Falls Virtual Learning Session # 4 &
Closing Congress Team Rapid Fire
Presentation
Vancouver Coastal Health, Lions Gate Hospital
Barb Barham, Tanya Dunne, Nancy Quinlan, Sandra
Sovdat, Geraldine Casey
Join the Falls Prevention Virtual Learning Collaborative
Who We Are
Lions Gate Hospital
231 E 15th Street
North Vancouver, B.C.
LGH provides a full range of general
and many specialized acute care
services .
The hospital has 268 beds, 7
operating rooms, and a variety of
diagnostic services. It is the 4th
busiest hospital in Vancouver and 1
of only 5 neurosurgery centres in
B.C.
Team Members
Team Member
Role
Cindy Roberts
Team Sponsor – Director of OASIS / FIP
Tanya Dunne
Team Lead – VCH Fall & Injury Prevention
Nancy Quinlan
4 West Lead – Subacute Medicine
Sandra Sovdat
4 East Lead – Acute Medicine
Barb Barham
7 East Lead – Neurosciences
Sherry Stackhouse
Emergency
Deb Hendry
Emergency
Geraldine Casey / Melanie Hoar
Physiotherapy
Nicola Cumming
6 West – Ortho/Surg
Vivien McTavish
7 West – Palliative / Hospice
AIM
1.To reduce the incidence of falls (fall rate) by 40%
from baseline by March 2011.
2.To reduce injury from falls by 40% from baseline
by March 2011.
Change Ideas
List Changes you have tested during Falls VLC PDSA Cycles:
1.
Implement double-sided non-skid socks on all units for
those who do not have appropriate footwear.
2.
Provide education on completing CAMP (the risk
screening tool) on the assessment form for all patients on
4 east, 4 west and 7 east.
3.
Revise fall prevention preprinted customizable care plan
and implement on 4 east, 4 west, and 7 east. Care plan
to be completed for those patients that score 2 or more
on the CAMP at admission.
4.
Implement “falling man” decal as visual identifier for
those at risk of falls and with a fall prevention care plan.
On spine of chart and at bedside
Measures
% of Patients with Completed Falls Risk Assessment Completed:
LGH - 7 East
100%
GOAL
90%
80%
Percentage
70%
66.7%
63.6%
63.6%
60%
60.0%
50%
40%
31.8%
30%
20%
10%
0%
October
November
December
Month
January
Febuary
Measures
% Fall Prevention Care Plans Completed for Patients with CAMP 2+:
LGH - 7 East
100%
GOAL
90%
80%
70%
Percentage
60%
50.0%
50%
40%
30%
22.2%
20%
10%
0.0%
6.7%
0.0%
0%
October
November
December
Month
January
Febuary
Measures
Percentage of Falls Causing Injury:
LGH - 7 East
120%
12
11
100%
100.0%
10
Number of Falls
8
8
60%
6
6
50.0%
54.6%
5
5
40%
4
33.3%
GOAL
20%
20.0%
0.0%
2
2
Percentage of Injurious Falls
0%
0
September
October
November
December
Month
January
Febuary
Number of Falls
Percentage
80%
Measures
Percentage of Falls Causing Injury:
LGH - 4 East
80%
16
15
75.0%
70%
14
Percentage of Injurious Falls
60%
12
10
50.0%
8
40%
8
37.5%
30%
6
GOAL
20.0%
20%
4
18.2%
10%
2
2
0%
0
September
October
November
December
Month
January
Febuary
Number of Falls
Number of Falls
50%
Percentage
12
11
Measures
% of Falls Causing Injury:
LGH - 4 West
80%
70%
66.7%
60%
58.3%
Percentage
50%
42.9%
40%
33.3%
30%
27.3%
GOAL
20%
10%
0%
September
October
November
December
Month
January
Febuary
Lessons Learned
List any “key” advice or insights you would like to share with other teams?
Lessons Learned/Key Insights
- Regular meetings were very important for keeping us on track
- It is necessary to have a key person to lead the changes on
each unit.
- Regular ongoing education on fall prevention and PDSA focus
- Ongoing regular updates to the staff on progress and data
- Involve the frontline staff!!! Get feedback and insight on new
ideas.
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
Continue with fall data tracking and
chart audits
June 2011 (1st week)
Continue regular scheduled meetings
with Fall Prevention Working Group
June 2011
Liaise with Practice Educator Group
June 2011
Continue with Staff education and fall
prevention promotion
June 2011
Contact Information
Tanya Dunne
Project Manager, Fall & Injury Prevention Program
Vancouver Coastal Health
Email: tanya.dunne@vch.ca
Phone Number: 604-875-5600 ext 67208