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A comprehensive fall prevention program for assessment, interventions, and referral.

Gale Moore Bucher¹, Pamela Szczerba, Patricia M Curtin

¹Christiana Care VNA, New Castle, Delaware 19720, USA.

Home Healthcare Nurse

|March 14, 2007

Summary

Christiana Care Visiting Nurse Association developed a fall risk assessment tool using Outcomes and Assessment Information Set data. This program improved patient safety and reduced emergency care needs from falls.

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Area of Science:

Gerontology
Nursing
Public Health

Background:

Falls are a significant concern for older adults, leading to injury and increased healthcare utilization.
Effective fall risk assessment is crucial for implementing targeted prevention strategies.
The Visiting Nurse Association (VNA) sought to improve patient safety through a structured fall prevention program.

Observation:

A fall risk assessment tool was developed by the Christiana Care VNA.
The assessment tool utilizes data from the Outcomes and Assessment Information Set (OASIS).
A retrospective record review was conducted to validate the fall risk assessment tool.

Findings:

The developed fall risk assessment tool effectively identifies patients at risk for falls.
The Fall Prevention Program includes a risk-specific intervention guide and a postfall algorithm.
Implementation of the program led to demonstrable improvements in patient safety.

Implications:

The OASIS-based fall risk assessment tool can be integrated into routine home healthcare assessments.
Reduced emergent care for fall-related injuries signifies improved patient outcomes and potential cost savings.
This program serves as a model for other healthcare organizations aiming to enhance fall prevention strategies.