Secondary Logo

Institutional members access full text with Ovid®

Decreasing Falls With Injury Rates: Development of a Support Staff Falls Advocate Program

Reich, Jessie MSN, RN, ANP-BC, CMSRN; Farrell, Kathryn MSN, RN; Maloney, Courtney MSN, RN; Drayton, Deborah EdD, RN, CMSRN; Johnson, Tonya DNP, RN, CCRN-K, NEA-BC

doi: 10.1097/NCQ.0000000000000206

Falls with injury are a persistent patient safety challenge in the acute care setting. This article describes the creation and implementation of a Certified Falls Prevention Advocate (CFPA) program on a medical-surgical unit. The program created standardization of nursing support staff involvement in falls prevention and engaged them as members of the interdisciplinary team. The CFPA program was an important element in the unit's improvement in falls with injury rates. The mean falls with injury rate decreased from 1.115 to 0.178 per 1000 patient-days over a 1-year period.

Supplemental Digital Content is Available in the Text.

Department of Nursing Professional Practice (Mss Reich, Farrell, and Maloney), Department of Nursing Administration (Drs Johnson and Drayton), Penn Medicine-Pennsylvania Hospital, Philadelphia, Pennsylvania.

Correspondence: Jessie Reich, MSN, RN, ANP-BC, CMSRN, Department of Professional Practice, Department of Nursing, Penn Medicine-Pennsylvania Hospital, 800 Spruce St, Philadelphia, PA 19107 (

The authors thank Hannah Lacko, MA, CSSBB, Performance Improvement Advisor, Pennsylvania Hospital.

The authors have no conflicts of interests to declare.

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 (

Accepted for publication: May 15, 2016

Published ahead of print: July 1, 2016

Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved