SlideShare ist ein Scribd-Unternehmen logo

Improving compliance of applying fall risk precautions

•Als PPTX, PDF herunterladen•
•
Mohamed Nassif, MD, MSc, CPHQ, CPPS, LSSGB.
Mohamed Nassif, MD, MSc, CPHQ, CPPS, LSSGB.

Quality Improvement Project utilizing FOCUS-PDCA Methodology

Gesundheitswesen
1 von 21
Improving compliance of applying fall risk precautions for medium/high risk patients for fall in in patient units Improvement Project utilizing FOCUS PDCA Methodology.
Find The Problem • Based on the data provided by the clinical audit department it was noted that only 33% of the observed sample had completely all the fall risk precautions applied. • Which meant about 67% of the patient stated to be at high risk for fall were at risk of fall because incompliance to the proper fall prevention precautions.
Percentage of Compliance For Fall Risk EL-Iman Hospital; Dhulhaj 1434. 33% 67% 80% 70% 60% 50% 40% 30% 20% 10% 0% Precautions. Complete Incomplete Percentage Compliance N= 115
Find The Problem • Further data collection was made to determine which of the fall risk precautions were more frequent to be not applied.
Percentage of Incompliance of Different Fall 30% Prevention Precautions. El-Iman Hospital; November 2013. N= 115 24% 21% 16% 5% 3% 0% 35% 30% 25% 20% 15% 10% 5% 0% F sign on Door/Bed Low bed Position ID Band Side Rails Avoid clutter Dim Light Leave Door Open Percentage Precautions N(Incompliance)=77
Find The Problem • The most common fall precautions (vital few) that showed incompliance (80%) were: • F Sign on door. • Low bed position. • ID band.
Organize The Team • Team leader: Mrs. Hanan (Nursing deputy manager) • Facilitator: Dr. Reem (Quality Manager) • Members: • Dr. M. Raslan (Deputy Medical Director). • Mr. Abdullah (Biomedical dep.). • Mrs. Janet (Nurse Supervisor). • Mrs. Entesar (Nurse Educator).
FLOW CHART
Incompliance with fall risk Precautions application Equipment Materials People Nurse Busy Policy Nurse Negligence Unawareness of the policy Escort Interference F sign not available Bed Broken Patient Incompliance Unawareness of Required Precautions Nurse Can’t Use Morse Scale Broken Side Rails ID bands Not Available
Understand The Variation • A data collection sheet was made to verify the frequency of the causes generated by the brainstorming the team performed. • And a sample size of 115 cases was determined to detect the frequencies.
Percentage of Causes of Fall Risk 25% Precautions Incompliance Al-Iman Hospital; Muharam 1435. 20% 20% 11% 11% 5% 5% 5% 30% 25% 20% 15% 10% 5% 0% Percentage Causes N=52
Vital Few Involved 1. Nurse is busy (Gives other care requirements higher priority). 2. Escort Interference. 3. F Sign not Available. 4. Broken Bed. 5. Nurse unawareness of the policy.
Percentage of Beds Condition in Inpatient Units 59% 41% Al-Iman Hospital; 1434 N= 207 Broken Beds Functioning Beds
Percentage of Broken Beds In Inpatient Units 100% 42% Al-Iman Hospital; 2013 88% 60% 27% 50% 65% 44% 46% 7% 120% 100% 80% 60% 40% 20% 0% Percentage Area N= 207
Problem Action Responsible Person Due Date Escort Interference. Nurse Education About Importance of Patient & Family Education About Fall Risk and Precautions Applied. (Every Monday Nursing Lecture). Ma’am Comfort (Nurse Director). Every Monday Till All Nurses Are Covered. Nurse unawareness of the policy. Nurses Training & Education. Ma’am Comfort (Nurse Director). Every Monday Till All Nurses Are Covered. F Sign not Available. Replace The paper made Signs with laminated F Signs in all units. Nursing Department. 2/1435 Broken Bed. All beds which need spare parts are to be provided and fixed. Biomedical Dep. Nursing Dep. 3/1435
Percentage of Beds Condition in Inpatient Units 18% 82% Al-Iman Hospital; 1435 N= 207 Broken Beds Functioning Beds
100% 46% 42% 88% 60% 27% 50% 65% 44% 16% 14% 33% 0% 0% 0% 65% 0% 50% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Paediatric Ward Obstetric Ward L&D Gyn. Ward Female Medical Ward Female Surgical Ward Male Specialist Ward Male Medical Ward Male Surgical Ward Percentage Area Percentage of Broken Beds In Inpatient Units Al-Iman Hospital; 2013 After Before
Percentage of Compliance For Fall Risk EL-Iman Hospital; 12/1434 : 3/1435. 33% Precautions. 84% Invalid Data 23% 77% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 12/1434 1/1435 2/1435 3/1435 Percentage Month Before Bed Repair

Empfohlen

Improving CPR success rate Improvement Project (FOCUS-PDCA)
Improving CPR success rate Improvement Project (FOCUS-PDCA)Improving CPR success rate Improvement Project (FOCUS-PDCA)
Improving CPR success rate Improvement Project (FOCUS-PDCA)Mohamed Nassif, MD, MSc, CPHQ, CPPS, LSSGB.
 
