Your practices should be tailored to your organization. Postfall procedures, including a clinical review and root cause analysis ( section 3.5). Care planning and interventions that address the identified risk factors within the overall care plan for the patient ( section 3.4).Standardized assessment of fall risk factors ( section 3.3).Universal fall precautions, including scheduled rounding protocols ( section 3.2).To simplify things, we have broken down fall prevention activities into separate steps: Given the complexity of fall prevention, the task of implementing a program may seem daunting. Which fall prevention practices should you use? Each patient has a different set of fall risk factors, so care must thoughtfully address each patient's unique needs. Fall prevention needs to becustomized.How should the right information about a patient's fall risks get to the right member of the team at the right time? Nurses, physicians, pharmacists, physical therapists, occupational therapists, patients, and families need to cooperate to prevent falls. How should fall prevention be reinforced while maintaining enthusiasm for other priorities, such as infection control? Fall prevention is one of many activities needed to protect patients from harm during their hospital stay.It may be tempting to leave patients in bed to prevent falls, but patients need to transfer and ambulate to maintain their strength and to avoid complications of bed rest. Fall prevention must be balanced with the need to mobilize patients.Yet a fall in a sick patient can be disastrous and prolong the recovery process. The patient is usually not in the hospital because of falls, so attention is naturally directed elsewhere. Fall prevention must be balanced with other priorities for the patient.Some factors that make fall prevention challenging include: Recognize at the outset that implementing these best practices is a complex task. Further information regarding the organization of care needed to implement these best practices is provided in section 4 and additional clinical details are in Tools and Resources. This section helps your organization address these questions. How can your hospital incorporate these practices into a fall prevention program?.How should you assess and manage patients after a fall?.How should identified risk factors be used for fall prevention care planning?.How should a standardized assessment of fall risk factors be conducted?.Which universal fall precautions should be applied throughout the hospital?.Which fall prevention practices should you use?.Team members should reach consensus on the following questions: In this section, "best practices" are those care processes that, based on literature and expert opinion, represent the best way we currently know of preventing falls in the hospital. Once you determine that you are ready for change, the Implementation Team and Unit Team need to state their plans for implementing best practices.
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