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Published on: June 11, 2012
Implementing a quality improvement program to reduce falls and increase patient medication satisfaction in an
Marilyn Lopez1, Chenjuan Ma1, Lori Aavik1
1New York University Langone Health, Departments of Nursing (Dr. Lopez and Ms. Aavik), NYU Rory Meyers College of Nursing (Dr. Ma), the Hartford Institute for the Advancement of Geriatric Nursing (Dr. Cortes), New York, NY, USA.
Background:
Hospitalized older adult medication-related falls are common and understudied.
Local Problem:
There were organizational educational gaps identified in assisting nurses to recognize and mitigate medication associated side effects that may predispose hospitalized older adults to fall.
Methods:
A quality improvement project that utilized pre and post-test design. An eLearning module was developed and distributed to registered nurses in a medical unit.
Interventions:
Eighty registered nurses participated in an eLearning module that included patient and family centered evidence-based guidelines and teach-back guides related to medication fall safety.
Results:
An increase in overall (2.2%) medication patient satisfaction scores and decrease (8%) in falls for patients > 65 years old over a 4-month period.
Conclusions:
There is benefit of implementing a structured medication fall risk education program for nurses on a medical unit. Patient satisfaction related to communication about medications and a reduction in falls was impacted by this interdisciplinary intervention.
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