In-hospital patient falls are a persistent problem in health care, resulting in increased length of stay and nonreimbursable charges.
Although fall prevention programs have decreased inpatient fall rates, our hospital averages 30 falls per month.
This was a quality improvement project, including a simulation and debriefing. We performed a thematic analysis on the debriefing responses and tracked the inpatient fall rates over 8 months.
We developed and implemented a low-cost simulation to allow bedside clinicians to experience the physiological changes experienced by patients, which contribute to inpatient falls.
Fifty-one clinicians participated in the simulation; each expressed an increased understanding in the physical limitations of patients and shared at least 1 technique to help prevent falls for their patient population. The fall rate was reduced by 23.17% in the succeeding 8 months.
Clinicians' awareness of patients' physiological changes can be increased by a low-cost, rapid simulation, resulting in fewer falls.