A Safer Healthcare Now! National Call, What’s New in Falls Best Practices?, was broadcast via a webinar on Tuesday, June 25, with almost 500 lines opened and an estimated 547 participants/viewers.
The webinar focused on new assessment tools and resources and updated best practices associated with falls prevention and injury reduction for acute, long term care and home health care contained in the newly revised Safer Healthcare Now! Falls Getting Started Kit, Preventing Falls and Injuries from Falls. Some 16 Safer Healthcare Now! Falls Intervention faculty members from across Canada participated in the review and update of the content. The updated Falls Prevention/Injury Reduction Getting Started Kit is a comprehensive resource of evidenced based practices associated with falls prevention/injury reduction that was created to help healthcare organizations in their quality improvement efforts to reduce falls and injuries.
Dr. Fabio Feldman, Manager, Seniors Falls and Injury Prevention for the Fraser Health Authority introduced the use of Universal Falls Precautions (a core set of fall prevention principles) by staff on all clients as a first step. The Falls Prevention/Injury Reduction Intervention Model in the original Getting Started Kit had only four components:
multi-factorial risk assessment
communication and education about fall risk;
implementing interventions for those at risk of falling; and
individualizing interventions for those a high-risk of fall injury.
Adding Universal Fall Precautions with the acronym SAFE (Safe environment; Assist with mobility; Fall-risk reduction; and Engage client and family) as a first step of the model as the prevention component intervention added to the model’s overall utility for falls prevention/injury reduction.
Dr. Vicky Scott, Senior Advisor on Fall & Injury Prevention, British Columbia Injury Research & Prevention Unit and Ministry of Health Services summarized the risk factors associated with an increase risk for falls or fall injury. The Getting Started Kit outlines an adapted BBSE MODEL to assist in the identification of biological (intrinsic), behavioural, social & economic and environmental (extrinsic) risk factors associated with fall risk. The more risk factors an individual has, the greater the risk of falling.
The one-hour webinar outlined what’s new in the Getting Started Kit, such as:
new assessment tools for fall risk and risk factor identification;
changes to screening and treatment parameters (e.g., vision, nutrition, fracture-risk, treatments such as use of Vitamin D and Calcium, coagulation);
identification of medications that put individuals at risk including process components for medication reviews;
the new Public Health Approach Model; and
new indicators for monitoring improvements associated with falls prevention and injury reduction (e.g., fall injury rate and use of restraints in home health care settings).
To view the archived webinar or download the PowerPoint presentation, visit www.saferhealthcarenow.ca and click on Events & Calls/National Calls.
The Safer Healthcare Now! Preventing Falls and Injuries From Falls Getting Started Kit is in the final stages of review and translation and will soon be posted to www.saferhealthcarenow.ca. In the interim, a copy of the Getting Started Kit in English only is available on the Falls Community of Practice at http://tools.patientsafetyinstitute.ca