Implementation of the MEDFRAT to Promote Quality Care and Decrease Falls in Community Hospital Emergency Rooms

Area of Science:

• Healthcare Quality Improvement
• Nursing Practice
• Patient Safety

Background:

• Emergency departments face challenges in fall risk assessment.
• A standardized, evidence-based tool is needed for diverse healthcare systems.

Purpose of the Study:

• To identify and implement an evidence-based fall-risk assessment tool in 12 emergency departments.
• To improve patient safety in a rural healthcare delivery system.

Main Methods:

• The Iowa Model of Evidence-Based Practice guided the selection and implementation process.
• The Memorial Emergency Department Fall-Risk Assessment Tool (MEDFRAT) was integrated into the electronic medical record.
• Education and nurse engagement were key components of implementation.

Main Results:

• Nurses at 11 of 12 departments received education on falls and MEDFRAT.
• Nurse feedback was incorporated into the tool prior to implementation.
• Site-specific resources were identified and provided to support intervention implementation.

Conclusions:

• The Iowa Model facilitated the selection and implementation of an evidence-based tool.
• Engaging nurses is crucial for successful evidence-based practice changes in diverse settings.
• Ongoing evaluation is necessary to determine the impact on fall rates.