Using Process Improvement Methodology to Address the Complex Issue of Falls in the Inpatient Setting

Christopher, Deborah A.; Trotta, Rebecca L.; Yoho, Margaret; Strong, Jocelyn; Dubendorf, Phyllis

doi:10.1097/ncq.0000000000000053

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…38 The variable of male sex was not included in the simplified tool because sex was not reversible through fall prevention intervention. 4 Another reason sex was excluded was because nurses in the study hospital reported that they would feel awkward to conduct patient education when male sex was the only identified risk factor for falls.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of a Simplified Falls Assessment Tool in an Acute Care Setting

Yip

Mordiffi

Wong

et al. 2016

Journal of Nursing Care Quality

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An easy-to-use assessment tool, which contains reversible risk factors, might influence the success of a falls prevention program. A 2-phase study was undertaken to develop and validate a simplified falls assessment tool. Risk factors of confusion, dizziness, altered elimination, and difficulty with mobility were found to be significantly associated with fall status. The simplified falls assessment tool that contains these 4 risk factors yielded a comparable predictive value to Hendrich II Falls Risk Model.

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Section: Discussionmentioning

confidence: 99%

Development and Validation of a Simplified Falls Assessment Tool in an Acute Care Setting

Yip

Mordiffi

Wong

et al. 2016

Journal of Nursing Care Quality

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“…Falls can result in patient injury and death (Christopher et al . ). They also place an increased economic burden on patients, their families and the health care system (Halfon et al .…”

Section: Introductionmentioning

confidence: 97%

Psychometric validation of the Chinese version of the Johns Hopkins Fall Risk Assessment Tool for older Chinese inpatients

Zhang

Wang

Liu

2016

Journal of Clinical Nursing

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“…Earlier studies demonstrated the utility of the Six Sigma approach on improving various processes in the healthcare sector, namely, surgery turnaround time (Adams et al , 2004), hospital discharge process (Vijay, 2014), hand hygiene compliance (Eldridge et al , 2006), antibiotic prophylaxis in surgery (Parker et al , 2007), scheduling radiology procedures (Volland, 2005), catheter-related bloodstream infections (Frankel et al , 2005), nosocomial urinary tract infections (Hansen, 2006) and internal processes in a hospital (De la Lama et al , 2013). A few studies have also addressed the application of Six Sigma approach in reducing the patients’ falls rate in hospitals (Goldsack et al , 2015; Christopher et al , 2014). This approach is executed in five phase, namely, defining opportunities (D); measuring performance (M); analyzing opportunities (A); improving existing performance (I); and control the improved performance (C).…”

Section: Introductionmentioning

confidence: 99%

Reducing patients’ falls rate in an Academic Medical Center (AMC) using Six Sigma “DMAIC” approach

Kuwaiti

Subbarayalu

2017

IJHCQA

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Purpose The purpose of this paper is to evaluate the impact of adopting the Six Sigma define, measure, analyze, improve and control (DMAIC) approach in reducing patients fall rate in an Academic Medical Center, Saudi Arabia. Design/methodology/approach A prospective study design was adopted and this study was conducted at King Fahd Hospital of the University (KFHU) during the year 2014. Based on the historical data of the patients' falls reported at KFHU during the year 2013, the goal was fixed to reduce the falls rate from 7.18 to<3 (over 60 percent reduction) by the end of December 2014. This study was conducted through the five phases of "DMAIC" approach using various quality tools. Three time periods were identified, namely, pre-intervention phase; intervention phase; and post-intervention phase. Appropriate strategies were identified through the process of brainstorming and were implemented to study the potential causes leading to the occurrence of falls. Findings The pre-intervention falls rate was reported as 6.57 whereas the post-intervention falls rate was measured as 1.91 (demonstrating a 70.93 percent reduction) after the implementation of improvement strategies. The adherence rate toward the practice of carrying falls risk assessment and hourly rounding was observed to be high where 88 percent of nurses are regularly practicing it. A control plan was also executed to sustain the improvements obtained. Originality/value The Six Sigma "DMAIC" approach improves the processes related to the prevention of falls. A greater reduction in patients falls rate (over 70 percent) was observed after the implementation of the improvement strategy.

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Using Process Improvement Methodology to Address the Complex Issue of Falls in the Inpatient Setting

Cited by 5 publications

References 12 publications

Development and Validation of a Simplified Falls Assessment Tool in an Acute Care Setting

Development and Validation of a Simplified Falls Assessment Tool in an Acute Care Setting

Psychometric validation of the Chinese version of the Johns Hopkins Fall Risk Assessment Tool for older Chinese inpatients

Reducing patients’ falls rate in an Academic Medical Center (AMC) using Six Sigma “DMAIC” approach

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