A quality improvement project on evaluating the effectiveness of implementing a fall intervention checklist during end of shift report on a post–operative unit
Victoria Hogans, BSN, RN
- Sigma Affiliation
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Hogans, Victoria by View
Popular Works for Hogans, Victoria by Download
Introduction: Falls are a current issue affecting our senior citizens within the hospital setting. A fall may result in patient injuries, increased length of stay, and hospital costs. To prevent patient falls and fall-related injuries, hospitals have implemented fall bundles. The bundles consist of assessment tools to identify those at risk for a fall and the interventions that should be implemented to prevent them from falling.
Methods: A quality improvement project was implemented based on the DMAIC Six Sigma concept model to assess if implementing a fall intervention checklist at shift change combined with a fall bundle already in place will be beneficial in preventing patient falls on a post-operative unit.
Results: At the beginning of implementation, per the nursing quality measures, the goal was to have at most 2.76 falls per 1,000 patient days. Post implementation, this goal was exceeded, with more than three falls occurring because of implementing the fall prevention checklist. Each participant received a pre and post-test before and after the implementation of this project to assess their knowledge of fall risk factors and interventions. The participants' pre and post-test scores increased by 16.10%.
Conclusions: Based on the results implementing a fall prevention checklist was ineffective in decreasing the number of patients who falls within the post-operative period.
|Type||DNP Capstone Project|
|Review Type||None: Degree-based Submission|
|Evidence Level||Quality Improvement|
|Research Approach||Quantitative Research|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
The following license files are associated with this item:
Showing items related by title, author, creator and subjects.
The use of tailored interventions to prevent falls: A quality improvement project in the telemetry unit Galang, Roda S.Every year in the United States, hundreds of thousands of patients fall in hospitals with 30 to 50 percent resulting in injury. In Texas, the fall rate in adult patients is 33.9 percent, and in one teaching hospital in ...
Aromatherapy: A non-pharmacological intervention for the prevention of post-operative nausea and vomiting Malit, Ronald; Dorismond-Parks, PaschaleAn evidence-based practice project focused on aromatherapy as an adjunct modality in prevention of post-operative nausea and vomiting during the immediate post-recovery period. Results showed a 40%-60% reduction of antiemetic ...
Improving glycemic control for post-operative cardiac surgery patients: An NP-led project Kerr, Linda Sue; Kalowes, Peggy; West, Kim R.; Easterbrook, Barbara Lynn; Hawkins, Darice (2016-03-21)Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background and Significance: In-patient diabetes care consumes half of the $174 billion total expenditures for diabetes in the United States. ...
Implementing an integrative pre and post-operative educational intervention for older adults undergoing total hip and knee replacement Fox, Carolyn Marie (2015-01-15)Session presented on Friday, September 26, 2014: The purpose of this pilot project was to implement postoperative education in a select population of elderly patients undergoing THR or TKR in combination with the pre-operative ...
A DNP quality improvement project to implement and evaluate an electronic employee injury form for reporting healthcare employee sharps injuries and splash exposures to blood and body fluids Terrell, Shannon F.; Christopher, RobertaThis quality improvement project focused on developing, implementing and evaluating an electronic process for reporting healthcare workers’ sharp injuries and splash exposures at a large academic medical center in north ...