1. 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

2. 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.

3. 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

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

5. 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.

6. 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

7. 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.

8. 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)

9. Contact Information
Name: Tony O’Regan
Phone Number: (519)
Name: Sara Jibb