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Preventing Falls and Fall-Related Injuries in State Veterans Homes: Virtual Breakthrough Series Collaborative
Lisa Zubkoff1, Julia Neily, Patricia Quigley
1VA National Center for Patient Safety, White River Junction, Vermont (Drs Zubkoff, Young-Xu, and Mills and Mss Neily and Boar); Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Drs Zubkoff and Mills); Patricia A. Quigley, Nurse Consultant, LLC, St Petersburg, Florida (Dr Quigley); and National SVH Program Manager for Quality & Oversight, VA Geriatric & Extended Care Operations, Erie, Pennsylvania (Ms Delanko).
Abstract:
This article reports on improved processes and outcomes from a virtual breakthrough series quality improvement collaborative to reduce preventable falls and fall-related injuries in 23 State Veterans Homes. Participating teams implemented 24 interventions (process changes); the most common was the postfall huddle. Teams reduced falls and fall-related injuries. This project highlights the importance of leadership support, interdisciplinary team involvement, and collaboration as essential components of fall prevention work.
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