Plan | Planned to use a ‘high risk of fall’ sticker on high risk patient’s beds for easy identification and attention. To have more frequent fall risk assessment for patients (on admission, on transfer in from other unit, warding in from operation theatre and whenever there is a major change in patient’s condition)
| Rationale for plan 1. Though the idea of giving due attention to ‘high risk of fall’ patients was already put in place, we lacked an easy way of identifying those patient. Using the ‘high risk of fall’ sticker/signage on patient’s bed would help in easy identification of those patients. Rationale for plan 2 Lack of continuous fall risk assessment for the patients was one of the many causes. Our ward did not have any policy as to when a fall assessments needs to be done for the patients. | QI team |
Do | Carrying out fall risk assessment on admission, on transfer in from other units, while warding in from operation theatre and on major change in patient’s condition was implemented A ‘Humpty Dumpty high risk of fall’ sticker was designed and printed out by the QI team members Nurses started using the ‘high risk of fall’ sticker on high risk patient’s beds (figure 3)
| | Nurses on duty QI team |
Study | | | QI team |
Act | | | QI teams |