Join the Falls Prevention Virtual Learning Collaborative Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template Name of Organization: Regional Mental Health Care London Name of Speaker: Tony O’Regan Join the Falls Prevention Virtual Learning Collaborative

Who We Are The Geriatric Psychiatry Program at Regional Mental Health Care London provides specialized inpatient and outpatient care for individuals with age related needs who experience serious or persistent mental illness. Our services include consultation, assessment, treatment, rehabilitation, family and community support and education.

Team Members Tony O’Regan Co-leader Sara Jibb Psychology department Role Tony O’Regan Co-leader Sara Jibb Psychology department Data collection Unit staff (including nursing staff, occupational therapy and physiotherapy staff, psychiatrists, psychology staff, therapeutic recreationists) Implement and provide feedback on PDSA interventions

AIM Reduce incidence of falls by 40% from baseline by March 2011 Reduce injury from falls by 40% from baseline by March 2011

Change Ideas 1. Developed and implemented a safe footwear screen. List Changes you have tested during Falls VLC PDSA Cycles: 1. Developed and implemented a safe footwear screen. 2. Developed and implemented a falls information and prevention pamphlet. 3. Developed and implemented a post-fall reflective tool to enhance information already collected by the electronic patient safety reporting system.

Number of Falls Assessments No Harm Monitoring Required Measures The chart below for the most recent 3 month period indicates an improvement in compliance with falls risk assessment from 87.5% to 100%. Although the number of falls have risen from 20 to 40 (i.e. by 100%) over the same period, the number of falls with injuries have reduced dramatically   Number of Admissions Number of Falls Assessments % Client Assessed Fall High Risk Fall Mod Risk Fall Low Risk % At Risk No Harm No Harm Monitoring Required Temporary Harm Permanent Harm Total Number of Falls % Falls With Injury Nov 2010 16 14 87.5 9 4 1 92.9 10 20 50 Dec 2010 11 90.9 2 80 6 28 7.1 Jan 2011 100 8 90 29 3 40 10.2

Lessons Learned Lessons Learned/Key Insights Our staff are inquisitive and willing to problem solve together to assist clients in preventing falls and related injuries. We have a large pool of existing knowledge, including previously developed resources around falls and safety as well as staff, that we can draw upon. Even with a strong focus on falls prevention it remains that falls still occur with frequency in the population we are caring for; it would be easy to become despondent in the face of this challenge. However: The increase in the number of “reported” falls may be a feature of more sensitivity to their occurrence during the VLC as well as an indicator of more confidence in the mechanisms ( tools, databases, safety huddles) for reporting them.

Next Steps What are some things you will do to sustain the work on reducing falls and injury from falls and by what date? Key Sustainability Steps/Plan: Target Dates Maintain weekly Daily Incident Safety Huddle (DISH) Ongoing Gather feedback from staff on existing interventions and other ideas not undertaken during the VLC ( i.e. environmental audits)

Contact Information Name: Tony O’Regan Email: tony.oregan@sjhc.london.on.ca Phone Number: (519) 455-5110 Name: Sara Jibb Email: sara.jibb@sjhc.london.on.ca