2022 Stronger - P101 - Leading Fall Prevention by Being a R.A.P.P.E.R. - On Demand
Reduction of patient falls and falls with injury is a national health care quality and patient safety priority. Nurses led an initiative to address this priority in a highly regulated and complex academic safety net hospital. Through staff engagement, interdisciplinary collaboration and a campaign centered around cause analysis results, the health system achieved a 17% reduction in patient falls and a 30% reduction in patient falls with injury in 2021 (as compared to 2020). The hospital also performed in the 10th percentile in the second and third quarters of 2021 and in the 25th percentile in the fourth quarter of 2021. The hospital returned to the 10th percentile in the first quarter of 2022, based on National Database of Nursing Quality Indicators benchmarked data.
The R.A.P.P.E.R. campaign included essential fall prevention strategies identified in the cause analysis:
•R: Rounding purposefully and hourly
•A: Assessing patients comprehensively upon admission and on an ongoing basis
•P: Planning patient care (nurse care planning) and individualizing that plan
•P: Prevention measures that were individualized to each patient’s specific needs
•E: Educating and engaging patients in fall prevention measures
•R: Repeating these measures throughout the patient’s hospitalization
A hospitalwide contest for best rap (poem) using the R.A.P.P.E.R. acronym was held to publicize the fall prevention initiative, promote staff engagement and hardwire core expectations. Join us to learn more about this successful and fun intervention.
- Healthcare Executives
- Healthcare Quality Professionals
- Other Healthcare Professionals
Employ cause analysis techniques to structure frontline staff feedback as a tool to improve patient care quality and safety.
Summarize frontline staff feedback in a manner that leads to improved quality metrics and clinical patient outcomes.
Apply innovative and creative quality improvement methods to move your health system to zero preventable patient harm.
Margaret Carroll, DNP, RN, MBA, System Associate Nurse Executive – Quality, Professional Development, & APRN Practice, Cook County Health System, Chicago, IL
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Healthcare Executives (ACHE)
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Healthcare Quality Professionals (CPHQ)
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Other Healthcare Professionals (General CE Credit)
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- 0.50 ACHE
- 0.50 ANCC
- 0.50 CPHQ – Certified Professional Healthcare Quality
- 0.50 General CE – Attendance