SAFER TOOL - GrassRoots Falls...

23
Geraldton Hospital Narelle Dennett Senior Occupational Therapist SAFER TOOL FRAMP Minimum Interventions

Transcript of SAFER TOOL - GrassRoots Falls...

Page 1: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Geraldton HospitalNarelle Dennett

Senior Occupational Therapist

SAFER TOOLFRAMP Minimum Interventions

Page 2: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

The Concept – How Could We Do This Better?

Page 3: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Aim of Project

Present FRAMP minimum interventions as an easy to

understand pictorial tool.

Improve delivery of falls risk education to patients and ALL

members of the care team.

Reduce falls risk for inpatients.

Page 4: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

First Step – Rally The Team!

Snr Occupational Therapist & Snr Physiotherapist (Hospital Allied Health)

Staff Development Team (Nursing)

Senior Health Professional (Older Patient Initiative)

With support from:

Nursing Management

Patient Support Services

Geraldton Hospital Allied Health Team

Safety & Quality Team

Geraldton Hospital Cognitive Impairment Working Group

Geraldton Hospital Falls Prevention Working Group

Page 5: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

The “SAFER” Acronym

S Show

A Aids

F Facilitate Activities

E Educate

R Remove

Page 6: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Develop

the

Tool

Page 7: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Next….. Education

Incorporating the WHOLE team

Nursing staff

Allied health staff

Patient Support Services (PSA) staff

Medical staff

Patients and families

Page 8: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Education Format

Pre-education surveys (Allied Health, PSA, Nursing)

Toolbox education sessions (Allied Health, PSA, Nursing)

Education session to Medical team

Display boards

Page 9: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Educational

Displays

Ward

Page 10: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Educational

Displays

Staff Dining

Page 11: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Bedside Position

SAFER Tool displayed

bedside at 56 General

Ward beds

A3 size

Laminated

Removable

Page 12: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

SAFER Tool Use

Education with inpatients identified as falls risk

Bedside prompt to nursing, medical, allied health, PSA staff

Discussion tool with patients and family

Post “Falls Huddle” - patient education tool

Page 13: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

SAFER Tool Evaluation

Post education patient surveys

Post education staff surveys – nursing, allied health,

medical team, patient service assistants (PSA’s).

Review against patient safety data

Page 14: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Post Education Survey - Staff

Seven questions

Rated as Strongly Disagree through to Strongly Agree

Questions pertained to

Ease of use

Presentation

Confidence

Application

Page 15: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

RESULTS - Staff Evaluation

100% of staff rated the SAFER Tool

is easy to understand

felt confident using it

reinforces practical examples of how to reduce falls

is easy to use with patients

Page 16: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Post Education Survey - Patients

Five questions

Rated as Strongly Disagree through to Strongly Agree

Questions pertained to

Ease of understanding the tool

Awareness of falls risk

Confidence in discussing tool with family

Page 17: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

RESULTS – Patient Evaluation

Page 18: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

RESULTS - Comparison to Patient Safety Data

Page 19: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Where to next?

Page 20: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Continued SAFER TOOL Initiatives

Now in use Day Surgery Ward –Geraldton Hospital

Continued patient education

Continued staff education

Continued review against patient safety data

Now being trialled at several other WACHS sites

Page 21: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

SAFER SPOT Audits

Commenced May 2019

Daily nursing task

Random audit of 10 beds

Issues rectified on the SPOT!

Audit recorded and for further

evaluation

Page 22: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Acknowledgements

• Karen Zayco (Staff Development)

• Kirra Pallant (Older Person Initiative)

• Liza Doble (Snr Physiotherapist)

• Shannon McAullay (Safety & Quality)

Page 23: SAFER TOOL - GrassRoots Falls Festivalgrassrootsfallsfestival.com.au/presentations/Friday/Plenary/1005... · SAFER TOOL FRAMP Minimum Interventions. ... Ease of use Presentation Confidence

Thank [email protected]