10 Strategic Points Document for a Quality Improvement Project Ten Strategic Points

Patient – centered fall prevention interventions

Theoretical Foundation

Literature Synthesis

Practice Change Recommendation

List the primary points for six sections.

i)      Background of the practice problem/gap at the project site

LeLaurin & Shorr (2019) emphasize the dangers of patient falls in various health facilities across the United States and the need to reduce them to reduce injuries and mortality rates while improving patients’ quality of life. Esguerra (2020) argues that Inpatient falls have been highly attributed to increasing economic and physical burden to the patients and also the medical facilities offering healthcare.

ii)    Significance of the practice problem/gap at the project site

iii)  Theoretical Foundations:

Orem’s Self Care Deficit Nursing Theory

iv)   Practice Change Recommendation: Validation of the Chosen Evidence-Based Intervention

             (V) Annotated Bibliography

1. Duckworth, M., Adelman, J., Belategui, K., Feliciano, Z., Jackson, E., Khasnabish, S., Lehman, I. S., Lindros, M. E., Mortimer, H., Ryan, K., Scanlan, M., Berger Spivack, L., Yu, S. P., Bates, D. W., & Dykes, P. C. (2019). Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: An implementation science study. Journal of Medical Internet Research, 21(1), e10008. https://doi.org/10.2196/10008

2. Esguerra, E. (2020). A Patient-Centered Approach to Fall Prevention, 1-64. https://doi.org/10.46409/sr.thbw2378

3. Dykes, P. C., Burns, Z., Adelman, J., Benneyan, J., Bogaisky, M., Carter, E., Ergai, A., Lindros, M. E., Lipsitz, S. R., Scanlan, M., Shaykevich, S., & Bates, D. W. (2020). Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries. JAMA Network Open, 3(11), e2025889. https://doi.org/10.1001/jamanetworkopen.2020.25889

4. LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients. Clinics in Geriatric Medicine, 35(2), 273-283. https://doi.org/10.1016/j.cger.2019.01.007

5. Opsahl, A. G., Ebright, P., Cangany, M., Lowder, M., Scott, D., & Shaner, T. (2017). Outcomes of adding patient and family engagement education to fall prevention bundled interventions. Journal of Nursing Care Quality, 32(3), 252-258. https://doi.org/10.1097/ncq.0000000000000232

(vi)          Summary of the findings written in this section.

(vii)        Describe the variables/groups to project, in one sentence.

Problem Statement:

LeLaurin & Shorr (2019) emphasize the dangers of patient falls in various health facilities across the United States and the need to reduce them to reduce injuries and mortality rates while improving patients’ quality of life. Esguerra (2020) argues that Inpatient falls have been highly attributed to increasing economic and physical burden to the patients and also the medical facilities offering healthcare.

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