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Join the Falls Prevention Virtual Learning Collaborative Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Vancouver Coastal Health, Lions Gate Hospital Barb Barham, Tanya Dunne, Nancy Quinlan, Sandra Sovdat, Geraldine Casey

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Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation. Vancouver Coastal Health, Lions Gate Hospital. Barb Barham, Tanya Dunne, Nancy Quinlan, Sandra Sovdat, Geraldine Casey. Join the Falls Prevention Virtual Learning Collaborative. Who We Are. - PowerPoint PPT Presentation

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Page 1: Join the Falls Prevention Virtual Learning Collaborative

Join the Falls Prevention Virtual Learning Collaborative

Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation

Vancouver Coastal Health, Lions Gate Hospital

Barb Barham, Tanya Dunne, Nancy Quinlan, Sandra Sovdat, Geraldine Casey

Page 2: Join the Falls Prevention Virtual Learning Collaborative

Lions Gate Hospital231 E 15th StreetNorth Vancouver, B.C.

LGH provides a full range of general and many specialized acute care services .The hospital has 268 beds, 7 operating rooms, and a variety of diagnostic services. It is the 4th busiest hospital in Vancouver and 1 of only 5 neurosurgery centres in B.C.

Who We Are

Page 3: Join the Falls Prevention Virtual Learning Collaborative

Team Members

Team Member Role

Cindy Roberts Team Sponsor – Director of OASIS / FIP

Tanya Dunne Team Lead – VCH Fall & Injury Prevention

Nancy Quinlan 4 West Lead – Subacute Medicine

Sandra Sovdat 4 East Lead – Acute Medicine

Barb Barham 7 East Lead – Neurosciences

Sherry Stackhouse Emergency

Deb Hendry Emergency

Geraldine Casey / Melanie Hoar Physiotherapy

Nicola Cumming 6 West – Ortho/Surg

Vivien McTavish 7 West – Palliative / Hospice

Page 4: Join the Falls Prevention Virtual Learning Collaborative

AIM

1.To reduce the incidence of falls (fall rate) by 40% from baseline by March 2011.

2.To reduce injury from falls by 40% from baseline by March 2011.

Page 5: Join the Falls Prevention Virtual Learning Collaborative

Change Ideas

List Changes you have tested during Falls VLC PDSA Cycles:

1. Implement double-sided non-skid socks on all units for those who do not have appropriate footwear.

2. Provide education on completing CAMP (the risk screening tool) on the assessment form for all patients on 4 east, 4 west and 7 east.

3. Revise fall prevention preprinted customizable care plan and implement on 4 east, 4 west, and 7 east. Care plan to be completed for those patients that score 2 or more on the CAMP at admission.

4. Implement “falling man” decal as visual identifier for those at risk of falls and with a fall prevention care plan. On spine of chart and at bedside

Page 6: Join the Falls Prevention Virtual Learning Collaborative

Measures% of Patients with Completed Falls Risk Assessment Completed:

LGH - 7 East

60.0%

66.7%63.6%

31.8%

63.6%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

October November December January Febuary

Month

Per

cen

tag

e

GOAL

Page 7: Join the Falls Prevention Virtual Learning Collaborative

Measures% Fall Prevention Care Plans Completed for Patients with CAMP 2+:

LGH - 7 East

6.7%

50.0%

22.2%

0.0%0.0%0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

October November December January Febuary

Month

Per

cen

tag

e

GOAL

Page 8: Join the Falls Prevention Virtual Learning Collaborative

MeasuresPercentage of Falls Causing Injury:

LGH - 7 East

20.0%

100.0%

33.3%

54.6%

0.0%

50.0%

8

5

6

11

5

2

0%

20%

40%

60%

80%

100%

120%

September October November December January Febuary

Month

Per

cen

tag

e

0

2

4

6

8

10

12

Nu

mb

er o

f F

alls

GOAL

Number of Falls

Percentage of Injurious Falls

Page 9: Join the Falls Prevention Virtual Learning Collaborative

MeasuresPercentage of Falls Causing Injury:

LGH - 4 East

75.0%

20.0%

18.2%

50.0%

37.5%

15

11

2

12

8

0%

10%

20%

30%

40%

50%

60%

70%

80%

September October November December January Febuary

Month

Per

cen

tag

e

0

2

4

6

8

10

12

14

16

Nu

mb

er o

f F

alls

GOAL

Number of Falls

Percentage of Injurious Falls

Page 10: Join the Falls Prevention Virtual Learning Collaborative

Measures% of Falls Causing Injury:

LGH - 4 West

27.3%

66.7%

33.3%

58.3%

42.9%

0%

10%

20%

30%

40%

50%

60%

70%

80%

September October November December January Febuary

Month

Per

cen

tag

e

GOAL

Page 11: Join the Falls Prevention Virtual Learning Collaborative

Lessons LearnedList any “key” advice or insights you would like to share with other teams?

Lessons Learned/Key Insights

- Regular meetings were very important for keeping us on track

- It is necessary to have a key person to lead the changes on each unit.

- Regular ongoing education on fall prevention and PDSA focus

- Ongoing regular updates to the staff on progress and data

- Involve the frontline staff!!! Get feedback and insight on new ideas.

Page 12: Join the Falls Prevention Virtual Learning Collaborative

What are some things you will do to sustain the work on reducing falls and injury from falls and by what date?

Next Steps

Key Sustainability Steps/Plan: Target Dates

Continue with fall data tracking and chart audits

June 2011 (1st week)

Continue regular scheduled meetings with Fall Prevention Working Group

June 2011

Liaise with Practice Educator Group June 2011

Continue with Staff education and fall prevention promotion

June 2011

Page 13: Join the Falls Prevention Virtual Learning Collaborative

Tanya DunneProject Manager, Fall & Injury Prevention ProgramVancouver Coastal Health

Email: [email protected]

Phone Number: 604-875-5600 ext 67208

Contact Information