Document Type

Report

Publication Date

Spring 2023

Date of Final Presentation

3-30-2023

Committee Chair

Sara Ahten, DNP, RN, NC-BC

Committee Member

Deena Rauch, DNP, RN, NEA-BC, CENP, EBP-C, FACHE

Coordinator/ Chair of DNP Program

Teresa Serratt, PhD, RN

Abstract/ Executive Summary

Background/Context: Falls remain a substantial risk for patients and is reported that 1,000,000 patients fall each year and one-third result in injury to the patient.

Problem/Purpose: To evaluate the implementation of a fall prevention toolkit to determine if standards of care were followed and outcomes were met using the Context, Input, Process, and Product model.

Outcomes/Results: Fall risk assessment was occurring on admission (n=33) with opportunity for reassessment throughout stay. Required post-fall documentation was not completed per policy. 26% of staff responded to the feedback survey. The facility’s fall rate target was not met but reducing the injury rate was.

Impact: The evaluation provides a foundation for ongoing program evaluation and identified opportunities to review new hire onboarding to fall prevention and problem solve barriers identified by staff members.

Included in

Nursing Commons

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