KSUMC Fall Task Force at King Saud University Medical City
September 2024
KSUMC Fall Task Force
at King Saud University Medical City
King Saud University Medical City
RIYADH
,
RIYADH
Saudi Arabia
ABDULELAH ALHAIDARY, MSN, RN
NABEEL RABEA, BSN, RN
JAYASELVI JOHN JOSEPH, MSN, RN/RM
AMAL ABUSAIF, BSN, RN
MUNEER ALLWAIM, BSN, RN
ANITHA RANI BELAGALA, BSN, RN/RM
ROBBIE ANN DURON, BSN, RN
LIZA FIGUEROA, BSN, RN
BUTHAYNA ALSHURMAN, BSN, RN
JOELYN TANDOY, BSN, RN
MARY ANTHONETTE DE TORRES, BSN, RN
RUSPAV ACUESTA, BSN, RN
AFAF ALENAZI, BSN, RN
SUSAN RAJU, BSN, RN/RM
ALJAWHARAH ALDAWSARI, BSN, RN
FATIMAH ALOMARI, BSN, RN
ASHA THOMAS, DIP, RN/RM
NABEEL RABEA, BSN, RN
JAYASELVI JOHN JOSEPH, MSN, RN/RM
AMAL ABUSAIF, BSN, RN
MUNEER ALLWAIM, BSN, RN
ANITHA RANI BELAGALA, BSN, RN/RM
ROBBIE ANN DURON, BSN, RN
LIZA FIGUEROA, BSN, RN
BUTHAYNA ALSHURMAN, BSN, RN
JOELYN TANDOY, BSN, RN
MARY ANTHONETTE DE TORRES, BSN, RN
RUSPAV ACUESTA, BSN, RN
AFAF ALENAZI, BSN, RN
SUSAN RAJU, BSN, RN/RM
ALJAWHARAH ALDAWSARI, BSN, RN
FATIMAH ALOMARI, BSN, RN
ASHA THOMAS, DIP, RN/RM
A task force team from the nursing department was formulated to lead the Patient Falls Project in KKUH using six Sigma methodology in 2018 with the following activities/achievements:
1. Using the most recent EBP the KSUMC taskforce team formulated a new acronym AHEAD RN to include all interventions.
2. A campaign was conducted for some time, and team members personally visited all nursing units to share information regarding fall prevention and management strategies.
3. Patients at risk for falling are being identified in team huddles.
4. The yellow wristband was introduced as a new item to be used if the patient identified as a high risk for fall as well as high-risk signs and poster.
5. Implement a unit-based fall prevention champions approach.
6. Screening of all patients for falls, implementation of Johns Hopkins Fall Risk Assessment Tool over Morse FRAT.
7. Set nursing intervention based on the score of the FRAT. Patient-Centered Tasks, Determine the patient's risk of falling.
8. Address the unique needs of special populations and patient populations at risk for injury.
9. Conduct daily safety huddles on each shift. To utilize the Team Huddle Form to identify the patients who are at high risk for falls.
10. Place diagnosis for patients at risk for fall in patient MRN.
11. Implement rounding (5Ps) as a strategy to proactively meet the person’s needs and prevent falls.
12. Accurate and concurrent reporting.
13. Conduct organizational assessment and Root Cause Analysis for each patient fall.
14. Revise and review the existing policy (MC-CNSD-P-31 PATIENT FALLS AND PREVENTION) for the following reasons: To define the case definition according to international standards and modify the inclusion and exclusion criteria by adopting NDNQI guidelines, Key Performance Indicators (KPI), Fall rate calculation.
15. RANO CPG adopted.
16. Fall research is published.
17. Organizational leaders and Leadership involvement, in collaboration with teams, apply implementation science strategies to enable successful implementation and sustainability of falls prevention/injury reduction initiatives. This includes identifying barriers and establishing formalized supports and structures within the organization.
18. Prepared a list of units with the highest number of fall department-level as “Red Flag” and forwarded to the Service Manager of the concerned department for further action.
19. Awarded units with “ZERO” falls in the first 360 days of January.
1. Using the most recent EBP the KSUMC taskforce team formulated a new acronym AHEAD RN to include all interventions.
2. A campaign was conducted for some time, and team members personally visited all nursing units to share information regarding fall prevention and management strategies.
3. Patients at risk for falling are being identified in team huddles.
4. The yellow wristband was introduced as a new item to be used if the patient identified as a high risk for fall as well as high-risk signs and poster.
5. Implement a unit-based fall prevention champions approach.
6. Screening of all patients for falls, implementation of Johns Hopkins Fall Risk Assessment Tool over Morse FRAT.
7. Set nursing intervention based on the score of the FRAT. Patient-Centered Tasks, Determine the patient's risk of falling.
8. Address the unique needs of special populations and patient populations at risk for injury.
9. Conduct daily safety huddles on each shift. To utilize the Team Huddle Form to identify the patients who are at high risk for falls.
10. Place diagnosis for patients at risk for fall in patient MRN.
11. Implement rounding (5Ps) as a strategy to proactively meet the person’s needs and prevent falls.
12. Accurate and concurrent reporting.
13. Conduct organizational assessment and Root Cause Analysis for each patient fall.
14. Revise and review the existing policy (MC-CNSD-P-31 PATIENT FALLS AND PREVENTION) for the following reasons: To define the case definition according to international standards and modify the inclusion and exclusion criteria by adopting NDNQI guidelines, Key Performance Indicators (KPI), Fall rate calculation.
15. RANO CPG adopted.
16. Fall research is published.
17. Organizational leaders and Leadership involvement, in collaboration with teams, apply implementation science strategies to enable successful implementation and sustainability of falls prevention/injury reduction initiatives. This includes identifying barriers and establishing formalized supports and structures within the organization.
18. Prepared a list of units with the highest number of fall department-level as “Red Flag” and forwarded to the Service Manager of the concerned department for further action.
19. Awarded units with “ZERO” falls in the first 360 days of January.