Supporting Oxford Health to provide safe, better quality care to its patients and improve the working lives of its staff.
Falls and fall-related injuries are a common and serious problem for older people. People aged 65 and older have the highest risk of falling, with 30% of people older than 65 and 50% of people older than 80 falling at least once a year. (NICE Guideline CG161: Falls in older people: assessing risk & prevention)
‘It is the policy of the Trust to reduce the risk of falls to patients and service users by providing adequate risk assessments, recognising contributing risk factors and implementing actions and interventions for prevention……’ (Prevention of Inpatient Falls, CP33, OHNHSFT)
In 2018 City Community Hospital, in collaboration with the AHSN implemented a national initiative ‘FallSafe’ (supported by Royal College of Physicians, Royal College of Nursing and the Health Foundation). FallSafe involves the introduction of specific care bundles which aim to reduce inpatient falls. City Community Hospital demonstrated some success in reduction of harm as a result of falls following implementation and it has been agreed to continue this implementation across the Trust as part of a quality improvement project.
The project is employing the Institute for Health Improvement (IHI) Improvement model for quality improvement and will begin by analysing data and engaging with the teams for one Community Hospital at a time (commencing with Witney in March 2019). Each ward will have the opportunity to engage with the project and identify their own driver diagrams, tests of change and measures. Lessons learnt will be shared between wards with the overall aim to be early recognition of those at risk of falling and early intervention which in turn should result in a reduction in number of falls and harm.
A literature search has been conducted to review recent research on this topic which may have relevance to the project. Data has been collected using the incident reporting system (Ulysses) and some initial baseline data re FallSafe bundles has been collected from Witney Community Hospital. The project lead has begun engagement with the team and this will continue over the next few weeks to develop the next steps. The team will establish feedback mechanisms to governance meetings.
For further information please contact:
Ann De Vita, Clinical Lead Physiotherapist Ann.DeVita@oxfordhealth.nhs.uk
Helen Hunt, Improvement Lead Helen.Hunt@oxfordhealth.nhs.uk
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