FOCUS PDCA
FOCUS PDCAFOCUS PDCA
FOCUS PDCAManal Elsayed CPPS, CPHQ, CLSSBB, FISQua, DTQM
 
Patient Safety Management - ROJoson - 15feb12
Patient Safety Management - ROJoson - 15feb12Patient Safety Management - ROJoson - 15feb12
Patient Safety Management - ROJoson - 15feb12Reynaldo Joson
 
Patient safety culture
Patient safety culturePatient safety culture
Patient safety cultureMohamed Mosaad Hasan
 
FOCUS PDCA
FOCUS PDCA FOCUS PDCA
FOCUS PDCA Dr. AbdulQawi Almohamadi
 
Occurance variance report Incident report بلاغ حادثه
Occurance variance report Incident report بلاغ حادثهOccurance variance report Incident report بلاغ حادثه
Occurance variance report Incident report بلاغ حادثهMEEQAT HOSPITAL
 
Occurrence variance report
Occurrence variance reportOccurrence variance report
Occurrence variance reportaparnabidu
 
Patient Safety (Final).ppt
Patient Safety (Final).pptPatient Safety (Final).ppt
Patient Safety (Final).pptssuser9953df2
 

Empfohlen

Improving CPR success rate Improvement Project (FOCUS-PDCA)
Improving CPR success rate Improvement Project (FOCUS-PDCA)Improving CPR success rate Improvement Project (FOCUS-PDCA)
Improving CPR success rate Improvement Project (FOCUS-PDCA)Mohamed Nassif, MD, MSc, CPHQ, CPPS, LSSGB.
 
FOCUS PDCA
FOCUS PDCAFOCUS PDCA
FOCUS PDCAManal Elsayed CPPS, CPHQ, CLSSBB, FISQua, DTQM
 
Patient Safety Management - ROJoson - 15feb12
Patient Safety Management - ROJoson - 15feb12Patient Safety Management - ROJoson - 15feb12
Patient Safety Management - ROJoson - 15feb12Reynaldo Joson
 
Patient safety culture
Patient safety culturePatient safety culture
Patient safety cultureMohamed Mosaad Hasan
 
FOCUS PDCA
FOCUS PDCA FOCUS PDCA
FOCUS PDCA Dr. AbdulQawi Almohamadi
 
Occurance variance report Incident report بلاغ حادثه
Occurance variance report Incident report بلاغ حادثهOccurance variance report Incident report بلاغ حادثه
Occurance variance report Incident report بلاغ حادثهMEEQAT HOSPITAL
 
Occurrence variance report
Occurrence variance reportOccurrence variance report
Occurrence variance reportaparnabidu
 
Patient Safety (Final).ppt
Patient Safety (Final).pptPatient Safety (Final).ppt
Patient Safety (Final).pptssuser9953df2
 
Improving Hand Hygiene Project
Improving Hand Hygiene Project Improving Hand Hygiene Project
Improving Hand Hygiene Project Mohamed Nassif, MD, MSc, CPHQ, CPPS, LSSGB.
 
Ovr ,near miss,sentinel event report
Ovr ,near miss,sentinel event reportOvr ,near miss,sentinel event report
Ovr ,near miss,sentinel event reportMax Malagayo BSN-RN
 
Guide to understanding essential safety requirement standards
Guide to understanding essential safety requirement standardsGuide to understanding essential safety requirement standards
Guide to understanding essential safety requirement standardsMEEQAT HOSPITAL
 
Quality and Patient safety goals
Quality and Patient safety goalsQuality and Patient safety goals
Quality and Patient safety goalsrosebless
 
Healthcare Risk Management
Healthcare Risk Management Healthcare Risk Management
Healthcare Risk Management Joven Botin Bilbao
 
Patient safety culture
Patient safety culturePatient safety culture
Patient safety cultureManal Elsayed CPPS, CPHQ, CLSSBB, FISQua, DTQM
 
IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...
IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...
IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...Healthcare consultant
 
International patient safety rems lecture
International patient safety rems lectureInternational patient safety rems lecture
International patient safety rems lectureMEEQAT HOSPITAL
 
FMEA training for Healthcare - Sample
FMEA training for Healthcare - SampleFMEA training for Healthcare - Sample
FMEA training for Healthcare - SampleMark H. Davis
 
An Orientation to quality and patient safety for new hire in health care faci...
An Orientation to quality and patient safety for new hire in health care faci...An Orientation to quality and patient safety for new hire in health care faci...
An Orientation to quality and patient safety for new hire in health care faci...kiran
 
Patient Safety Presentation
Patient Safety PresentationPatient Safety Presentation
Patient Safety PresentationResearcher in University of Medical Sciences and Health Services
 
Lecture patient safety
Lecture patient safetyLecture patient safety
Lecture patient safetyRenelda Tugade
 
NABH-Nursing resource management
NABH-Nursing resource managementNABH-Nursing resource management
NABH-Nursing resource managementSiva Nanda Reddy
 
Nabh quality improvement in ed 06.07 17
Nabh quality improvement in ed 06.07 17Nabh quality improvement in ed 06.07 17
Nabh quality improvement in ed 06.07 17Dr.Venugopalan Poovathum Parambil
 
FOCUS PDCA Quality Imporvement Methodology
FOCUS PDCA Quality Imporvement MethodologyFOCUS PDCA Quality Imporvement Methodology
FOCUS PDCA Quality Imporvement MethodologyJoven Botin Bilbao
 
Mock Drills in Hospitals- How to conduct mock drills?
Mock Drills in Hospitals- How to conduct mock drills?Mock Drills in Hospitals- How to conduct mock drills?
Mock Drills in Hospitals- How to conduct mock drills?Lallu Joseph
 
