PATIENT FALL RISK MANAGEMENT REPORT
Developing a planis a step towards the reduction or elimination of fall risks inhospitals. This will be valuable if the management program isimplemented. It is through the implementation that changes in thepatient fall risks can be realized. The elements of the plan that areaddressed during implementation include the short-term and long-terminterventions. The enforcement of these elements demands the activeparticipation of patients, nurses and other professionals whoinfluence the safety of patients. According to Kavaler &Alexander (2012), the main objective of the implementation of theplan is to ensure maximum safety is guaranteed to patients byreducing or eliminating the risk of falling. This paper reports theelements of the risk management program addressed, the role ofvarious stakeholders when enforcing the plan, and the ethicalperspective of the fall management plan.
Elements of the risk management program
Short-terminterventions that were addressed are the immediate action taken bythe hospital when responding to falls. They include the following:
Assessment of patients’ pain was put in place to determine the severity of the physical impact of the fall. Pain medicine and other drugs were provided when there was the need.
Meeting the personal needs of patients was also given priority. Patients who were at a high risk of falling were offered help when using the toilet, offered hydration, and dietary requirements.
The patients were helped to get a comfortable position. Those who were immobile were turned to ensure skin integrity.
The patients’ essential needs were placed within their reach to minimize movement to get them.
Patients and their family members were encouraged to call nurses for assistance when patients needed to get out of bed.
For long-termintervention, education was utilized. Both patients and nurses weretargeted to enhance their knowledge on fall prevention. Patients wereeducated about risk factors and the methods they could use to preventfalls. They were informed on their behaviors that could put them atrisk of falling. They came up with person goals to help them managerisk behaviors. Education of the nurses was essential for theimplementation of the fall management program (Ang, Mordiffi &Wong, 2011). Furthermore, nurses learn more about risk factors andthe effectiveness of various strategies. Knowledge was the key to themanagement of fall risks. Another long-term intervention was theenvironmental safety. The hospital managed environmental hazards thatcould result in patient falls. Nurses are ensuring that patient roomsand hallways have few objects. Routine cleaning was employed toensure dry floor. Walking aids were assessed to confirm their fitnessfor use. Exercise sessions were incorporated into the plan as a wayof improving the strength of the patient. Strong patients havesignificantly reduced the risk of falling.
To ensure thesuccess of the program, the fall management practices were balancedwith other need of the patient. The plan was implemented using amulti-disciplinary approach. This method facilitated maximummanagement of the risks. It is effective since every stakeholder hasa role of play. Additionally, a collective approach ensuresappropriate decisions are made to address every incidence of patientfall. The hospital management ensured the availability of adequateresources to fund various management practices (Kavaler &Alexander, 2012).
Role of the Joint Commission
TheJoint Commission is committed to ensuring the progressive improvementof health care quality through the evaluation of healthcareorganization and encouraging them to ensure the excellence in patientsafety. To fulfill this mission, this organization has developedquality standards for healthcare organizations. It is through thesestandards that organizations can determine whether they are headingon the right track or not. The Joint Commission develops and reviewsthese standards using the information from healthcare professionals,providers, government agencies, research organizations, andemployers. Quality management processes of a health organization aredirected towards the improvement of patient safety and treatmentoutcomes. Evaluation of fall interventions as quality managementprocesses is essential to determine their effectiveness (The JointCommission).
The JointCommission is in the front line in raising awareness of the need tomanage risks. It is through the response towards the risks thathospitals and other health care organizations evaluated theirmanagement processes with consideration of standards to determine thequality of their services. While raising awareness of patient falls,the Joint Commission ensures that the communicate safety informationto clinical and non-clinical staff who may influence the riskoccurrence in one way or another. TJC also plays a role in theevaluation of quality manage practices through leadership support.
