Reducing Falls in Care Homes: Project Strategies and Impacts
Explore the comprehensive project led by Lynn Flannigan, focusing on reducing falls among individuals with dementia in care homes. The initiative aims to address various factors contributing to falls, implement targeted interventions, and evaluate outcomes through a structured methodology. Discover the key drivers, methodologies, change ideas, and measures driving this impactful endeavor.
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Presentation Transcript
Lynn Flannigan National Clinical Lead AHP/Improvement Advisor Focus on Dementia Work mobile:07976395650 @lynnflannigan1 Reducing Falls in Care Homes Improvement Project
Dementia and Falls 2-3 X greater risk falls carer stress and institutional care experience 8 x more incident falls Dementia and falls 70-80% fall annually psychologic al impact 6 month mortality post hip # 71% 3 X fracture incidence
Why Do People with Dementia Fall? Physical weakness, gait changes poor balance Difficulties dual tasking Type of dementia Stress and Distress Visual misperception Memory impairment and disorientation Impaired judgment Medication side effects Depression Orthostatic hypotension
Project Aim The aim of this project is to reduce the number of falls in a participating care home by 50% by end December 2016. The aim was based on previous intelligence from Up and About in Care Homes Project
Methodology Identified care home Improvement Team Process Mapping
Change Ideas Process Mapping Workshop mapping of resident journey. Potential areas for improvement were flagged in red Potential areas for improvement were discussed, themed into 3 main areas and prioritised by staff staff knowledge/engagement, Multifactorial risk assessment, post fall analysis 1st PDSA -80% care staff to be trained by end July, 95% compliance with x2 daily staff handovers by 12th June 2nd PDSA - 90% of residents will have an up to date multifactorial risk assessment by the end of October 2016
My Improvement Journey Highlights my learning, spending time with care home team, use of control charts, the results Challenges not working in the area the improvements are happening, having no managerial authority, the refurbishments, staff changes, maintaining momentum Tips use PDSA - have a theory, make a prediction, measure to check progress, do not go on your journey alone, start smaller then you think you should, don t give up adapt, adopt, abandon