Quality improvement
Quality improvementQuality improvement
Quality improvementcarroll support
 
Patient safety culture
Patient safety culturePatient safety culture
Patient safety culturesmppk
 
Nabh nursing excellence certification programme
Nabh nursing excellence certification programmeNabh nursing excellence certification programme
Nabh nursing excellence certification programmeMANISH PATGIRI
 
Patient Safety and IPSG
Patient Safety and IPSGPatient Safety and IPSG
Patient Safety and IPSGJhessie Abella RN,RM,MAN,CPSO
 
The rise and fall of your patient
The rise and fall of your patientThe rise and fall of your patient
The rise and fall of your patientOccupational Health and Safety Industry Group
 
Call to Action: Canadian Falls Prevention Audit Month April 2015
Call to Action: Canadian Falls Prevention Audit Month April 2015Call to Action: Canadian Falls Prevention Audit Month April 2015
Call to Action: Canadian Falls Prevention Audit Month April 2015Canadian Patient Safety Institute
 

Weitere ähnliche Inhalte

Was ist angesagt?

Ovr ,near miss,sentinel event report
Ovr ,near miss,sentinel event reportOvr ,near miss,sentinel event report
Ovr ,near miss,sentinel event reportMax Malagayo BSN-RN
 
Guide to understanding essential safety requirement standards
Guide to understanding essential safety requirement standardsGuide to understanding essential safety requirement standards
Guide to understanding essential safety requirement standardsMEEQAT HOSPITAL
 
Quality and Patient safety goals
Quality and Patient safety goalsQuality and Patient safety goals
Quality and Patient safety goalsrosebless
 
IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...
IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...
IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...Healthcare consultant
 
International patient safety rems lecture
International patient safety rems lectureInternational patient safety rems lecture
International patient safety rems lectureMEEQAT HOSPITAL
 
FMEA training for Healthcare - Sample
FMEA training for Healthcare - SampleFMEA training for Healthcare - Sample
FMEA training for Healthcare - SampleMark H. Davis
 
An Orientation to quality and patient safety for new hire in health care faci...
An Orientation to quality and patient safety for new hire in health care faci...An Orientation to quality and patient safety for new hire in health care faci...
An Orientation to quality and patient safety for new hire in health care faci...kiran
 
Lecture patient safety
Lecture patient safetyLecture patient safety
Lecture patient safetyRenelda Tugade
 
NABH-Nursing resource management
NABH-Nursing resource managementNABH-Nursing resource management
NABH-Nursing resource managementSiva Nanda Reddy
 
FOCUS PDCA Quality Imporvement Methodology
FOCUS PDCA Quality Imporvement MethodologyFOCUS PDCA Quality Imporvement Methodology
FOCUS PDCA Quality Imporvement MethodologyJoven Botin Bilbao
 
Mock Drills in Hospitals- How to conduct mock drills?
Mock Drills in Hospitals- How to conduct mock drills?Mock Drills in Hospitals- How to conduct mock drills?
Mock Drills in Hospitals- How to conduct mock drills?Lallu Joseph
 
Patient safety culture
Patient safety culturePatient safety culture
Patient safety culturesmppk
 
Nabh nursing excellence certification programme
Nabh nursing excellence certification programmeNabh nursing excellence certification programme
Nabh nursing excellence certification programmeMANISH PATGIRI
 

Was ist angesagt? (20)

Improving Hand Hygiene Project
Improving Hand Hygiene Project Improving Hand Hygiene Project
Improving Hand Hygiene Project
 
Ovr ,near miss,sentinel event report
Ovr ,near miss,sentinel event reportOvr ,near miss,sentinel event report
Ovr ,near miss,sentinel event report
 
Guide to understanding essential safety requirement standards
Guide to understanding essential safety requirement standardsGuide to understanding essential safety requirement standards
Guide to understanding essential safety requirement standards
 
Quality and Patient safety goals
Quality and Patient safety goalsQuality and Patient safety goals
Quality and Patient safety goals
 
Healthcare Risk Management
Healthcare Risk Management Healthcare Risk Management
Healthcare Risk Management
 
Patient safety culture
Patient safety culturePatient safety culture
Patient safety culture
 
IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...
IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...
IMPORTANT COMMITTEE LIST for a hospital going for NABH /JCI by Dr.Mahboob ali...
 
International patient safety rems lecture
International patient safety rems lectureInternational patient safety rems lecture
International patient safety rems lecture
 
FMEA training for Healthcare - Sample
FMEA training for Healthcare - SampleFMEA training for Healthcare - Sample
FMEA training for Healthcare - Sample
 
An Orientation to quality and patient safety for new hire in health care faci...
An Orientation to quality and patient safety for new hire in health care faci...An Orientation to quality and patient safety for new hire in health care faci...
An Orientation to quality and patient safety for new hire in health care faci...
 
Patient Safety Presentation
Patient Safety PresentationPatient Safety Presentation
Patient Safety Presentation
 
Lecture patient safety
Lecture patient safetyLecture patient safety
Lecture patient safety
 
NABH-Nursing resource management
NABH-Nursing resource managementNABH-Nursing resource management
NABH-Nursing resource management
 
Nabh quality improvement in ed 06.07 17
Nabh quality improvement in ed 06.07 17Nabh quality improvement in ed 06.07 17
Nabh quality improvement in ed 06.07 17
 
FOCUS PDCA Quality Imporvement Methodology
FOCUS PDCA Quality Imporvement MethodologyFOCUS PDCA Quality Imporvement Methodology
FOCUS PDCA Quality Imporvement Methodology
 
Mock Drills in Hospitals- How to conduct mock drills?
Mock Drills in Hospitals- How to conduct mock drills?Mock Drills in Hospitals- How to conduct mock drills?
Mock Drills in Hospitals- How to conduct mock drills?
 
