Initiatives to Improve Pain, Elimination, Environment, Reinforce (PEER) Round
Care Continuum
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2018
Achieve zero incidents in falls due to elimination needs and HAPU for Ward B15S by 19 Jul 18. PEER rounds reduced incidents effectively; systematic training and reminders sustain compliance.
Year Submitted: 2018
Published Date: 31 December 2018
Tags: Care Process ＆ Redesign, Care Continuum, Quality Improvement, Workflow Redesign, Access To Care, Turnaround Time, Value Based Care, Safe Care, Length Of Stay, Inpatient Care
About this Content
Aims
Achieve zero incidents in falls due to elimination needs and HAPU for Ward B15S by 19 Jul 18.
Background
42% of inpatient falls in 2017 (60 cases) were due to elimination needs; Ward B15S reported 7 falls and 2 HAPU cases.
Methods
Implemented wall clocks and flip charts as reminders for PEER rounds every 3 hours; conducted roll calls and provided instruction sheets.
Results
Zero falls due to elimination needs and HAPU reported by May 2018. Staff satisfaction surveys showed improved awareness.
Conclusion
PEER rounds reduced incidents effectively; systematic training and reminders sustain compliance.
Lessons Learnt
Education, supervision, and visual cues (wall clocks/flip charts) help change staff routines and improve patient safety.
Keywords
Patient Falls, Hospital Acquired Pressure Ulcers, Elimination Needs, PEER Round
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Wound Care Medicine, Geriatric Medicine |
Project Lead(s) | Mohd Alif Bin Mohd Zin |
Project Member(s) | Rohana Anang |
Connect with this contributor!
Mohd Alif Bin Mohd Zin - mohd_alif_zin@nuhs.edu.sg