Nursing Quality Update November 2013

FY14 Patient Fall Rate/1000 Patient Days

FY14 Monthly Falls by Dept.

FY14 Falls by Dept. Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14

TOTAL UNIT FALLS

3B 2 2 0 2 0 0 0 0 0 0 0 0 6

ICU 0 0 1 0 0 0 0 0 0 0 0 0 1

IMC 1 0 0 2 0 0 0 0 0 0 0 0 3

4B/4AMS 5 3 1 0 0 0 0 0 0 0 0 0 9

4R 0 2 4 1 0 0 0 0 0 0 0 0 7

5B 1 4 4 2 0 0 0 0 0 0 0 0 11

5A 3 1 3 2 0 0 0 0 0 0 0 0 9

6B 1 1 0 1 0 0 0 0 0 0 0 0 3

6A 2 2 4 3 0 0 0 0 0 0 0 0 11

Total 15 15 17 13 0 0 0 0 0 0 0 0 60

ED 1 1 0 0 0 0 0 0 0 0 0 0 2

OP 5 3 1 1 0 0 0 0 0 0 0 0 10

Visitors 0 0 5 3 0 0 0 0 0 0 0 0 8

YTD Falls by Dept.

Falls with Injury

1 Contusion 1 Abrasion

Prevalence Day Thursday November 21,2013

Inter-Rater Reliability

Audits

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Examine Strengths

Determine Weaknesses

Strive for highly reliable

systems and processes

Critical of our own

processes to improve results

Skin Team

All Specimen Labeling

▪ Safety Coach Training

▪ December 2 and December 4

▪ Notify Brittany Shaw

▪ Safety Coach Quarterly Newsletter

▪ Critical Positioning Team is only called when there is a need for manual lifting or the bariatric lift

▪ Units should be utilizing their safety coaches and the Golvo lifts located on every floor.