Quality improvement
Quality improvementQuality improvement
Quality improvement
 
Patient safety culture
Patient safety culturePatient safety culture
Patient safety culture
 
Nabh nursing excellence certification programme
Nabh nursing excellence certification programmeNabh nursing excellence certification programme
Nabh nursing excellence certification programme
 
Patient Safety and IPSG
Patient Safety and IPSGPatient Safety and IPSG
Patient Safety and IPSG
 

Andere mochten auch

Call to Action: Canadian Falls Prevention Audit Month April 2015
Call to Action: Canadian Falls Prevention Audit Month April 2015Call to Action: Canadian Falls Prevention Audit Month April 2015
Call to Action: Canadian Falls Prevention Audit Month April 2015Canadian Patient Safety Institute
 
Pme lecture 2012presentationpart3
Pme lecture 2012presentationpart3Pme lecture 2012presentationpart3
Pme lecture 2012presentationpart3University of Miami
 
Ruth Oberdorf Media Presentation
Ruth Oberdorf Media Presentation Ruth Oberdorf Media Presentation
Ruth Oberdorf Media Presentation rutho590
 
developing performance indicators in healthcare
developing performance indicators in healthcare developing performance indicators in healthcare
developing performance indicators in healthcare Mohamed Elfaiomy
 
Methods of nursing documentation final
Methods of nursing documentation finalMethods of nursing documentation final
Methods of nursing documentation finalTaghreed Hawsawi
 
Preventing Patient Falls in Acute Care Hospitals
Preventing Patient Falls in Acute Care HospitalsPreventing Patient Falls in Acute Care Hospitals
Preventing Patient Falls in Acute Care HospitalsJoe Tomsic
 
FALL PREVENTION PROGRAM
FALL PREVENTION PROGRAMFALL PREVENTION PROGRAM
FALL PREVENTION PROGRAMDorian pasco
 
Fall prevention
Fall preventionFall prevention
Fall preventionwcmc
 
Nursing records & reports
Nursing records & reportsNursing records & reports
Nursing records & reportsjasleenbrar03
 
Good documentation practice
Good documentation practiceGood documentation practice
Good documentation practicePharmaceutical
 
Good Documentation Practice
Good Documentation PracticeGood Documentation Practice
Good Documentation Practicecr7clark
 
How to Make Awesome SlideShares: Tips & Tricks
How to Make Awesome SlideShares: Tips & TricksHow to Make Awesome SlideShares: Tips & Tricks
How to Make Awesome SlideShares: Tips & TricksSlideShare
 

Andere mochten auch (20)

The rise and fall of your patient
The rise and fall of your patientThe rise and fall of your patient
The rise and fall of your patient
 
Call to Action: Canadian Falls Prevention Audit Month April 2015
Call to Action: Canadian Falls Prevention Audit Month April 2015Call to Action: Canadian Falls Prevention Audit Month April 2015
Call to Action: Canadian Falls Prevention Audit Month April 2015
 
Pme lecture 2012presentationpart3
Pme lecture 2012presentationpart3Pme lecture 2012presentationpart3
Pme lecture 2012presentationpart3
 
Ruth Oberdorf Media Presentation
Ruth Oberdorf Media Presentation Ruth Oberdorf Media Presentation
Ruth Oberdorf Media Presentation
 
developing performance indicators in healthcare
developing performance indicators in healthcare developing performance indicators in healthcare
developing performance indicators in healthcare
 
Fall Risk Case Study # 1
Fall Risk Case Study # 1Fall Risk Case Study # 1
Fall Risk Case Study # 1
 
Methods of nursing documentation final
Methods of nursing documentation finalMethods of nursing documentation final
Methods of nursing documentation final
 
Preventing Patient Falls in Acute Care Hospitals
Preventing Patient Falls in Acute Care HospitalsPreventing Patient Falls in Acute Care Hospitals
Preventing Patient Falls in Acute Care Hospitals
 
FALL PREVENTION PROGRAM
FALL PREVENTION PROGRAMFALL PREVENTION PROGRAM
FALL PREVENTION PROGRAM
 
Fall prevention
Fall preventionFall prevention
Fall prevention
 
Documentation and Reporting
Documentation and ReportingDocumentation and Reporting
Documentation and Reporting
 
Falls Prevention Introduction
Falls Prevention IntroductionFalls Prevention Introduction
Falls Prevention Introduction
 
Fall prevention
Fall prevention Fall prevention
Fall prevention
 
How to prevent falls ppt
How to prevent falls pptHow to prevent falls ppt
How to prevent falls ppt
 
Nursing Skills: Charting
Nursing Skills: ChartingNursing Skills: Charting
Nursing Skills: Charting
 
Nursing records & reports
Nursing records & reportsNursing records & reports
Nursing records & reports
 
Good documentation practice
Good documentation practiceGood documentation practice
Good documentation practice
 
Good Documentation Practice
Good Documentation PracticeGood Documentation Practice
Good Documentation Practice
 
Recording & reporting
Recording & reportingRecording & reporting
Recording & reporting
 
How to Make Awesome SlideShares: Tips & Tricks
How to Make Awesome SlideShares: Tips & TricksHow to Make Awesome SlideShares: Tips & Tricks
How to Make Awesome SlideShares: Tips & Tricks
 

