Outcome Story: Successful Quality Improvement Efforts Result in Decreased Falls in the Emergency Department-Successful Quality Improvement Efforts Result in Decreased Falls in the Emergency Department

Successful Quality Improvement Efforts Result in Decreased Falls in the Emergency Department

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This case study focuses on successful quality improvement (QI) efforts that resulted in decreased falls in the emergency department (ED). Falls in the ED can lead to injuries and significant financial burdens. The unique environment of the ED, with factors like long distances and patient acuity, increases the risk of falls. To prevent falls, evidence-based interventions such as staff and patient education, environmental modification, visual communications, and equipment use were implemented.<br /><br />The QI initiative took place in a Level II trauma center with approximately 29,000 visits per year. Efforts to standardize equipment in the ED, including stretchers with built-in bed-exit alarms, were implemented. Fall prevention protocols and best practice recommendations were also developed, along with the addition of a fall risk symbol on the ED tracking board and in the electronic health record.<br /><br />Education on fall prevention and the use of technology was provided to the staff. Compliance with fall prevention interventions was monitored through audits, and staff received real-time feedback and re-education as needed.<br /><br />As a result of these QI efforts, there were 365 days without preventable falls in the high-risk ED patient population. The initiative led to sustained fall reduction, standardized technology use, staff engagement, and awareness of fall prevention. The goal is to continue disseminating the results and sharing best practices throughout the hospital system.<br /><br />Overall, this case study demonstrates the effectiveness of implementing evidence-based fall prevention interventions and providing education and feedback to staff. These efforts can lead to significant improvements in patient safety and quality of care in the ED setting.

Keywords

quality improvement

falls

emergency department

injuries

financial burdens

environmental modification

evidence-based interventions

fall prevention protocols

technology use

staff engagement