Implementing a quality improvement program to reduce falls and increase patient medication satisfaction in an academic medical center

•Fall injuries are the leading diagnosis for hospital medicine service readmissions.•Drug use is one of the most modifiable risk factors for falls.•Patients report receiving limited fall prevention information at discharge.•Patients perceived themselves to be minimal fall risk.•Nursing blended learn...

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Veröffentlicht in:Geriatric nursing (New York) 2023-01, Vol.49, p.207-211
Hauptverfasser: Lopez, Marilyn, Ma, Chenjuan, Aavik, Lori, Cortes, Tara A.
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Sprache:eng
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Zusammenfassung:•Fall injuries are the leading diagnosis for hospital medicine service readmissions.•Drug use is one of the most modifiable risk factors for falls.•Patients report receiving limited fall prevention information at discharge.•Patients perceived themselves to be minimal fall risk.•Nursing blended learning programs increases medication safety. 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. 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. 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. 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. 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.
ISSN:0197-4572
1528-3984
DOI:10.1016/j.gerinurse.2022.09.002