Canadian Falls Prevention Audit Month 2015 - Results
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Canadian Falls Prevention Audit Month: Results And Future Direction May 20, 2015
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Transcript of Canadian Falls Prevention Audit Month 2015 - Results
Canadian Falls Prevention Audit Month: Results And Future Direction
May 20, 2015
Maryanne D’Arpino Patient Safety Improvement Lead, Canadian Patient Safety Institute
Today’s Facilitator
Welcome to our francophone attendees Bienvenue à nos participants francophones
Hélène Riverin Conseillère en sécurité et en amélioration Safety Improvement Advisor
Pour nos participants francophones..
Pour accéder aux diapositives français:
-Cliquez sur l'onglet "FRENCH"
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-Envoyer un courriel à
Suivre la boîte «Chat» pour les commentaires du
conférencière traduit en français
Outline
Background – Falls Prevention Quality Audit Tool – Falls Prevention Quality Audit Month
Audit Month Results – Participation – Aggregated results by audit tool “column” – Calculated results – Relationships between variables
Discussion & Next steps
Where to find our webinars… pagehttp://www.saferhealthcarenow.ca/EN/events/NationalCalls/2015Webinars/Pages/default.aspx
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Please complete our poll
Today’s Speakers
Susan McNeill Program Manager Registered Nurses Association of Ontario
Rosalie Freund-Heritage Education Coordinator Injury Prevention Centre School of Public Health University of Alberta
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Background QI Audit Tool
Standardized method to measure strategy Focuses on standards in the Getting Started Kit Looks at both processes of a strategy and
outcomes Helps meet Accreditation Canada standards
– “The team implements and evaluates a falls prevention strategy to minimize client injury from falls”
Tool for home, acute and long term care
Background Quality Audit Month
National movement to establish baseline on quality of prevention and management
April 2015 data collection Recommendation to choose between 10-20
charts Data entered in Patient Safety Metrics Caution: limitations with
generalizability of 1 month data
Audit Participation Falls Prevention Results
Falls Management Results Falls Scores
Audit “Participants”
Participants by Province/Territory
N = 152
N = 3499
Audit Participation Falls Prevention Results
Falls Management Results Falls Scores
A. Type of Falls Risk Assessment performed on Admission
18% 13%
16%
B. Patient designated 'at risk' and status communicated
51%
67% 73%
N = 3444
Percent of ‘at risk’ communicated
77%
84%
78%
N = 2541
Assessment for ‘at risk’ patients
C. Medication review completed?
30%
78%
58%
N = 3400
D. Patient has documented Falls Prevention / Injury Reduction Plan
45%
67% 61%
N = 3446
‘At Risk’ Patients with documented Falls Prevention / Injury Reduction Plan
64%
79%
66%
N = 2668
E. Completed Falls Risk Assessment following a significant change in Medical Status?
54%
66%
36%
N = 1013
F. Patient is restrained at any time
93%
86%
97%
N = 3453
G. How many times did the Patient Fall?
90%
70% 66%
Frequency of falls among those who fell…
69%
62%
85%
Audit Participation Falls Prevention Results
Falls Management Results Falls Scores
Sector Number Percent by Sector Acute Care 165 4.8% Long Term Care 469 13.6% Home Care 66 1.9% Total 700 20.3%
Patients / Residents / Clients who fell
H. Was patient assessed for harm on discovery of fall?
98% 97%
84%
N = 685
I. Harm from fall?
63% 57%
60%
N = 680
J. Completed fall risk assessment following fall?
43%
29%
52%
N = 681
K. Monitored for 24-48 hrs after fall?
75%
83%
34%
N = 678
L. Falls Prevention / Injury Reduction Plan reviewed/revised after fall?
53% 57%
39%
N = 688
Audit Participation Falls Prevention Results
Falls Management Results Falls Scores
You get 1 point for meeting the criteria for each Falls Prevention element: • (A) Type of Falls Risk Assessment performed on Admission = Screen OR Full • (B) Was patient designated "at risk" for Fall? = Yes OR No Risk • (C) Medication review completed = Yes • (D) Patient has documented Falls Prevention / Injury Reduction Plan = Yes OR No Risk • (E) Completed Falls Risk Assessment following a significant change in Medical Status? = Yes OR N/A
Falls Prevention Score
You get 1 point for meeting the criteria for each Falls Management element • (H) Was patient assessed for harm on discovery of fall? = Yes • (J) Completed Falls Risk Assessment following fall? = Yes OR Not able to perform • (K) Appropriate monitoring in place for 24-48 hrs after fall? = Yes OR Not able to perform • (L) Falls Prevention / Injury Reduction Plan Reviewed/Revised After fall? = Yes
Falls Management Score
Falls Prevention and Management Scores
19%
51%
28%
38%
46%
12%
N = 1187 N = 278
Access your data and reports at any time in Patient Safety Metrics – Fall Prevention Score (Falls-Acute/HC/LTC 18) – Fall Management Score after Fall (Falls-Acute/HC/LTC 19) – https://psmetrics.utoronto.ca/metrics/login.aspx
Overall organization results – ‘Report’ tab > ‘Falls Prevention’ sub-tab
Individual unit results – ‘Data’ tab > ‘Falls-Acute/LTC’ intervention > ‘Measurement
Worksheet’ table
Your Results and Scores
Who – All teams that have not achieved goal
When – Monthly submission
How long – Until you maintain goal for three
consecutive months
Continued data submission
These results are:
Shocking Expected
Next Steps
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Audits are used to increase awareness of the need to measure your falls prevention processes consistently over time
Measurement data will signal which falls prevention processes require attention
Measurement is the key to understanding if the changes you implement are improving your falls prevention processes
Using Your Data for Improvement
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Supporting Quality Improvement in Falls Prevention
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Call for Action
Falls Quality Audit Month
National Results
National Call: Beyond the Audit
Falls Prevention Getting Started Kits http://www.saferhealthcarenow.ca/EN/Interventions/Falls/Documents/Falls%20Getting%20Started%20Kit.pdf
RNAO Falls Best Practice Guideline, Prevention of Falls and Fall Injuries in the Older Adult http://rnao.ca/bpg/guidelines
Improvement Guide GSK http://www.patientsafetyinstitute.ca/English/toolsResources/ImprovementFramework/Documents/Improvement%20Frameworks%20GSK%20EN.PDF
Resources
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Please complete our poll
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We are here to help!
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For Audit forms and Data Questions CPSI Central Measurement Team [email protected] Virginia Flintoft - 416-946-8350 Alexandru Titeu - 416-946-3103
For Falls Prevention Content (Falls Intervention Lead) Registered Nurses Association of Ontario (RNAO)
[email protected] CPSI Patient Safety Intervention Lead
Maryanne D’Arpino [email protected]
