In the book, “Patient Safety for Health Professionals,” it states, “A student ph

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Question

In the book, “Patient Safety for Health Professionals,” it states, “A student physical theorist is affiliating in a community hospital. The physical therapy department is taking the leadership role in an interdisciplinary evaluation of the hospital’s fall-reduction program that was established in accordance with the Joint Commission 2009 National Patient Safety Goals. Goal 9 is to reduce the risk of patient harm resulting from falls. Elements of performance for this goal include the following:
   1. The hospital establishes a fall-reduction program.
   2. The fall-reduction program includes an evaluation appropriate to the patient population, settings, and services provided.
   3. The fall reduction program includes interventions to reduce the patient’s fall risk factors.
   4. Staff receive education and training for the fall-reduction program.
   5. The hospital educates the patient and, as needed, the family on the fall reduction program and any individualized fall-reduction strategies.
   6. The hospital evaluates the fall-reduction program to determine the effectiveness of the program.

The student’s clinical instructor has invited her to participate. In preparation, the student begins to think about the types of evidence that might be used in evaluating the fall-reduction program.

1. If you were the student, what types of evidence might you expect the hospital to have gathered?
2. Choose one of the elements of performance and describe techniques (quantitative, qualitative, mixed methods) that might be used to gather evidence to support successful outcomes.
3. How can the hospital’s use of evidence contribute to the improvement of patient safety by minimizing the harm from falls?

Explanation / Answer

Evidences the hospital should gather:-

1. Number of fall injuries in the hospital campus. Because these will come under occupational illness.

2. Trends in pattern(increase/decrease) of fall cases post implementation of program.

3. Feedback from patient about the program is an good evidence of the training that has actually conducted.

Techniques and elements of performance

1.Adherence to program policy:- staff members knows the program policy and are following the protocols.

2. Records of evaluation.

3. Staff training records and mock drills of staff will indicate that training has actually taken place and staff is aware about the actions that are to be taken in such scenario.

Quest 3.

These evidences will act as tools for improvement. Corrective actions can be taken at every step and performance can be evaluated.

Lesser number of cases of falls indicates the program is being implemented the way it has to be.

It would only be through root cause analysis that the loopholes can be determined. For e.g a case of fall is admitted, efforts to be made to find out where the incidence has happened? were the railings slippery? etc .

This approach would help in further minimizing such cases.

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In the book, \"Patient Safety for Health Professionals\", it states, \"A third-y

In the book, “Patient Safety for Health Professionals,” it states, “A student ph

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In the book, “Patient Safety for Health Professionals,” it states, “A student ph

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