prevention. The second part of this paper will include an evaluation plan that is designed to measure and monitor the plan.
Strategic Action Plan
Assessing the reason for the falls would be the first step in the plan. Is there any repetition of the reason behind the fall (Olrich, Kalman, & Nigolian, 2012)? For instance, is there frequent falls at a certain time of the day such as during shift change? Also it may be helpful to know if the fall was related to tethers such as IV poles or Foley catheters. It may also be a good idea to look at the type of patient who fell, is the patient reported to be confused at the time of the fall? Is there any history of dementia reported for the patient that fell? Once all the information is gathered then the pertinent information could be categorized into groups that would help to decipher the best plan of action to prevent falls. The plan would need to be written and approved by the nursing managers and may be put into place by the clinical leaders that are involved with the unit. Although each unit is different some of the ways to prevent falls are similar in all units in the hospital and a team should be formed that would use the inf...
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... the importance of prevention of falls for the patients on the unit (Roussel, 2013). Further evaluation would establish if the plan set was successful in decreasing the amount of falls or if the plan need to be revised. If changes need to occur the written guidelines should be revised and shared with the staff so that revision that will take place.
Outcomes of Fall Prevention
It is the hope and the goal of many hospital staff to help to decrease the number of falls in the hospital setting. The hope is to establish a plan that will assist nursing staff to decrease the number of falls. Falls can be extremely harmful to the elderly. Preventing falls is a much need goal that will bring better outcomes for the patient and the hospital. Evaluation of the action plan will also be planned for so that revisions can be made as needed to decrease the amount of patient falls.
Background Information In implementing a strategic plan for Coastal Medical Center, our consulting team has conducted many analyses and formed numerous strategies in order for Coastal Medical Center to be successful. Such assessments include an internal analysis, external analysis, gap analysis, and SWOT analysis. In conducting these analyses, our consulting team was able to better understand the internal environment, external environment, where the organization currently stands in terms of performance, and the major strengths, weaknesses, opportunities and threats that oppose the Coastal Medical Center. From our inquiry, we will be able to establish a strategic plan that best fits the organization’s needs.
Peel, N. M., Travers, C., Bell, R. R., & Smith, K. (2010). Evaluation of a health service delivery intervention to promote falls prevention in older people across the care continuum. Journal Of Evaluation In Clinical Practice, 16(6), 1254-1261. doi:10.1111/j.1365-2753.2009.01307.x
...he operating margin, cash on hand, and days in accounts receivable as these have been major factors. The new system being put in place for the materials management system should be closely monitored, as it will determine the adaptability of the department. The reformation of the Governing Board can be justified through the successes or failures it creates while going through the restructuring process. It will be important to get feedback from employees and the CEO to see if conflicts arise. The new physical therapy center will continue to be monitored to see if revenues are as high as thought with the expansion of this facility. Overall, it will continue to be a process of monitoring, reevaluating, and gathering appropriate data to determine if the strategic plan being implemented is continuously seeking the values, mission, and vision of the Coastal Medical Center.
The National Patient Safety Goal (NPSG) for falls in long term care facilities is to identify which patients are at risk for falling and to take action to prevent falls for these residents. (NPSG.09.02.01). There are five elements of performance for NPSG: 1. Assess the risk for falls, 2. Implement interventions to reduce falls based on the resident’s assessed risk, 3. Educate staff on the fall reduction program in time frames determined by the organization, 4. Educate the resident and, as needed, the family on any individualized fall reduction strategies, and 5. Evaluate the effectiveness of all fall reduction activities, including assessment,
Another research made 11 years after the prior research, shows that nearly 60% of all nurses and nursing assistants still suffer injuries in health care environment(“Nurses, assistants most injury prone in healthcare: CDC”, 2015). So what is the solution for this problem that affects more than 100,000 nurses and nursing assistants? Lifting patients is one of the main causes of injuries in the nursing homes. Over all injuries, 17% of them correspond to back injuries. But the use of lift machines itself doesn’t solve the problem. The prior research shows that 60.6% of the CNAs use lift machines, and those that don’t use it complain about the lack of time to do it. Therefore, the facility should decrease the ratio CNA to patient, in order to increase the time that the nursing assistants can spend on each resident. Also, a non-lift policy would prevent the CNAs from trying to lift patients in a quicker way that could potentially harm
Fall can lead to serious injuries and death which, increase the health care cost. Hence prevention of fall is an important public health issue in the hospital for patient safety. We had many falls incidents reported in our unit every month. Therefore, it is essential to implement prevention strategies through multidimensional approach by interdisciplinary team. Through the proposed fall management program, we can reduce fall rate drastically.
New businesses will take longer to thrive with the United States falling economy. The faltering job market and the deepening slump in housing threaten to hurt consumer spending. Consumers are becoming more conscious of their spending and therefore using cash to pay for smaller necessary purchases. The cost of entertainment and other presumed luxuries may be pushed to the background by most families, when having to choose whether to pay for a bill or treat the family out. Thriving businesses will understand the need to provide a service or product at affordable prices.
A fall is an “untoward event which results in the patient coming to rest unintentionally on the ground” (Morris & Isaacs, 1980). When it comes to patient safety in health care, there isn’t any subject that takes precedence. Patient falls are a major cause for concern in the health industry, particularly in an acute-care setting such as a hospital where a patient’s mental and physical well being may already be compromised. Not only do patient falls increase the length of hospital stays, but it has a major impact on the economics of health care with adjusted medical costs related to falls averaging in the range of 30 billion dollars per year (Center for Disease Control [CDC], 2013). Patient falls are a common phenomenon seen most often in the elderly population. One out of three adults, aged 65 or older, fall each year (CDC, 2013). Complications of falls are quite critical in nature and are the leading cause of both fatal and nonfatal injuries including traumatic brain injuries and fractures. A huge solution to this problem focuses on prevention and education to those at risk. ...
A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s falls in acute care settings varies widely and the danger of falling rises with escalating age or frailty. Falls of hospitalized older adults are one of the major patient safety issues in terms of morbidity, mortality, and decreased socialization (Swartzell et al. 2013). Because the multi-etiological factors contribute to the incidence and severity of falls in older society, each cause should be addressed or alleviated to prevent patient’s injuries during their hospital stay (Titler et al. 2011). Therefore, nursing interventions play a pivotal role in preventing patient injury related to hospital falls (Johnson et al. 2011). Unfortunately, the danger of falling rises with age and enormously affect one third of older people with ravages varying from minimal injury to incapacities, which may lead to premature death (Johnson et al. 2011). In addition, to the detrimental impacts on patient falls consequently affect the patient’s family members, care providers, and the health organization emotionally as well as financially (Ang et al. 2011). Even though falls in hospital affect young as well as older patients, the aged groups are more likely to get injured than the youth (Boltz et al. 2013). Devastating problems, which resulted from the falls, can c...
Risk management is the system in which companies assess potential liabilities within an organization (Raso, Gulinello, 2011). Through this process information is gathered, assessed, and implemented to avoid these potential risk. Risk managers are beneficial to their organizations because not only do they save money but they can also save lives. In the hospital setting where mistakes can cost someone their lives, risk managers work to develop protocols to help prevent human error. Information is gathered through the process of evidence based practice as well as guidelines in place by best practice. Not only do they help protect the lives of the patients within the facilities, they are also responsible for ensuring staff safety. A risk manager’s responsibility is multi-faceted and complex. They will prevent potential litigations by implementing patient safety protocols, reduce risk to associates, and reduce cost to the organizations.
Patient falls is one of the commonest events within the healthcare facilities that affect the safety of the patients. Preventing falls among patients requires various methods. Recognition, evaluation, and preventing of patient falls are great challenges for healthcare workers in providing a safe environment in any healthcare setting. Hospitals have come together to understand the contributing factors of falls, and to decrease their occurrence and resulting injuries or death. Risk of falls among patients is considered as a safety indicator in healthcare institutions due to this. Falls and related injuries have consistently been associated with the quality of nursing care and are included as a nursing-quality indicator monitored by the American Nurses Association, National Database of Nursing Quality Indicators and by the National Quality Forum. (NCBI)
Fierce healthcare reported sometime in June of 2012 that hospitals across the country had received safety report cards from one Leapfrog group. They reported that most facilities got a C or below in the rankings. The report also showed that the biggest hospitals such as the Henry Ford Hospital in Michigan barely got a passing grade. The report cards were meant to inform patients and also to motivate improvements in patient safety, they were faced with a lot of criticism and controversy especially from hospitals that did not pass. This paper will discuss the controversy facing patient safety in the U.S. It will also analyze the effects of the issue and the solutions suggested and currently in place to solve the issue.
In the world there is an alarming trend where what seems to be harmless accidents take the lives of thousands of people every year. However, the loss of life and human potential is unacceptable. These unintentional injury deaths take on a myriad of forms that are brought out by the World Health Organization (WHO) and the U.S. Department of Health and Human Services (HHS). With the guidelines provided by these organizations Public Health Nurses (PHN) can help develop and execute strategies in an effort to decrease the lives lost to unintentional injuries.
Remote (Remote concerns for Google are new laws and regulations, increasing intellectual property claims, and access to more information.) (Weak position in China- strict gov’t regulations and cultural differences)
Strategic planning is an organizational process in which it looks towards developing and sustaining success or balance in its ever changing environment.