1. Improving Falls Rates Through ‘Patient Focus’ Emily Raybould Ward Manager Ward 37

2. 22 bed male nephrology ward Acute/Chronic kidney damage Multiple co-morbidities High falls risk – BP, HB levels and metabolic abnormalities Intentional rounding introduced August 2010

3. Intentional Rounding

4. Data Review 71 falls from June 2010-June 2011 Average age of patient who fell – 78 years 96% level 1 falls with no serious falls at level 3-4 IQP model to review falls

5. Data – Number Of Falls Falls Rounding

6. Data – Time Of Falls Peak of falls between 5am and 7am

7. Aims And Measures 1.Improve patient experience 2.Collect patient feedback from QCR + Patient tracker 3.Eliminate avoidable falls 4.Meet patients needs 5.Reduce nurse call bell usage

8. Implementing ‘Patient Focus’ Plan Nominate champions and plan meetings. Do Define what you want to do. Review current practice. Pilot new tool Study Review pilot data e.g. patient and staff feedback. Act Amend tool / method based on feedback. Roll out with continuous feedback for improvement

9. ‘Patient Focus’ Is there anything I can do?

10. A3 Report

11. Reducing Number Of Falls Falls Rounding Patient Focus

12. Data – Times Of Falls Peak at evening shift handover

13. What We Have Achieved Reduced falls - 14 falls (Aug 11 – Jan 12) compared to - 39 in same period last year Indirect consequences Positive feedback Continuous improvement journey Electronic system pilot Roll out programme

14. Thank You Emily Raybould Ward Manager Ward 37