TJC conductsunannounced surveys on the health care practices and patient safetyin various organizations. These surveys are designed to meetindividual needs of every organization. The surveys are conducted toensure that the quality management practices of healthcare centersare consistent with the TJC standards. They also support theorganization’s effort to improve healthcare outcomes. During thesurvey, TJC evaluates quality management processes through threepractices. The first one involves the extensive tracing of the careprovided to patients. Secondly, they review the information availedby the organization. The third way of obtaining information fromhealth care organizations is through observing and interviewing ofstaff and patients. The information gathered during the survey isanalyzed to determine compliance with the TJC’s standards.
Roles of administrative personnel at different levels
Every worker of ahealth organization who impacts the outcome of quality managementpractices have a role to play in the process. One of the roles playedin fall risk management is during decision-making. All the clinicaland non-clinical staff that are either directly or indirectlyaffecting or affected by patient safety are critical to the effortstowards quality management. Nurses and managers from all nursingunits are involved in the process of making decisions. Leaders andsenior managers are responsible for providing directions andoverseeing the process of developing interventions to manage risks.Such decisions are suitable in the risk management process due totheir representativeness. When policies addresses the concerns ofstaff members and patients, there are high chances of beingsuccessfully implemented (Kavaler & Alexander, 2012).
The financemanagers play an important role in ensuring the availability ofresources to support and facilitate the practices aimed at reducingthe risks. Risk management policies cannot be implemented withoutadequate funding. Finance managers evaluate the monetaryrequirements of the policies to ensure that every element of thepolicies is allocated the required resources. Human resource managershave the responsibility of ensuring that nurses and otherprofessionals have the core competencies of managing identified andanticipated risks. They are responsible for the evaluation ofabilities of nurses and then designing a training program thatenhances the skills and knowledge of every nurse. They also ensurethat nurses behave and act according to the ethical and professionalstandards.
Compliance with ethical standards
The riskmanagement practices are influenced by ethics and vice versa. Whilemanaging risks such as patient fall, it is important to consider theethical standard that might be violated during the process. Riskmanagement process is aimed at removing or eliminated the conditionsthat might cause harm to the patients. On the other hand, ethics isconcerned with doing what is morally right to the patient and theentire health care organization.
There are fourfundamental principles of ethics that risk management processesshould adhere to. They include autonomy, beneficence,non-maleficence, and justice (Hannawa et al., 2013). Inensuring compliance with ethical standards, risk managers shouldensure to autonomy during the entire process. When recommendingchanges to the care given to patients, their decisions should berespected. Their values and beliefs influence the decisions theymake. Implementation of the changes, therefore, requires theirpermission without external interference. The principle ofbeneficence demands that the risk management practices aim atpositive outcome regarding patient safety and health. It protects thepatient from harm and injury these are the objectives of fall riskmanagement. The risk management obeys the principle ofnon-maleficence when it results in the minimization of the harmcaused to patients. Lastly, the process complies with ethicalstandards when it results in the just treatment of the patients.
Theimplementation of the plan is the very crucial to risk management.The outcome of this process should be positive outcome i.e. reduce orno risk of falling. The implementation of both short-term andlong-term interventions was considered. The Joint Commission iscritical in risk management by establishing the standards forevaluating the quality of health management practices. The quality ofhealth delivered to patients is considerable when the healthorganization’s practices comply with Joint Commission standards.Risk management practices should adhere to principles of autonomy,beneficence, non-maleficence, and justice.
Ang, E., Mordiffi, S. Z., & Wong, H. B. (2011). Evaluating theuse of a targeted multiple intervention strategy in reducing patientfalls in an acute care hospital: a randomized controlledtrial. Journal of advanced nursing, 67(9),1984-1992.
Hannawa, A. F., Beckman, H., Mazor, K. M., Paul, N., & Ramsey, J.V. (2013). Building bridges: future directions for medical errordisclosure research. Patient Education and counseling, 92(3),319-327.
Kavaler, F., & Alexander, R. S. (2012). Risk managementin health care institutions. Jones & Bartlett Publishers.
The Joint Commission, Accreditation Process Overview, Retrieved fromhttps://www.jointcommission.org/accreditation_process_overview/Accessed on 15 December 2016