Taking a Leap: Implementing the Hester Davis Fall

Taking a Leap: Implementing the Hester Davis Fall

Taking a Leap: Implementing the Hester Davis Fall Risk Assessment Tool Susan B Schumacher, MS,APRN,CNS Methodist Hospital- Park Nicollet Objective Discuss key strategies to effectively implement a new falls risk assessment tool.

Why Make a Change? Patient Safety Experience with falls risk assessment tool Change Management Sustaining the change

8. Make it stick 7. Dont let up Engaging the group or organization 6. Create short-term wins 5. Enable action 4. Communicate for buy-in

Creating a climate for change 3. Get the vision right 2. Build guiding teams 1. Create a sense of urgency

It Takes a Team Setting the Stage for Implementation EPIC Development Build of HD Falls Risk Assessment Tool linking risk factors and interventions Interventions within flow sheet rows and Care Plan Visual indicators (Yellow wristbands)

BPAs to support standards Thinking in New Directions A common mistake is prescribing interventions based on a patients level of risk (Low, moderate, or high), rather than tailoring interventions based on patient-specific risk factors. (Dykes, 2018)

Successful Plan: Variety of strategies Inter-professional approach Engagement of leaders

Education/Communication System-wide communication E-learning Huddles Newsletters Video Communication

Engaging Our Patients Go-Live Will there be Magical Changes? Show me the Data... Methodist Hospital Inpatient Units Number of Falls /1,000 patient days January, 2018-July, 2018

4 3.56 3.5 Rate/1000 Patient Days 3 2.5 2.24

2.2 2 Falls rate/1,000 patient days Goal = 1.62 1.76 1.75

1.59 1.5 1.38 1 0.5 0 Jan

Feb March Apr Month May

June July Falls Related to Toileting % of Falls Related to Toileting on High Impact Units January-August 2018 90% 83% 80%

70% 75% 66% 62% 60% 53% Percent

50% 40% 37% 40% 38%

30% 20% 10% 0% Jan (n=8) Feb (n=6)

Mar (n=13) Apr (n=8) May (n=6) Month

June (n=8) July (n=5) August (n=8)

High Impact Goal (50%) Key Strategy: PDCA with EPIC Key Strategies Beyond EPIC Its a Journey

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