regional collaboration in falls prevention - making a ... · 23.10.2014 7 the estimated costs of...
TRANSCRIPT
Regional collaboration in falls prevention
- making a continuum
Tarja Tervo-Heikkinen, Clinical Nurse Consultant, RN, PhD
Arja Holopainen, RN, PhD, Research Director, Nursing Research Foundation
Kaisa Haatainen, RN, Associate Professor, Patient Safety Manager
Merja Miettinen, RN, CENO, Associate Professor
Kuopio University Hospital
Above - Kuopio University Hospital (KUH) Below - Kuopio city seen from the Puijo tower
Regional Responsibilities
of the five University
Hospitals in Finland
KUH regional responsibility area
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Kuopio University Hospital is responsible for specialized medical care for a total of more than 840,000 patients in Central and Eastern Finland.
Patient questionnaires indicate that patients are very satisfied with the care they receive.
Nursing science is stimulated by the existence of Finland's largest nursing teaching unit at the University of Eastern Finland.
The Hospital is located in the Kuopio Science Park and is thus engaged in important collaboration with the Science Park's research centers and the University of Eastern Finland.
What Happens in Finland?
4
In 2012 the amount of hip fractures was
7806
In 2012 falls, slips and trips caused 112,5
treatment periods per 10 000 citizen
Over 65 years old the frequency was 177,1
treatment periods per 10 000 citizen of the
same age
SOTKAnet Statistics and Indicator Bank (www.sotkanet.fi); National Institute for Health and Welfare (www.thl.fi); Pajala 2012
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More and longer treatment periods and even deaths in Finland are consequences of accidental falls.
Over 25 000 treatment periods in hospitals are caused by the falls, slips and trips.
The risk of falling accidents rises up linearly with age.
What are the Costs of Falls?
6
In 2012 in Finland occurred 7806 hip
fractures to the citizens of over the age of
65
in 2-3 % of the hip fractures the reason is a fall
The costs of hip fractures after fall were
about 250 m€ in 2010
SOTKAnet Statistics and Indicator Bank (www.sotkanet.fi); Piirtola et al. 2012. Gerontology 2012;58:296–304
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The estimated costs of accidental falls among 64 year old citizens were almost 40 million euros in 2000.
Most of these costs were caused by treatment of hip fractures.
The costs of hip fractures after fall have raised in ten years so that they were about 250 m€ in 2010
In addition, there is a lot of human suffering which we cannot evaluate in monetary terms.
Piirtola et al 2002
The Regional Fall Prevention
Network (RFPN) – the Goal
8
To promote the awareness of fall
prevention among patients and their
families as well as social and health care
personnel
by organizing education and training
by following falls in different organizations
by promoting evidence based uniform
practices
by writing recommendations and guidelines
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The Regional Fall Prevention network was established in 2012.
The goal is to promote the awareness of fall prevention among patients and their families as well as social and health care personnel.
The aim is to decrease human suffering and reduce costs by preventing the increase of falls.
Multiprofessional RFPN
10
Members are from
Kuopio University Hospital
other hospitals in the area
public health care (Health Care Centers)
academies (Savo Consortium for Education,
Savonia University of Applied Sciences and
University of Eastern Finland)
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Those 23 members of the network are by profession for excmple nurse, nursing leader, doctor, pharmacist, nutrition therapist, physiotherapist, teacher, patient safety manager etc.
We have members in many different organizations in regional responsibility area of Kuopio university hospital – such as other hospitals, public health care health centers and educational organizations.
Outcomes
12
Well functioning Network
Follow-up of the falls in the area
Uniform instructions for fall prevention
Regional education of health care personnel and students
The use of Fall Risk Assessment Tool
Checklist – tasks after fall
Keep Standing – guide
Process description
http://www.hotus.fi/hotus-en/model-consistent-practices
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Well functioning network need highly dedicated members and it is my pleasure to say we have had them
The outcomes of network are for example: - uniform instructions - regional education and training - the use of risk screening tool - an so on
- Keep Standing –guide is on process. This guide is aimed at not only the elderly but also at their loved ones and health care professionals in counseling support.
- In this whole work we have good cooperation with The Nursing Research Foundation (Hotus) which is a non-profit research and development organization in Finland.
- All of our material will be transferred to the nursing research foundation internet pages from where it is freely available to anyone.
In the Near Future
14
Implementing uniform practices in the
area
health care
social care
academies
The evaluation of the actions
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The near future – the next year will be reserved for implementing uniform practices in the area and also planning the systematic evaluation of the actions
Our new hospital building will be introduced at the beginning of 2015
Making a continuum
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In the Future – we can imagine that our patient comes to the hospital with information of her risk to fall.
Also she already has knowledge of her risk and how she can reduce it by herself.
She has the drug card with her and her medication has been checked in view of the risk of falls.
Hospital staff is also aware of the risks and the use of the assessment tool is routine and they know how to react to the results of the tool.
Also when patient leaves the hospital she will be given a Keep Standing –guide – if she does not have it already.
She will also be given nursing summary from which she can find, among other things, the fall risk information.
All social and health care staff knows what this information means and they also know what to do – and they do it together with the patient or client – whatever name we call her.