ArticlesIndividualized Fall Prevention Program in an Acute Care Setting An Evidence-Based Practice ImprovementSpano-Szekely, Lauraine DNP, RN; Winkler, Anne MA, RN, CCRN; Waters, Cathy MSN, RN, OCN, NEA-BC; Dealmeida, Susana MHA, RN-C; Brandt, Kathy RPh; Williamson, Marsha MSN, RN-BC, ANP-BC, CCRN-K; Blum, Christina BSN, RN; Gasper, Lori BSN, RN; Wright, Fay PhD, RN, APRN-BCAuthor Information Northern Westchester Hospital, Mount Kisco, New York (Dr Spano-Szekely and Mss Winkler, Waters, Dealmeida, Brandt, Williamson, Blum, and Gasper); and New York University Rory Meyers College of Nursing, New York (Dr Wright). Correspondence: Lauraine Spano-Szekely, DNP, RN, Northern Westchester Hospital, 400 East Main St, Mount Kisco, NY 10549 ([email protected]). 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).The authors declare no conflicts of interest.Accepted for publication: May 16, 2018Published ahead of print: September 6, 2018 Journal of Nursing Care Quality: April/June 2019 - Volume 34 - Issue 2 - p 127-132 doi: 10.1097/NCQ.0000000000000344 Buy SDC Metrics Abstract Background: A 245-bed community hospital established patient fall prevention as its patient safety priority. Problem: The hospital's fall prevention program was not consistently effective. The baseline fall rate was 3.21, higher than the National Database of Nursing Quality Indicators' median of 2.91. Approach: An interprofessional fall prevention team evaluated the hospital's fall program using the evidence-based practice improvement model. A clinical practice guideline with 7 key practices guided the development of an individualized fall prevention program with interventions to address 4 fall risk categories and an algorithm to identify interventions. Interventions included nurse-driven mobility assessment, purposeful hourly rounding, and video monitoring for confused and impulsive fall-risk patients. Outcomes: The fall rate decreased to 1.14, with a 72% expense reduction based on decreased sitter usage. Conclusions: An interprofessional team successfully reduced falls with an evidence-based fall prevention program. © 2018 Wolters Kluwer Health, Inc. All rights reserved.