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Using Process Improvement Methodology to Address the Complex Issue of Falls in the Inpatient Setting

Christopher, Deborah A. MSN, RN, CPHQ; Trotta, Rebecca L. PhD, RN; Yoho, Margaret A. MSN, RN; Strong, Jocelyn MSN, RN, PCCN; Dubendorf, Phyllis MSN, RN, CCNS, CNRN

Journal of Nursing Care Quality:
doi: 10.1097/NCQ.0000000000000053
Articles
Abstract

Falls in the acute care hospital are a significant patient safety issue. The purpose of this article was to describe the use of process improvement methodology to address inpatient falls on 5 units. This initiative focused on a proactive approach to falls, identification of high-risk patients, and a complete assessment of patients at risk. During the project timeframe, the mean total fall rate decreased from 3.7 to 2.8 total falls per 1000 patient days.

Author Information

Hospital of the University of Pennsylvania, Philadelphia (Mss Christopher, Yoho, and Dubendorf and Dr Trotta); and Clinical Solutions Group, Kronos Incorporated, Chelmsford, Massachusetts (Ms Strong).

Correspondence: Deborah A. Christopher, MSN, RN, CPHQ, Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA, 19107 (deborah.christopher@uphs.upenn.edu).

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).

Accepted for publication: January 1, 2014

Published ahead of print: February 4, 2014

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins