Further Improvement initiative to prevent fall by cohorting Cognitive Impaired Patients
Care Process & Redesign
Training ＆ Education
National University Health System Quality Improvement
National University Health System
31 December 2021
Reduce fall rates of cognitively impaired patients by 6 months through cohorting strategies. Cohorting cognitively impaired patients improved patient safety and reduced staff workload.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Training ＆ Education, Value Based Care, Risk Management, Preventive Approach, Safe Care, Learning Approach, Team Based Learning, Collaborative Learning
About this Content
Aims
Reduce fall rates of cognitively impaired patients by 6 months through cohorting strategies.
Background
Falls among cognitively impaired patients in Ward C11 (5 falls in 2 months) caused staff stress and risks to patient outcomes.
Methods
Implemented cohorting workflow, staff training on cognitive impairment assessment, and regular audits.
Results
Fall rates reduced significantly across all wards by June 2021; nil falls reported in several months post-implementation.
Conclusion
Cohorting cognitively impaired patients improved patient safety and reduced staff workload.
Lessons Learnt
Staff awareness, cohorting protocols, and regular audits significantly reduced fall risks.
Keywords
Falls Prevention, Cohorting, Cognitive Impairment, Safety Measures, Staff Training
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Jurong Community Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing |
Applicable Specialty or Discipline | Physiotherapy, Occupational Therapy |
Project Lead(s) | Nellie Tien Er |
Project Member(s) | Hariana |
Connect with this contributor!
Nellie Tien Er - Er_Tt_Nellie@nuhs.edu.sg