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Implementing Fall TIPS on a Burn and Trauma Unit

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2022-05
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Problem: Despite a national focus on fall prevention, falls remain a significant patient safety issue. In 2020, one adult burn and trauma unit had a fall rate almost double the hospital fall rate despite having a comprehensive fall prevention program. Purpose: This paper describes the implementation and evaluation of the Fall TIPS bedside poster tool, for nurses. Specifically, the analysis of the education plan, nurses use of the tool, and the effectiveness of the tool to prevent patient falls will be discussed. Methods: This project was implemented over 16 weeks in Fall 2021. After completing an online training module, nurses were asked to complete the Fall TIPS bedside poster with the patient. The tool was placed on the whiteboard to serve as a reminder to the patient and a communication tool for the interdisciplinary team. Any patient admitted to the unit between 9/20/2021, and 12/15/2021, who was cared for by a nurse that completed training was eligible to participate. Training data was collected through the hospital learning management system. Data on the use of the tool was collected through paper audits and fall rate data was captured via the hospital quality dashboard. Results: 85% of eligible nurses completed training on the use of the tool before implementation and 100% by week 5. The proportion of nurses using the Fall TIPS poster increased from a baseline mean of 0% pre-implementation to a post-intervention median of 64% at week seven and a mean of 100% at weeks eight through thirteen. Conclusions: The hospital learning management platform was useful in tracking compliance. The Fall TIPS bedside poster was a usable solution to add to the hospital fall prevention toolbox. Used consistently Fall TIPS shows promise in reducing patient falls in adults on a burn and trauma unit. Leadership support makes compliance more likely.

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