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Data Analysis

Data analysis regarding fall prevention should include the quality management department, because the department will be able to put a review process in place to analyze reported fall event information on a routine basis for learning and improvement opportunities. Use of an incident report form for falls that is specifically designed to collect data based on evidence about factors contributing to fall occurrences is important in a fall prevention program. For example, data collected might include time of day, location, activity, orthostasis, and incontinence. From the analysis of the data, one can determine the type of fall, such as accidental, anticipated physiological, unanticipated physiological fall (Morse, 1997) and severity of injury i.e., minor, moderate or major. Analysis of data also enables clinicians, administrators, and risk managers to profile the level of fall risk for their patients, along with actual factors contributing to the falls, including the identification of overall patterns and trends surrounding fall occurrences. Fall rates and the severity of injury to the patient or resident should be considered when analyzing the effectiveness of the fall prevention program. 

Dissemination of the Project

Implementation of a falls prevention program should be accomplished by involving the entire organization, and would include the organization and delivery of training and in-services tailored to the learning needs of the staff in healthcare facility. Once patient health and safety outcomes of a fall prevention program are determined and summarized, the overall evaluation and result may be disseminated to the surrounding community, and to healthcare professionals both locally and nationally. 

Throughout a fall prevention program, the importance of finding a way to help nursing staff deal with the issue of patient falls is of utmost importance. Ultimately, the authors would like nursing staff to recognize how vital it is to be aware of the possibility of falls among the elderly, and to underscore the nurse’s responsibility to create an environment that will be safe for patients or residents in their care.

Implications for Nursing

If nurse administrators and educators work to increase knowledge about the incidence of falls in the elderly, and assist in the changing of attitudes, perceptions, and behaviors of nursing staff in relation to fall prevention among the elderly in the long-term care setting, they can help to enhance patient safety in their facilities. Through implementation of a fall prevention program nurse administrators and educators can help health care providers gain more confidence in their abilities to work with elderly persons in regard to fall prevention. 

The implementation of the program can also assist nursing staff to become more knowledgeable about important fall prevention strategies, and provide them accurate information to share with patients and families. Giving nursing staff the opportunity to achieve excellence by learning ways to reduce the risk of falls in the elderly can effectively provide a means of establishing a safe, high quality care environment.

Conclusion

Fall prevention is an important and timely issue that needs to be address by all healthcare providers, and especially in the care of the elderly in long-term care facilities. Applying clinical practice guideline recommendations for fall prevention is important to the development of a successful fall prevention program. Implementation of this project will have a positive implications for nurses. The program will enhance nurses’ knowledge and boost their confidence in preventing falls among their residents. An effective fall prevention program can reduce falls and fall related injuries in the elderly long-term care residents, in turn supporting increased cost-effectiveness related to prevention of falls-related injury and mortality.
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