It’s Easy to Miss What You Are NOT Looking For: Root Cause Analysis in Fall Prevention
This workshop will provide an overview of an evidenced-based program that reduced falls and improved sleep through a combination of nationally recognized fall prevention practices and practical applications from the most recent research findings. Fall program outcomes resulted in facilities that are alarm-free, restraint-free, corrected bed heights (no low beds) no floor mats, and the cautionary use of gripper socks. This is not a “nursing-only” program. It requires the skills, knowledge, participation and commitment of all employees in all departments.
Dr. Linda Shell R.N. will provide an overview to the key elements of the fall prevention program. The success of this program was the ability for all staff to conduct a post-fall root cause analysis. The staff was able to analyze the internal, environmental, and operation conditions, which were present at the time the resident fell, and may have contributed to resident falls. Interventions that were used as a result of the post-fall root cause analyses will be discussed, as well as the outcomes that were learned from this program. Facilities demonstrated quality improvement in falls, pain management, depression and decline in activities of daily living during the course of this programs.
At the conclusion of the seminar, participants should be able to:
· Describe key components of the Fall Prevention Program.
· Identify post-fall root cause analysis strategy for fall prevention.
· List interventions used as a result of the post-fall root analysis.
· Analyze fall and accident prevention interventions.
· Develop a plan of action for reducing falls in their respective settings.