1249 / Prevention of patient falls - risk assessment

ITALY
Classification of the PSP
Type of Patient Safety Practice Safe
 
Clinical Risk Management Practice (CRMP)
Related practices from PaSQ database
"Best fit" category of the reported practice
Analysis of risk and harm
Assessment of risk and harm There is no specified text here
Topic of the reported practice
Clinical risk management
Aim and the benefit of the Patient Safety Practice
 
Falls are the most common adverse events in hospitals and nursing homes, and almost always affect vulnerable people, many of them suffering from dementia. The risk of falling, although always present, is different for different care settings. Falls can have as a result: - Fear of falling again, - Loss of confidence, anxiety, - Depression, - Factors that can lead to reduced autonomy, - Increase in disability - A very significant reduction in quality of life. The reductio of the risk from the fall of the patient in healthcare facilities is an indicator of quality of care. Areas on which to intervene: 1. Assessment of the risk of falls performed by the nurse during the patient's admission to the ward: -Verify existing instruments, considering the effectiveness, usability and sustainability over time. 2. Training: • professionals on how to assess the risk of falls, the management of patients at risk and intervention in the event of a fall; • patients on what to do to prevent falls in and out of the ward / hospital, garments preferable to reduce the risk, lifestyle; • informal caregivers on how to help. 3. Assessment of the risk of falling is related to structural problems related to both the environment (patient rooms, hallways, bathrooms, pathways, lighting, etc.) and the equipment and furniture (handles, beds, trolleys for the meal, health, etc.) used in the wards.
Description of the Patient Safety Practice
 
We carried out the following: - Evaluation of the patient with Conley scale in the nursing record (which shows the risk of falling) - Information to patients and family members about the precautions to be taken - Annual environment analysis for the reduction of barriers - Staff training (CME accredited course in the year 2013) Every 6 months the results are evaluated and prevention strategies modified or improved. The increase in falls reported in the year 2013 was actually an extremely positive result since it has proven the effectiveness of the training events that have allowed all staff to conduct surveys correctly.
Attachment of relevant written information and/or photos, as appropriate
There is no specified text here
There is no specified text here
There is no specified text here
There is no specified text here
Effectiveness of the Patient Safety Practice
 
Degree of implementation of reported practice
Yes, fully
Level of implementation of reported practice
Institution level
Specific and measurable outcome for the reported practice were defined
Yes
A baseline measurement before implementation of the reported practice was obtained
Yes
A measurement after full implementation of the reported practice was obtained
Yes
Evaluation of a "positive" effect of the reported practice on Patient Safety
The evaluation showed improvements in Patient Safety outcomes
Type of before-and after evaluation
Both/mixed (qualitative and quantitative)
Enclosure of a reference or attachment in case of published evaluation's results
There is no specified text here
There is no specified text here
Health care context where the Patient Safety Practices was implemented
 
Nursing facility
Transferability
 
Successful implementation of this Patient Safety Practice in other health care settings than above stated
Yes
Specification of implementation in another health care setting(s)
Nursing facility
Successful implementation's level  of this Patient Safety Practice across settings
Yes, across multiple specialities within the same setting
Involved health care staff
 
Nurses
Health care assistants
Technical support / technician
Environmental support (Housekeeping)
Risk manager
Patient Involvement
 
Direct service user's involvement as integral part of this Patient Safety Practice
Yes
Specification of the service users or their representatives' involvement in the implementation of this Patient Safety Practice
Patient(s)
Relative(s)
Point of time in which service user or their reprasentatives' involvement takes place
During the application of the Patient Safety Practice
Active seeking of service users' opinion, feedback, experience, etc. as integral part of this Patient Safety Practice
No
Short description of the service users' level of involvement
Collaboration, such as co-designing a Patient Safety Practice or active partnership in implementation
Public accessibility of information regarding this Patient Safety Practice to patients and citizens/service users
Yes
List of sources where public information is accessible

http://buonepratiche.agenas.it/questionnaire.aspx?id=5011
Implementation of the Patient Safety Practice
 
Existing collaboration with other countries or international organisations related to implementation of this Patient Safety Practice
Not known or not relevant
Problems encountering in the implememntation course of this Patient Safety Practice like lack of motivation, no management support, etc.
Not known or not relevant
List of the most prevelent difficulties encuntered during implementation of this Patient Safety Practice
There is no specified text here
List of the most prevalent drivers for a successful implemetation of this Patient Safety Practice
There is no specified text here
Use of any specific incentives to enhance motivation while implementing this Patient Safety Practice
Not relevant
Description of used incentives, if any.
There is no specified text here
Existence of support or approval by the clinical or hospital management or any other hihg level authority in the implementation process of this Patient Safety Practice
Yes
Costs of the Patient Safety Practices
 
Completion of cost calculation related to this Patient Safety Practice
No
Total number of person days required to implement this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total number of person days required for training as preparation for implementation of this Patient Safety Practice
Clinical staff: There is no specified text here
External consultants: There is no specified text here
Support staff: There is no specified text here
Managerial staff: There is no specified text here
Others: There is no specified text here
Not relevant: There is no specified text here
Total cost in Euro of specific equipment (machines, software, communications supplies, etc.) needed to support implementation of this Patient Safety Practice
There is no specified text here
Associated cost with a work reduction or foregoing in order to deliver this Patient Safety Practice
There is no specified text here
Contact information
 
Name: Lucia Di Lorenzo
Country: ITALY
Organisation: CASA DI CURA 'DI LORENZO'
E-mail: lucia@dilorenzo.it
Phone: There is no specified text here
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