Fall-less
Care Process & Redesign
Training ＆ Education
Singapore Healthcare Management Congress
SingHealth
31 December 2021
To reduce the number of preventable fall incidents during inpatient physiotherapy sessions from a median of 0.103 per 1000. Structured fall prevention initiatives significantly enhance patient and staff safety.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Training ＆ Education, Care Process ＆ Redesign, Learning Theories ＆ Framework, Experiential Learning, Value Based Care, Safe Care, Patient Satisfaction, Clinical Practice Improvement
About this Content
Aims
To reduce the number of preventable fall incidents during inpatient physiotherapy sessions from a median of 0.103 per 1000 inpatient attendances to 0 per 1000 inpatient attendances in SGH within 15 months.
Background
Falls during physiotherapy increase healthcare costs and compromise patient and staff safety.
Methods
Root cause analysis identified knowledge gaps, inadequate incident learning, and improper root cause analysis.
Results
Reduced falls from 19 to 8 incidents over 15 months; achieved a median rate of 0 per 1000 attendances.
Conclusion
Structured fall prevention initiatives significantly enhance patient and staff safety.
Lessons Learnt
Continuous education and refined protocols reduce fall risks in inpatient physiotherapy.
Additional Information
SHM 2021 Risk Management 3rd Prize.
Keywords
Fall Prevention, Patient Safety, Physiotherapy
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | SingHealth |
Organization(s) Involved | Singapore General Hospital |
Platform(s) | Singapore Healthcare Management Congress |
Healthcare Professional Group(s) | Allied Health |
Applicable Specialty or Discipline | Physiotherapy |
Project Lead(s) | Seah Pei Fen |
Project Member(s) | Audi Fehdurani Bin Mat Sayuti |
Connect with this contributor!
Seah Pei Fen - singaporehealthcaremanagement@singhealth.com.sg
Project Attachment
C_660_SHP_SHM_2021_Improving_Patient_Safety_by_Reducing_Pharmacy_Near_Miss.pdf