Problem: Reduction of Falls and Prevention of Falls with Injury
Measurement: Literature Review and Visioning for actualization of a Patient Safety Ambassador role.
Analysis: We compared falls/1,000 patient days pre and post initiation of the role on the patient care units.
Implementation: In our pilot, we chose two medical units that had highest number of high risk patients. A cost analysis was performed. Standard work was created, and scripting was provided to ensure consistency in what patients and families were taught regarding risk for falling and fall prevention strategies.
Results/Discussion: No falls occurred when PSAs were present and rounding. There was a significant reduction in falls for both units, fewer call lights going off, and staff perceived the role as providing improved safety awareness for patients, families, and all other team members.