Ähnlich wie Improving compliance of applying fall risk precautions

Patient safety guidelines for surgery.pptx
Patient safety guidelines for surgery.pptxPatient safety guidelines for surgery.pptx
Patient safety guidelines for surgery.pptxabdiazizhamud1
 
Fall preventionApplying the evidence By Kathleen Fowier, MS.docx
Fall preventionApplying the evidence By Kathleen Fowier, MS.docxFall preventionApplying the evidence By Kathleen Fowier, MS.docx
Fall preventionApplying the evidence By Kathleen Fowier, MS.docxnealwaters20034
 
Fall preventionApplying the evidence By Kathleen Fowier, MS.docx
Fall preventionApplying the evidence By Kathleen Fowier, MS.docxFall preventionApplying the evidence By Kathleen Fowier, MS.docx
Fall preventionApplying the evidence By Kathleen Fowier, MS.docxmglenn3
 
Prevention of patient falls – A case study
Prevention of patient falls – A case studyPrevention of patient falls – A case study
Prevention of patient falls – A case studyApollo Hospitals
 
safety quality informatics and leadership
safety quality informatics and leadership safety quality informatics and leadership
safety quality informatics and leadership Dr Shwetha Akshaya
 
Patient safety
Patient safetyPatient safety
Patient safetysuji kalai
 
SICU Critical Care Safety Study
SICU Critical Care Safety StudySICU Critical Care Safety Study
SICU Critical Care Safety Studyshivabirdi
 
Salon 2 14 kasim 15.30 17.00 mınlıng lın
Salon 2 14 kasim 15.30 17.00 mınlıng lınSalon 2 14 kasim 15.30 17.00 mınlıng lın
Salon 2 14 kasim 15.30 17.00 mınlıng lıntyfngnc
 
Prevention of patient falls - A case study
Prevention of patient falls - A case studyPrevention of patient falls - A case study
Prevention of patient falls - A case studyApollo Hospitals
 
Efficiency in the emergency room 2
Efficiency in the emergency room 2Efficiency in the emergency room 2
Efficiency in the emergency room 2ranger06802001
 
Employee Health in Indian Hospitals
Employee Health in Indian HospitalsEmployee Health in Indian Hospitals
Employee Health in Indian HospitalsApollo Hospitals
 
Improving Patient Satisfaction (HCAHPS) With Technology
Improving Patient Satisfaction (HCAHPS) With TechnologyImproving Patient Satisfaction (HCAHPS) With Technology
Improving Patient Satisfaction (HCAHPS) With TechnologyGerard Shallo
 
Risk Management and Patient Safety Evolution and Progress
Risk Management and Patient Safety Evolution and ProgressRisk Management and Patient Safety Evolution and Progress
Risk Management and Patient Safety Evolution and ProgressPlan de Calidad para el SNS
 
P8 INCIDENT REPORTING AND LEARNING FROM ERROR HOUSEMANSHIP MALAYSIA
P8 INCIDENT REPORTING AND LEARNING FROM ERROR HOUSEMANSHIP MALAYSIAP8 INCIDENT REPORTING AND LEARNING FROM ERROR HOUSEMANSHIP MALAYSIA
P8 INCIDENT REPORTING AND LEARNING FROM ERROR HOUSEMANSHIP MALAYSIAhafizahhoshni
 

Ähnlich wie Improving compliance of applying fall risk precautions (20)

Patient safety guidelines for surgery.pptx
Patient safety guidelines for surgery.pptxPatient safety guidelines for surgery.pptx
Patient safety guidelines for surgery.pptx
 
Fall preventionApplying the evidence By Kathleen Fowier, MS.docx
Fall preventionApplying the evidence By Kathleen Fowier, MS.docxFall preventionApplying the evidence By Kathleen Fowier, MS.docx
Fall preventionApplying the evidence By Kathleen Fowier, MS.docx
 
Fall preventionApplying the evidence By Kathleen Fowier, MS.docx
Fall preventionApplying the evidence By Kathleen Fowier, MS.docxFall preventionApplying the evidence By Kathleen Fowier, MS.docx
Fall preventionApplying the evidence By Kathleen Fowier, MS.docx
 
Prevention of patient falls – A case study
Prevention of patient falls – A case studyPrevention of patient falls – A case study
Prevention of patient falls – A case study
 
safety quality informatics and leadership
safety quality informatics and leadership safety quality informatics and leadership
safety quality informatics and leadership
 
Patient safety
Patient safetyPatient safety
Patient safety
 
SICU Critical Care Safety Study
SICU Critical Care Safety StudySICU Critical Care Safety Study
SICU Critical Care Safety Study
 
QI project (1)
QI project (1)QI project (1)
QI project (1)
 
Salon 2 14 kasim 15.30 17.00 mınlıng lın
Salon 2 14 kasim 15.30 17.00 mınlıng lınSalon 2 14 kasim 15.30 17.00 mınlıng lın
Salon 2 14 kasim 15.30 17.00 mınlıng lın
 
Fall Prevention (1)
Fall Prevention (1)Fall Prevention (1)
Fall Prevention (1)
 
Fall Prevention (1)
Fall Prevention (1)Fall Prevention (1)
Fall Prevention (1)
 
parentral Medication.ppt
parentral Medication.pptparentral Medication.ppt
parentral Medication.ppt
 
Prevention of patient falls - A case study
Prevention of patient falls - A case studyPrevention of patient falls - A case study
Prevention of patient falls - A case study
 
Efficiency in the emergency room 2
Efficiency in the emergency room 2Efficiency in the emergency room 2
Efficiency in the emergency room 2
 
Employee Health in Indian Hospitals
Employee Health in Indian HospitalsEmployee Health in Indian Hospitals
Employee Health in Indian Hospitals
 
Improving Patient Satisfaction (HCAHPS) With Technology
Improving Patient Satisfaction (HCAHPS) With TechnologyImproving Patient Satisfaction (HCAHPS) With Technology
Improving Patient Satisfaction (HCAHPS) With Technology
 
Risk Management and Patient Safety Evolution and Progress
Risk Management and Patient Safety Evolution and ProgressRisk Management and Patient Safety Evolution and Progress
Risk Management and Patient Safety Evolution and Progress
 
P8 INCIDENT REPORTING AND LEARNING FROM ERROR HOUSEMANSHIP MALAYSIA
P8 INCIDENT REPORTING AND LEARNING FROM ERROR HOUSEMANSHIP MALAYSIAP8 INCIDENT REPORTING AND LEARNING FROM ERROR HOUSEMANSHIP MALAYSIA
P8 INCIDENT REPORTING AND LEARNING FROM ERROR HOUSEMANSHIP MALAYSIA
 
The Extent and Impact of Needlestick Injuries at the Waikato DHB
The Extent and Impact of Needlestick Injuries at the Waikato DHBThe Extent and Impact of Needlestick Injuries at the Waikato DHB
The Extent and Impact of Needlestick Injuries at the Waikato DHB
 
HRO
HROHRO
HRO
 

Kürzlich hochgeladen

Back care and back massage. powerpoint presentation
Back care and back massage. powerpoint presentationBack care and back massage. powerpoint presentation
Back care and back massage. powerpoint presentationpratiksha ghimire
 
Learn Tips for Managing Chemobrain or Mental Fogginess
Learn Tips for Managing Chemobrain or Mental FogginessLearn Tips for Managing Chemobrain or Mental Fogginess
Learn Tips for Managing Chemobrain or Mental Fogginessbkling
 
『澳洲文凭』买莫道克大学毕业证书成绩单办理澳洲Murdoch文凭学位证书
『澳洲文凭』买莫道克大学毕业证书成绩单办理澳洲Murdoch文凭学位证书『澳洲文凭』买莫道克大学毕业证书成绩单办理澳洲Murdoch文凭学位证书
『澳洲文凭』买莫道克大学毕业证书成绩单办理澳洲Murdoch文凭学位证书rnrncn29
 
TEENAGE PREGNANCY PREVENTION AND AWARENESS
TEENAGE PREGNANCY PREVENTION AND AWARENESSTEENAGE PREGNANCY PREVENTION AND AWARENESS
TEENAGE PREGNANCY PREVENTION AND AWARENESSPeterJamesVitug
 
ANTIGEN- SECTION IMMUNOLOGY DEPARTMENT OF MICROBIOLOGY
ANTIGEN- SECTION IMMUNOLOGY DEPARTMENT OF MICROBIOLOGYANTIGEN- SECTION IMMUNOLOGY DEPARTMENT OF MICROBIOLOGY
ANTIGEN- SECTION IMMUNOLOGY DEPARTMENT OF MICROBIOLOGYDrmayuribhise
 
Incentive spirometry powerpoint presentation
Incentive spirometry powerpoint presentationIncentive spirometry powerpoint presentation
Incentive spirometry powerpoint presentationpratiksha ghimire
 
EHR Market Growth is The Boom Over - Jasper Colin
EHR Market Growth is The Boom Over - Jasper ColinEHR Market Growth is The Boom Over - Jasper Colin
EHR Market Growth is The Boom Over - Jasper ColinJasper Colin
 
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptx
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptxCASE STUDY ON CHRONIC KIDNEY DISEASE.pptx
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptxdrsriram2001
 
Importance of Assessing Level of Consciousness in Medical Care | The Lifescie...
Importance of Assessing Level of Consciousness in Medical Care | The Lifescie...Importance of Assessing Level of Consciousness in Medical Care | The Lifescie...
Importance of Assessing Level of Consciousness in Medical Care | The Lifescie...The Lifesciences Magazine
 
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptxLipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptxRajendra Dev Bhatt
 
lupus quiz.pptx for knowing lupus thoroughly
lupus quiz.pptx for knowing lupus thoroughlylupus quiz.pptx for knowing lupus thoroughly
lupus quiz.pptx for knowing lupus thoroughlyRitasman Baisya
 
Advance Directives and Advance Care Planning: Ensuring Patient Voices Are Heard
Advance Directives and Advance Care Planning: Ensuring Patient Voices Are HeardAdvance Directives and Advance Care Planning: Ensuring Patient Voices Are Heard
Advance Directives and Advance Care Planning: Ensuring Patient Voices Are HeardVITASAuthor
 
Enhancing Health Through Personalized Nutrition
Enhancing Health Through Personalized NutritionEnhancing Health Through Personalized Nutrition
Enhancing Health Through Personalized NutritionNeighborhood Trainer
 
The future of change - strategic translation
The future of change - strategic translationThe future of change - strategic translation
The future of change - strategic translationHelenBevan4
 
Artificial Intelligence Robotics & Computational Fluid Dynamics
Artificial Intelligence Robotics & Computational Fluid DynamicsArtificial Intelligence Robotics & Computational Fluid Dynamics
Artificial Intelligence Robotics & Computational Fluid DynamicsParag Kothawade
 
