1. The Falls Toolkit

2. Presentation Outline Background on Falls Impetus for Project Content of Toolkit Examples of website

3. Prevalence and severity Falls are the leading cause of death due to injury for people 65 years and older (NCIPC 2002) 75% of nursing home residents expected to fall each year (Rubenstein 1994) By 2040 estimate of 500,000 hip fractures per year (Cooper 1992, Brainsky 1997) Following a hip fracture 17 to 32% mortality (Kannis et al 2003)

4. Financial Impact of Falls

5. Impetus

7. Need for a Falls Toolkit: Results of Survey of Patient Safety Managers

8. Beta-testing NCPS asked 8 facilities and one subject matter expert to review the contents of the toolkit The sites found the toolkit to be useful, practical and easy to understand Based on the responses, NCPS modified the toolkit by: –Adding additional articles for the annotated reference list –Modified the format of the toolkit for ease of use

9. Contents of Toolkit Notebook –Developing a falls program Assembling interdisciplinary team Sample policy –Interventions Environmental For specific populations –Measuring success –Annotated bibliography

10. Included in the Toolkit Annotated Reference List

11. Included in the Toolkit Posters, fliers and brochures –Increase awareness –Patient & staff education

12. Included in Toolkit Buttons and Videos

13. Included in Toolkit CD-ROM –Electronic versions of all print materials –Additional resources Technology Assessment Guide Education Resource Guide Power Point presentations

14. Educational Resource Guide

15. www.patientsafety.gov/fallstoolkit The Falls Toolkit Website

16. Distribution Plan 2 copies distributed to each Patient Safety Manager 3 copies distributed to each Patient Safety Officer Materials put on internet and intranet

17. Using the Falls Toolkit Create and improve a comprehensive falls prevention program across the facility The Aggregated Review Team for Falls: –Analyze data collected as part of the root cause analysis –Develop actions and outcome measures

18. Using the Falls Toolkit The Interdisciplinary Falls Team: –Development of an interdisciplinary team for falls –Implement interventions across the facility that can reduce falls and fall-related injuries Front-line Staff –Implement interventions based on the patient needs

19. Contacting the National Center for Patient Safety Erik Stalhandske, MPP, MHSA Email: Erik.Stalhandske@med.va.gov VA National Center for Patient Safety Phone: (734) 930-5890 www.patientsafety.gov/fallstoolkit vaww.ncps.med.va.gov/fallstoolkit