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I need APA 7th edition only!
The article I chose was about a quality improvement project that incorporated a 14-point check list in addition to current hospital safety protocols to reduce patient falls. During hand off report the on coming nurse would go over the check list with the nurse going off duty and anything that was not marked off would be corrected at that time. The most common problems found were that bed alarm setting were incorrect and fall risk signage was not posted. During the 26 days that this project was ongoing there were zero patient falls.
According to Johnston & Magnan (2019), “The Agency for Healthcare Research and Quality (AHRQ) estimates that 700,000 to 1,000,000 falls occur annually in U.S. hospitals”. Serious injury and in some cases, death can result from these types of falls. This study tries to determine if adding a check list to current practices is a feasible option to ensure patient safety and prevent falls. This study was rooted in effective communication. According to Sullivan (2018) “the more important or delicate the issue, the more information you want available in your channel to all parties in the conversation” (Sullivan, p.148).
At my facility I have several residents who are at risk of falling. We often have insufficient staffing and use agency nurses and CNAs to fill in the schedule. Many of whom are unfamiliar with our residents. Without proper at-risk signage, bed/chair alarms and team communication the needs of these patients may go unmet and patients at a greater risk for falls.
For 26 days the checklist was used at bed side change-of-shift report by 37 nurses. Incidents of patient falls during this period were compared to the previous three months. Information from the checklists were analyzed and found that incorrect bed alarm settings and lack of signage had been a reoccurring event. The study also surveyed the nurses to determine the usefulness of the checklist and whether it would be something they would incorporate into their practice. Most found that the addition of the check list did not increase the amount the amount of time or workload and that it could be a useful tool to prevent falls. There is no additional cost to implement this change. In comparison Johnston & Magnan (2019) state that “one study found that out-of-pocket cost of $1,363 with a total of $13 billion in Medicare expenditures” had be attributed to patient falls in hospitals.


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