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Preventing Errors and Injuries

Preventing Errors and Injuries
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Preventing
Errors and Injuries
- The
Alabama Quality Assurance
Foundation has
partnered with 14
nursing homes to
implement a Falls
Prevention Project
in their facilities.
The goal of the program
is to reduce the
prevalence of falls
and increase the
use of quality improvement
tools and techniques.
Data from the Minimum
Data Set (MDS) and
the MDS Quality Indicators
are used to analyze
results from this
project. The success
of this project is
based on the working
relationship between
skilled nursing facilities
in Alabama, the Alabama
Nursing Home Association,
the Alabama Department
of Public Health
and AQAF. The first
group of skilled
nursing facilities
that have participated
in this project has
realized a decrease
in the number of
falls.
- Primaris
reported a 33% reduction
in self-reported
nursing facility
falls in twelve select
skilled nursing facilities.
Primaris selected
the facilities in
eleven Missouri counties
for its falls and
injury reduction
program, which included
risk assessment (both
of resident and of
environment), care
planning, and exercise.
Participants felt
that the benefit
from reduction of
repeat falls was
significant.
- HealthInsight,
the Utah QIO, launched
a project designed
to help hospitals
make systems changes
to reduce medication
errors. As a result,
Utah hospitals achieved
a 25% reduction in
the number of medication
errors that occurred
during the four major
phases of the patient
medication process.
Hospitals also increased
by 30% the number
of errors caught
during the medication-ordering
phase and therefore
prevented these errors
from impacting patient
care.
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