2022 Stronger - P102 - Leveraging Lean Methodology to Prevent Falls - On Demand

A community hospital used standard work and Kamishibai cards (K-cards) as a proactive approach to address fall prevention. Preliminary assessments showed inconsistent fall prevention practices and fall rates above targets. Standard work with process confirmation, a Lean methodology, was leveraged to address practice variations. This approach reduced and sustained falls to less than 2.28 falls per 1,000 patient days and achieved 157 days between falls. Embedding this approach into the daily workflow helped transform fall prevention culture by facilitating clear practice expectations, compassionate coaching, real-time data gathering and problem-solving.

Target Audience

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

Learning Objectives

Explain how Lean methodology can be leveraged to address clinical challenges and hardwire standard practices by involving frontline staff and leadership in the development of standard work and confirmation practices.

Discuss the role of visual management in changing the culture of clinical practice.

Additional Information

PDF icon P102.pdf1.99 MB
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: 


Lacie Damhorst, MSN, RN, CNL, CMSRN, CPHQ, Process Improvement Specialist, Emory Saint Joseph's Hospital, Atlanta, GA

Alireza Danaie, CMQ/OE, CSSBB, OpEx Manager, Emory Saint Joseph's Hospital, Atlanta, GA

Michele Chisolm, MSN, RN, ONC, Specialty Director of Acute Care, Emory Saint Joseph's Hospital, Atlanta, GA


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.


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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