Latest Dr Ranjit Jagtap News In Healthcare Field
Latest Dr Ranjit Jagtap News In Healthcare FieldLatest Dr Ranjit Jagtap News In Healthcare Field
Latest Dr Ranjit Jagtap News In Healthcare FieldDr Ranjit Jagtap
 
2024 HCAT Healthcare Technology Insights
2024 HCAT Healthcare Technology Insights2024 HCAT Healthcare Technology Insights
2024 HCAT Healthcare Technology InsightsHealth Catalyst
 
Champions of Health Spotlight On Leaders Shaping Denmark's Healthcare.pdf
Champions of Health Spotlight On Leaders Shaping Denmark's Healthcare.pdfChampions of Health Spotlight On Leaders Shaping Denmark's Healthcare.pdf
Champions of Health Spotlight On Leaders Shaping Denmark's Healthcare.pdfeurohealthleaders
 
FAMILY in sociology for physiotherapists.pptx
FAMILY in sociology for physiotherapists.pptxFAMILY in sociology for physiotherapists.pptx
FAMILY in sociology for physiotherapists.pptxMumux Mirani
 

Kürzlich hochgeladen (20)

Back care and back massage. powerpoint presentation
Back care and back massage. powerpoint presentationBack care and back massage. powerpoint presentation
Back care and back massage. powerpoint presentation
 
Learn Tips for Managing Chemobrain or Mental Fogginess
Learn Tips for Managing Chemobrain or Mental FogginessLearn Tips for Managing Chemobrain or Mental Fogginess
Learn Tips for Managing Chemobrain or Mental Fogginess
 
『澳洲文凭』买莫道克大学毕业证书成绩单办理澳洲Murdoch文凭学位证书
『澳洲文凭』买莫道克大学毕业证书成绩单办理澳洲Murdoch文凭学位证书『澳洲文凭』买莫道克大学毕业证书成绩单办理澳洲Murdoch文凭学位证书
『澳洲文凭』买莫道克大学毕业证书成绩单办理澳洲Murdoch文凭学位证书
 
TEENAGE PREGNANCY PREVENTION AND AWARENESS
TEENAGE PREGNANCY PREVENTION AND AWARENESSTEENAGE PREGNANCY PREVENTION AND AWARENESS
TEENAGE PREGNANCY PREVENTION AND AWARENESS
 
ANTIGEN- SECTION IMMUNOLOGY DEPARTMENT OF MICROBIOLOGY
ANTIGEN- SECTION IMMUNOLOGY DEPARTMENT OF MICROBIOLOGYANTIGEN- SECTION IMMUNOLOGY DEPARTMENT OF MICROBIOLOGY
ANTIGEN- SECTION IMMUNOLOGY DEPARTMENT OF MICROBIOLOGY
 
Incentive spirometry powerpoint presentation
Incentive spirometry powerpoint presentationIncentive spirometry powerpoint presentation
Incentive spirometry powerpoint presentation
 
EHR Market Growth is The Boom Over - Jasper Colin
EHR Market Growth is The Boom Over - Jasper ColinEHR Market Growth is The Boom Over - Jasper Colin
EHR Market Growth is The Boom Over - Jasper Colin
 
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptx
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptxCASE STUDY ON CHRONIC KIDNEY DISEASE.pptx
CASE STUDY ON CHRONIC KIDNEY DISEASE.pptx
 
Importance of Assessing Level of Consciousness in Medical Care | The Lifescie...
Importance of Assessing Level of Consciousness in Medical Care | The Lifescie...Importance of Assessing Level of Consciousness in Medical Care | The Lifescie...
Importance of Assessing Level of Consciousness in Medical Care | The Lifescie...
 
Check Your own POSTURE & treat yourself.pptx
Check Your own POSTURE & treat yourself.pptxCheck Your own POSTURE & treat yourself.pptx
Check Your own POSTURE & treat yourself.pptx
 
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptxLipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
Lipid Profile test & Cardiac Markers for MBBS, Lab. Med. and Nursing.pptx
 
lupus quiz.pptx for knowing lupus thoroughly
lupus quiz.pptx for knowing lupus thoroughlylupus quiz.pptx for knowing lupus thoroughly
lupus quiz.pptx for knowing lupus thoroughly
 
Advance Directives and Advance Care Planning: Ensuring Patient Voices Are Heard
Advance Directives and Advance Care Planning: Ensuring Patient Voices Are HeardAdvance Directives and Advance Care Planning: Ensuring Patient Voices Are Heard
Advance Directives and Advance Care Planning: Ensuring Patient Voices Are Heard
 
Enhancing Health Through Personalized Nutrition
Enhancing Health Through Personalized NutritionEnhancing Health Through Personalized Nutrition
Enhancing Health Through Personalized Nutrition
 
The future of change - strategic translation
The future of change - strategic translationThe future of change - strategic translation
The future of change - strategic translation
 
Artificial Intelligence Robotics & Computational Fluid Dynamics
Artificial Intelligence Robotics & Computational Fluid DynamicsArtificial Intelligence Robotics & Computational Fluid Dynamics
Artificial Intelligence Robotics & Computational Fluid Dynamics
 
Latest Dr Ranjit Jagtap News In Healthcare Field
Latest Dr Ranjit Jagtap News In Healthcare FieldLatest Dr Ranjit Jagtap News In Healthcare Field
Latest Dr Ranjit Jagtap News In Healthcare Field
 
