Falls: Year 1 Progress

Aim:   Reduce the number of falls resulting in harm by 20% by March 2017 from our April 2015 baseline

We said we would measure the effectiveness of our actions by demonstrating:

Compliance with Nursing Care Indicators – these identify the standards of our care delivery. At the end of Year 1 we achieved 97% compliance with all aspects of the assessment criteria

A reduction in the number of patients experiencing a harm relating to a fall.
At the end of Year 1 we reduced the number of patients experiencing a harm following a fall by 5.65%

The number of root cause analysis completed following a patient fall – this lets us learn and share lessons to make improvements. At the end of Year 1, 100% of reported fall incidents had an RCA undertaken.

Reduction in the level of harm to our patients as a result of a fall
At the end of year 1 there was a 3.5% reduction in weighted patient harm in year as a result of patient falls.

Other improvements in year 1:

2 Falls Risk & Response Leads – we were successful in our bid to receive non-recurrent funding to support 2 Falls Risk & Response Leads as part of our Sign Up To Safety Campaign. They have worked closely with the risk department, internal and external stakeholders and clinical areas to provide intense wrap around support to drive improvements, educate staff and reduce the risk of patient harm as a result of a fall.

Revised and implemented a new whole health economy falls prevention policy, pathway and leaflet – This supports seamless patient care, improves the patient experience and promotes collaborative working.

Developed a Falls checklist for Nurses & doctors post fall – this helps to make sure patients, staff and the environment are safe after a patient has had a fall and that their care meets their needs
Introduced a Falling leaf symbol – this is used to identify patients at risk of falling and raise staff awareness so the patients care is planned to meet their needs to prevent falls

Introduced yellow anti slip socks – quite often a patient falls due to ill fitting footwear, The anti slip socks prevent falls from slips and also highlight to staff the patient is at increased risk of a fall so if they are seen mobilising unaided, they can be assisted.

Introduced a Falls webpage & twitter for all staff to access – this helps raise awareness of falls prevention and the ongoing work to staff

Introduced Falls prevention training – this helps improve staff knowledge and skills in supporting patients experiencing a harm as a result of a fall

Developed collaborative working with internal and external stakeholders and voluntary agencies – this helps ensure that patient care is of a high standard across the health economy and resources are used effectively

Review of all patients following a fall by the Falls Risk & Response Leads – This ensures all patients regardless of age have received a falls risk assessment and tailored plan of interventions following a fall and that this is communicated to all staff to promote patient safety

Links with local universities to support Student Nurse training– This has helped raise awareness of falls prevention to our student nurses and how they can support patients and reduce risk when planning care

Development of an intranet resource site  – this allows staff to access resources and make referrals to the Tissue Viability Team. The site includes policies and guidance both national and local, training dates, latest news etc.

Development of a ‘Call Don’t Fall’ Campaign – we recognised that a lot of patients were falling when going to the bathroom as they did not use the call bell to alert the nurses they wanted to return to their bed space – this campaign raised awareness of the need to use the call bell and wait for staff to assist.