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Seven Simple Steps – Falls Reduction Programme Hot

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Area Classification

Acute / Hospital Care

Briefly describe what it is

Ipswich Hospital has introduced the Seven Simple Steps Programme across our Complex Care wards.
The programme includes:
Undertaking baseline audit including analysis of three months inpatient falls data
Provision of education for ward staff
The introduction of the Ipswich Hospital 2 hourly Falls Prevention Observation Tool which was developed through the identification of high risk activities associated with inpatient falls both local (identified via our incident reporting system) and national recognised elements of patient care. These were seven simple patient centred activities.

Were there any key things that you had to do to make it happen?

Multidisciplinary training and raising awareness were key to this programme and incorporated into mandatory training, junior doctor and pharmacy staff training.
Information packs are provided and included information on medications that can increase the risk of falls and a flow chart identifying actions required in response to a patient fall.

Describe (and provide evidence) of the impact on quality of care

The pilot project demonstrated a 68% reduction of patients falls over first 3 months of implementation within a complex elderly care ward. Results also identified that patients felt more confident and were needing to use their call bells less.

Describe (and provide evidence) of the impact on patient (or staff) experience

A staff evaluation was completed after three months. May identified that time was saved as less slips, trips and falls resulted in reduced reactive management. Overall, staff morale increased due to their improved knowledge and a sense of ownership and achievement.

Describe (and provide evidence) of the impact on reducing cost

2051 patient falls were recorded in 2008/09 within the Trust. NPSA costings were calculated at £131,567.72. The use of the seven simple steps will enable the Trust to reduce falls by at least 25%, thus identifying savings of as least £32891.

Keywords / Tags

2 hourly Falls Prevention Observation Tool Multi-disciplinary programme Medications that increase risk of falls Training 68% Reduction of patients falls over first 3 months

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