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Excellence Every Day represents an MGH commitment to providing the highest quality, safest care that meets or exceeds all standards set by the hospital and external organizations.
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Other Topics: Anticoagulation | CAUTI | Central Lines | Diversity | Downtime (internal access only)

Ethics | Evidence-Based Practice | Fall Prevention | Pain | Patient Education/Health Literacy | Patient Experience
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A focus on fall prevention — Patient-specific strategies are the key to success.

What is TIPs?

What is Fall TIPS?

  • TIPs is the acronym for Tailoring Interventions for Patient Safety
  • Fall TIPS is the fall prevention program for the general medical/surgical units
  • Fall TIPS is the only fall prevention tool with over a decade of research showing that it prevents patient falls and fall related injuries in hospitals
  • The nurse fill out the laminated Fall TIPS bed poster with the patient and family that is in each patient’s room
  • The Morse Fall Scale and intervention plan is documented in eCare,
  • Each risk factor for the Morse Fall Scale is linked with one or more evidence-based interventions with color
  • This Fall TIPS bed poster can be used as:
    • An educational tool for the patient and family members
    • A communication tool between nurses, PCAs, and other bedside caregivers

Why implement Fall TIPS?

  • Falls in the hospital are a serious problem
    • 3% of patients fall a year, 30% of these falls results in injuries
  • Patient falls can be prevented using the 3-step fall prevention process:
  • Completing a Fall risk assessment using the MFS with the patient at the bedside
  • Creating a tailored or personalized care plan based on the individual patient’s risk factors
  • Partnering with the patient/family to consistently implement the interventions

Next Steps

  • Nurse Champions on each unit will be responsible for
    • Educating staff members about Fall TIPS
    • Identifying barriers to implementation and addressing workarounds
    • Conducting Fall TIPS Patient Engagement Audits (3 questions) each month:
  • Is the patient’s Fall TIPS poster updated and hanging at the bedside?
  • Can the patient/family verbalize the patient’s fall risk factors?
  • Can the patient/family verbalize the patient’s personalized fall prevention plan?

 

IMPROVEMENT INITIATIVES
FYIs

Fall Prevention Related Equipment

Alarm Instructional Video

 

 

 

Policies, Procedures & Guidelines:

Fall Risk Assessment Standard for The Adult General In Patient Care Units

(internal access only)

Nursing Procedures
Fall Risk Assessment Standard

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Inter-Disciplinary Team
presents poster

Diane Carroll, RN; Ann Hurley, RN; John Dykes; and Blackford Middleton, MD, presented their poster, “Validation of Icons to Communicate Fall Risk and Tailored Interventions to Prevent Patient Falls,” at the 22nd Annual Scientific Sessions, Celebrating Diversity in Nursing Science, in Providence, March 25, 2010.

MORE FALL PREVENTION RESOURCES
PATIENT EDUCATION

Preventing Falls in the Hospital and at Home - an MGH brochure (Can be ordered through Standard Register, item #84167)

Fall prevention videos for patients:(viewable via MGH in-house TV) Dial 4-5212 on the bedside phone. Follow the voice prompts and enter video number into the system. Tune the television to the channel as instructed. The video will start playing within 30 seconds.

EXTERNAL REVIEWERS

Joint Commission logo

The Joint Commission has established standards related to patient falls. These standards include:

  1. The hospital assesses the patient’s risk for falls based on the patient population and setting.
  2. The hospital implements interventions to reduce falls based on the patient’s assessed risk.

Magnet Recognition

Magnet_logoThe American Nurses Credentialing Center (ANCC) requires Magnet-designated organizations to track nationally-benchmarked nursing sensitive indicators (NSIs) to continually inform improvement efforts related enhance patient outcomes. Examples of NSIs include, but are not limited to: patient falls, hospital-acquired pressure ulcers, blood stream infections, ventilator-associated pneumonia, and restraint use.

 

GLOSSARY OF TERMS
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There are numerous terms and acronyms in healthcare that may be unfamiliar. Please click here to visit a Glossary of Terms that may be helpful. And please email any suggested additions.

This month's featured term: Patient fall
A patient fall is a sudden unintentional descent, with or without injury that results in the patient coming to rest on the floor, on or against some other surface.

Excellence Every Day represents an MGH commitment to providing the highest quality, safest care that meets or exceeds all standards set by the hospital and external organizations.

If you have questions or suggestions related to the EED portal, please contact Georgia Peirce at (617) 724-9865 or via email at gwpeirce@partners.org.

updated 5/31/2018

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