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.

Target Audience

  • Healthcare Executives
  • Healthcare Quality Professionals
  • Nurses
  • Other Healthcare Professionals

Learning Objectives

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.

Additional Information

PDF icon P101.pdf495.78 KB
Course summary
Available credit: 
  • 0.50 ACHE
  • 0.50 ANCC
  • 0.50 CPHQ – Certified Professional Healthcare Quality
  • 0.50 General CE – Attendance
Course opens: 
Course expires: 


Margaret Carroll, DNP, RN, MBA, System Associate Nurse Executive – Quality, Professional Development, & APRN Practice, Cook County Health System, Chicago, IL


As an accredited provider of continuing education, Vizient, Inc. is dedicated to ensuring this activity presents learners with only accurate, balanced, scientifically justified recommendations, and is free from promotion, marketing, and commercial bias. In accordance with The Standards for Integrity and Independence in Accredited Continuing Education, all planners, faculty, and others in control of the educational content have disclosed the absence or existence of all financial relationships (of any dollar amount) with ineligible companies within the past 24 months.
Ineligible companies – those companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
It is Vizient’s policy that owners and employees of ineligible companies, and any individuals who refuse to disclose the absence or existence of financial relationships with any ineligible companies are disqualified from participating as planners or faculty.
FDA Off-Label Use
Faculty presenters are also expected to disclose any discussion of (1) off-label or investigational uses of FDA approved commercial products or devices or (2) products or devices not yet approved in the United States.
Disclosure Statements
Absence of Relevant Financial Relationships
None of the planners, faculty, or others in a position to control content for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Accreditation Statement

In support of improving patient care, Vizient, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Credit Types

Nurses (CNE)

Vizient, Inc. designates this enduring material for a maximum of 0.50 ANCC contacts hours.

Healthcare Executives (ACHE)

By attending the 2022 Connections Summit offered by Vizient, Inc. participants may earn up to 0.50 ACHE Qualified Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

Participants in this program who wish to have it considered for ACHE Qualified Education hours should list their attendance when they apply to the American College of Healthcare Executives for advancement or recertification. Participants are responsible for maintaining a record of their ACHE Qualified Education hours. To self-report, participants should log into their MyACHE account and select ACHE Qualified Education Credit.

Healthcare Quality Professionals (CPHQ)

This activity is approved by NAHQ® for 0.50 CPHQ CE credits.

Other Healthcare Professionals (General CE Credit)

Vizient, Inc. will award a maximum of 0.50 contact hours to all other healthcare professionals who successfully complete the activity. These individuals will receive a Certificate of Participation indicating the maximum credits available.

Many state licensing boards and credentialing bodies accept certificates of participation from accredited CE activities to meet CE requirements for license renewals and re-certification. It is the responsibility of the participant to contact their state licensing board and/or certifying body for verification on credit eligibility reciprocity.


Available Credit

  • 0.50 ACHE
  • 0.50 ANCC
  • 0.50 CPHQ – Certified Professional Healthcare Quality
  • 0.50 General CE – Attendance
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