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Vital to quality improvement is measurement, and this applies specifically to implementation of interventions. The chosen measures will help to determine whether an impact is being made (primary outcome), whether the intervention is actually being carried out (process measures), and whether any unintended consequences ensue (balancing measures).

Below are some recommended measures to use, as appropriate, to track your progress. In selecting your measures, consider the following:

  • Whenever possible, use measures you are already collecting for other programs.
  • Evaluate your choice of measures in terms of the usefulness of the final results and the resources required to obtain them; try to maximize the former while minimizing the latter.
  • Try to include both process and outcome measures in your measurement scheme.
  • You may use different measures or modify the measures described below to make them more appropriate and/or useful to your particular setting. However, be aware that modifying measures may limit the comparability of your results to others.
  • Posting your measure results within your hospital is a great way to keep your teams motivated and aware of progress. Try to include measures that your team will find meaningful and exciting (IHI, 2011).

For more information on measuring for improvement contact the Canadian Patient Safety Institute Central Measurement Team at measurement@cpsi-icsp.ca

Falls

Outcome Measures

(Safer Healthcare Now! 2013)

  1. Falls Rate per 1000 Patient Days.
  2. Fall Related INJURY Rate per 1000 Patient Days.
  3. Percentage of Patients with 2 or More Falls.

Process Improvement Measures

(Safer Healthcare Now! 2013)

  1. Percentage of Falls Causing Injury.
  2. Percentage of Patients with Completed Falls Risk Assessment on Admission.
  3. Percentage of Patients with Completed Falls Risk Assessment Following a Fall or Change in Medical Status.
  4. Percentage of "At Risk" Patients with a Documented Falls Prevention/Injury Reduction Plan.
  5. Percentage of Patients with Restraints.
  6. Per cent of Patients Designated "At Risk".
  7. Per cent of Patients Designated "At Risk" and Risk Status Communicated.
  8. Per cent of Patients with a Medication Review Completed on Admission.
  9. Patients with Completed Fall Risk Assessment Following Change in Medical Status (%).
  10. Percentage of Patients Assessed for Harm on Discovery of Fall.
  11. Percentage of Patients with Completed Fall Risk Assessment Following a Fall.
  12. Percentage of "Fallers" with Appropriate Monitoring in Place for 24-48 Hours After Fall.
  13. Fallers with Review or Revision of Falls Prevention/Injury Reduction Plan After Fall.