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

2. 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. Who We Are

3. Team Members Team MemberRole Tony O’ReganCo-leader Sara JibbCo-leader Psychology departmentData 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 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. 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 161487.5941 92.9 010 02050 Dec 2010 111090.94428062020287.1 Jan 2011 10 10081190829304010.2

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. What are some things you will do to sustain the work on reducing falls and injury from falls and by what date? Next Steps 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) Ongoing

9. 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 Phone Number: (519) 455-5110 Contact Information