2024 HCAT Healthcare Technology Insights
2024 HCAT Healthcare Technology Insights2024 HCAT Healthcare Technology Insights
2024 HCAT Healthcare Technology Insights
 
Champions of Health Spotlight On Leaders Shaping Denmark's Healthcare.pdf
Champions of Health Spotlight On Leaders Shaping Denmark's Healthcare.pdfChampions of Health Spotlight On Leaders Shaping Denmark's Healthcare.pdf
Champions of Health Spotlight On Leaders Shaping Denmark's Healthcare.pdf
 
FAMILY in sociology for physiotherapists.pptx
FAMILY in sociology for physiotherapists.pptxFAMILY in sociology for physiotherapists.pptx
FAMILY in sociology for physiotherapists.pptx
 

Improving compliance of applying fall risk precautions

  • 1. Improving compliance of applying fall risk precautions for medium/high risk patients for fall in in patient units Improvement Project utilizing FOCUS PDCA Methodology.
  • 2. Find The Problem • Based on the data provided by the clinical audit department it was noted that only 33% of the observed sample had completely all the fall risk precautions applied. • Which meant about 67% of the patient stated to be at high risk for fall were at risk of fall because incompliance to the proper fall prevention precautions.
  • 3. Percentage of Compliance For Fall Risk EL-Iman Hospital; Dhulhaj 1434. 33% 67% 80% 70% 60% 50% 40% 30% 20% 10% 0% Precautions. Complete Incomplete Percentage Compliance N= 115
  • 4. Find The Problem • Further data collection was made to determine which of the fall risk precautions were more frequent to be not applied.
  • 5. Percentage of Incompliance of Different Fall 30% Prevention Precautions. El-Iman Hospital; November 2013. N= 115 24% 21% 16% 5% 3% 0% 35% 30% 25% 20% 15% 10% 5% 0% F sign on Door/Bed Low bed Position ID Band Side Rails Avoid clutter Dim Light Leave Door Open Percentage Precautions N(Incompliance)=77
  • 6.
  • 7. Find The Problem • The most common fall precautions (vital few) that showed incompliance (80%) were: • F Sign on door. • Low bed position. • ID band.
  • 8. Organize The Team • Team leader: Mrs. Hanan (Nursing deputy manager) • Facilitator: Dr. Reem (Quality Manager) • Members: • Dr. M. Raslan (Deputy Medical Director). • Mr. Abdullah (Biomedical dep.). • Mrs. Janet (Nurse Supervisor). • Mrs. Entesar (Nurse Educator).
  • 10. Incompliance with fall risk Precautions application Equipment Materials People Nurse Busy Policy Nurse Negligence Unawareness of the policy Escort Interference F sign not available Bed Broken Patient Incompliance Unawareness of Required Precautions Nurse Can’t Use Morse Scale Broken Side Rails ID bands Not Available
  • 11. Understand The Variation • A data collection sheet was made to verify the frequency of the causes generated by the brainstorming the team performed. • And a sample size of 115 cases was determined to detect the frequencies.
  • 12.
  • 13. Percentage of Causes of Fall Risk 25% Precautions Incompliance Al-Iman Hospital; Muharam 1435. 20% 20% 11% 11% 5% 5% 5% 30% 25% 20% 15% 10% 5% 0% Percentage Causes N=52
  • 14.
  • 15. Vital Few Involved 1. Nurse is busy (Gives other care requirements higher priority). 2. Escort Interference. 3. F Sign not Available. 4. Broken Bed. 5. Nurse unawareness of the policy.
  • 16. Percentage of Beds Condition in Inpatient Units 59% 41% Al-Iman Hospital; 1434 N= 207 Broken Beds Functioning Beds
  • 17. Percentage of Broken Beds In Inpatient Units 100% 42% Al-Iman Hospital; 2013 88% 60% 27% 50% 65% 44% 46% 7% 120% 100% 80% 60% 40% 20% 0% Percentage Area N= 207
  • 18. Problem Action Responsible Person Due Date Escort Interference. Nurse Education About Importance of Patient & Family Education About Fall Risk and Precautions Applied. (Every Monday Nursing Lecture). Ma’am Comfort (Nurse Director). Every Monday Till All Nurses Are Covered. Nurse unawareness of the policy. Nurses Training & Education. Ma’am Comfort (Nurse Director). Every Monday Till All Nurses Are Covered. F Sign not Available. Replace The paper made Signs with laminated F Signs in all units. Nursing Department. 2/1435 Broken Bed. All beds which need spare parts are to be provided and fixed. Biomedical Dep. Nursing Dep. 3/1435
  • 19. Percentage of Beds Condition in Inpatient Units 18% 82% Al-Iman Hospital; 1435 N= 207 Broken Beds Functioning Beds
  • 20. 100% 46% 42% 88% 60% 27% 50% 65% 44% 16% 14% 33% 0% 0% 0% 65% 0% 50% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Paediatric Ward Obstetric Ward L&D Gyn. Ward Female Medical Ward Female Surgical Ward Male Specialist Ward Male Medical Ward Male Surgical Ward Percentage Area Percentage of Broken Beds In Inpatient Units Al-Iman Hospital; 2013 After Before
  • 21. Percentage of Compliance For Fall Risk EL-Iman Hospital; 12/1434 : 3/1435. 33% Precautions. 84% Invalid Data 23% 77% 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 12/1434 1/1435 2/1435 3/1435 Percentage Month Before Bed Repair