Purpose: Our goal is to reduce falls and falls-related injury through a multifaceted approach focusing on mobility and safety.
Description: A multipronged quality improvement initiative was implemented at Mount Sinai Hospital on a 34-bed medicine unit. The interventions included (1) a “mobility hour” dedicated to staff-assisted patient ambulation; (2) an education and awareness campaign for medical providers on safe ambulation and fall precautions; and for select high-risk patients: (3) remote camera patient monitoring, (4) bedside falls mats to prevent injury, and (5) patient Fitbit use to help quantify their daily steps.
Baseline data was measured from 1/1/15 – 12/31/15 (12 months), and intervention data was measured from 1/1/16 – 10/31/16 (10 months), when the last preliminary data was collected prior to submission. Falls and falls with injury were measured per month utilizing our medical error recording system.
The next steps will involve implementing interventions to motivate patients to ambulate, including (1) establishment of a medical student interest group that will organize students to walk with patients, (2) environmental changes on the unit to make it more friendly for patient ambulation, and (3) providing Fitbits to the medical assistants and having friendly competitions among them to see who walks the most with patients.
Conclusions: Our robust multimodal falls initiative led to a decrease in both falls and falls with injury, which in turn amounted to notable cost savings. Falls decreased from an average number of 4.3/month to 3.6/month, and falls with injury decreased from an average number of 0.5/month to 0/month (see Table 1). Estimated cost savings per year was $84,000, based on estimates in literature for inpatient falls with injury.
To cite this abstract:Caro, J; Jiang, SL; Mathis, J; Cushnie, S; Israilov, S; Sakai, Y; Race, J; Raja, A; Cho, H . INCREASING MOBILITY AND REDUCING FALLS AND FALL-RELATED INJURIES IN HOSPITALIZED MEDICINE PATIENTS. Abstract published at Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev. Abstract 173. Journal of Hospital Medicine. 2017; 12 (suppl 2). https://www.shmabstracts.com/abstract/increasing-mobility-and-reducing-falls-and-fall-related-injuries-in-hospitalized-medicine-patients/. Accessed February 25, 2020.