| Wednesday, July 13, 2005: 10:00 AM-11:30 AM | |||
| CalNOC Partners to Reduce Patient Falls Project--Leveraging Partnerships, Performance, and Evidence Through Coaching for Excellence | |||
| Learning Objective #1: Describe the design intervention and preliminary impacts of the CalNOC Partners to Reduce Patient Falls Project | |||
| Learning Objective #2: Analyze the conceptual models used and their effectiveness in guiding the methods, procedure, and evaluation of this research and demonstration project | |||
| The aim of the California Nursing Outcomes Partners for Quality TRIP To Reduce Patient Falls Project, a four-year quality improvement demonstration project (AHRQ Grant Number U18HS14704), is to reduce the incidence of patient falls and severity of fall-related injury in California Hospitals. This project builds on the established capacity of CalNOC to engage California acute care hospitals in voluntarily reporting standardized patient falls, and fall-related injuries in a collaborative benchmarking project using American Nurses Association's quality indicators. The CalNOC Partners to Reduce Patient Falls project strengthens CalNOC partnerships across participating hospitals and leverages CalNOC’s quality benchmarking infrastructure as a vibrant network to expedite the transfer of evidence-based knowledge into practice as the basis for improving patient care quality and safety in 33 hospitals and their 92 medical surgical units. Using an innovative coaching intervention, this project deployed a cadre of specialized “process improvement coaches” using telephone-based contacts with hospital site “Linkers” to support and expedite site-specific falls related performance improvement. This symposium presents papers examining the organizing conceptual perspective at the foundation of the project, baseline and formative evaluation data examining patient falls and related variables in participating hospitals, as well as data describing the content and processes used in delivering the coaching intervention. Key levers for evidence-based process improvement and barriers observed across sites will be described. Recent analysis of CalNOC prospective hospital-generated patient falls risk assessment, incidence, and injury data, derived from 45,800 reported falls over 24 quarters, reveals wide variation in fall rates, ranging from less than 1.0 to 13.0+ per 1,000 patient days. We believe these findings present a clear opportunity to reduce patient falls by translating evidence-based knowledge of falls risk assessment and prevention into nursing practice. | |||
| Organizer: | Nancy E. Donaldson, RN, DNSc, FAAN | ||
| Presenters: | M. Linda Burnes Bolton, RN, DPH Carolyn E. Aydin, PhD Diane Storer Brown, RN, PhD, FNAHQ Dana N. Rutledge, PhD, RN Jeffrey Ashley, RN, MS, PhD(c) Kristin Geiser, PhD | ||
| 1 Leveraging Nursing’s Quality Measurement Infrastructure to Expedite Evidence-based Practice: Conceptual Foundations Nancy E. Donaldson, RN, DNSc, FAAN | |||
| 2 Building Capacity for Evidence-Based Practice Change Using External Coaches and Internal Linkers to Reduce Hospital Falls: Analysis of Intervention Processes and Content Dana N. Rutledge, PhD, RN, Nancy E. Donaldson, RN, DNSc, FAAN, Jeffrey Ashley, RN, MS, PhD(c), Kristin Geiser, PhD, Joanne S. Kingsbury, RN, MBA, CNA | |||
| Baseline Data and First Formative Assessment of Intervention Impacts Nancy E. Donaldson, RN, DNSc, FAAN, Carolyn E. Aydin, PhD, Diane Storer Brown, RN, PhD, FNAHQ, M. Linda Burnes Bolton, RN, DPH | |||