Fall risk assessment at a geriatric rehab hospital

Overview:

Purpose: The objective of this study was to identify gaps in, and to improve the falls prevention strategy (FPS) of an Inpatient Rehabilitation Facility (IRF) in Toronto, Canada.

Design: A modified version of the Stanford Biodesign Methodology was used. Methods: Chart reviews, a focus group (n=8) and semi-structured interviews (n=8) were conducted to evaluate the FPS.

Findings: Admission Functional Independence Measure score, age, and sex significantly correlated with risk for a fall. The tool used at this IRF was not effectively capturing patients who were at high risk for falls. All healthcare providers interviewed were knowledgeable of fall risks, however, a patient’s fall risk status was rarely discussed as a team.

Conclusions: The findings informed recommendations to improve the overall FPS at this IRF. Clinical Relevance: Staff may require more coaching for implementing preventative measures/ensuring accountability and evaluating whether current strategies work. These insights can guide improvement initiatives at similar facilities elsewhere.

Capstone Team: 

Catherine Rivers
Haley Roher

 

Capstone Advisory Committee:

Dr. Bruce Boissonnault
Dr. Christopher Klinger
Dr. Raza Mirza
Dr. Shazeen Suleman

 

TRP Faculty Lead:

Dr. Richard Foty