Part One

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Risk Management Analysis Part One

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Risk Management Program Analysis Part One

Introduction

A fall risk management approach is vital in a healthcare facility and any other hospital.

The process is incorporated to reduce the number of falls reported in a healthcare facility. When

patient falls occur, the chances of deterioration of patients' health are high, extending their length

of stay in the facility to health from their current conditions and injuries resulting from the fall

(Dabkowski et al., 2022). When patients are ailing, they are generally weak compared to when

they are in good body shape. Therefore, they are likely to encounter falls as part of a risk.

In most instances, older patients are more vulnerable to patient falls, especially those with

mental conditions, than any other patient in the facility. Present statistics show that the number

of older patients admitted to facilities is increasing since most are ailing from chronic conditions

such as cardiovascular illnesses, Alzheimer's disease, and cancer, raising the need for close

attention. Also, research shows that an average of 25-34% of patients encountering patient falls

are aged 70 years and above (Dabkowski et al., 2022). Therefore, most patients need assistance

navigating the facility premises to avoid patient falls. To come to their aid, there is a need to

design fall prevention approaches in facilities. Also, they are regularly faced with the fear of

falling. This essay will elaborate on the fall prevention techniques incorporated in healthcare

facilities to minimize falls, compare the approaches with risk management models, examine and

evaluate the strategies and give required recommendations.

Risk-Management Plan with Rationale

This paper chose fall prevention and minimization as a suitable recovery and

management approach. The method targets minimizing vulnerability to falls in a healthcare

facility. The system is utilized to successfully establish and implement new strategies, document
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the challenge, and incorporate evidence-based knowledge to guide the procedure. Overall, the

method targets showing that risk avoidance is practiced in the facility. It also considers the

chances of occurrence of the same and incorporates a risk recovery plan to increase the

possibility of improved patient outcomes. The facility is utilizing this approach to ensure that it

renders patient service effectively and with no loopholes that could potentially result to harm

within the facility premises. The method also targets reducing fall vulnerability, minimizing the

harm caused by the falls, tracking patient movement within the facility, and following up on

patients' recovery processes effectively. It is to highlight that prevention is critical to reduction.

Healthcare facilities are responsible for shielding their patients from harm's way.

Incorporating alternative approaches that minimize the vulnerability to falls is the most vital

factor in this case. The United States health sector reports thousands of patient fall cases

annually. This hinders better patient outcomes since the occurrence of patient falls leads to more

extended hospital stays to nurse injuries resulting from the fall. This extended period could lead

to them contracting hospital-acquired illnesses. Research conducted by the Joint Commission

reports an estimated $14000 rise in healthcare costs due to hospital falls injuries in 2019 (Davis

& McCauley, 2023). Upon incorporation of effective prevention plans, facilities protect their

patients and paint the facility a good picture, increasing their chances of acquiring maximum

reimbursement from the national government.

Program Organizational Steps

To attain maximum success from the plan, the risk management method concentrates on

acquiring several necessary elements: its purpose, function, goals, structure, actualization, and

control. The fall minimization and recovery approach has essential aspects, making its

implementation effective. The role of this approach is to see to it that patient falls incidents are
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minimal and done away with if possible, and the impact of those that happen is not huge. Also,

the plan offers guidance to those affected and incorporates an effective recovery plan for those

that encounter falls. The actualization procedure follows the correct implementation plan in the

organization. It includes assessment as part of the process. This calls for adequately distributing

duties and responsibilities of the management and other staff members to ensure the plan's

success. Elaborate steps are utilized to attain maximum usability and incorporate clear

instructions in the documentation to ensure the method is easy to use.

Key Regulatory Agencies and Organizations

The Joint Commission declared the occurrence of patient falls an emergency that requires

attention. Also, the degree of injuries resulting from these falls fueled this organization to create

an alert (Davis & McCauley, 2023). Therefore, a specific approach called sentinel event alert

established a recognition of the sentinel types of high-risk instances and the conditions. Hence, it

came up with techniques that would be used to minimize the cases that increase vulnerability in

healthcare facilities.

Concentrating on potential prevention strategies is the most effective for this challenge.

The JC is strict on ensuring that all recommendations it puts in place are adhered to and

actualized (Davis & McCauley, 2023). Multiple agencies advocate for healthcare organizations

with resources and suggestions on how they can minimize the vulnerabilities they identify. As

such, AHRQ is one of the most functional in that facilities are appropriately sponsored in the

actualization procedure of the fall prevention plan. Also, ECRI is on the frontline of offering

facilities necessary recommendations in the research phase.

Compliance with the Relevant American Society of Healthcare


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The plan chosen abides by the needs of the ASHRM outlined in the standards put in

place. Therefore, this makes it acceptable to attain the named goal, which is minimizing the

occurrence of patient falls and providing a recovery plan for those that have encountered falls.

The approach adheres to ASHRM suggestions that outline the following:

Conducting a fall injuries examination upon admitting a patient and evaluating the

potential risks and aspects around the patient. Two, the facility should communicate factors

surrounding the risk to the medical practitioners so that they participate in the efforts to minimize

falls and track patient movements in the facility.

Incorporating a more individualized approach to ensure the patients are well looked after

and their surroundings, including mats, are not increasing their fall vulnerability helps ensure the

plan achieves its course. Also, practitioners need to engage the patients loved ones, caregivers,

and patients in the control plan to offer training on the essence of the approach and any other

factors related to the program. The varying process is to form a summary of the after falls

injuries to see that the facility can design solutions to those instances.

Recommendations to Risk-Management Program Exemplar

The approach utilized by the facility is necessary to help it achieve the stipulated goals

and to minimize the impact of the challenges surrounding it (Patil, 2021). Nevertheless, this calls

for more techniques for effectiveness to be attained. The fall avoidance approach needs audit

information for the report and the plan documentation. Two, the facility requires a sitter policy.

Therefore, the facility will incorporate caregivers targeted on seeing that the patients are

generally well to rise above challenges linked to falls. These caregivers will also ensure patients

are monitored beneficially (Ngasa, 2023). Nevertheless, these caregivers will only be assigned to

patients susceptible to falls.


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References

Dabkowski, E., Cooper, S., Duncan, J. R., & Missen, K. (2022, May). Adult inpatients'

perceptions of their fall risk: A scoping review. In Healthcare (Vol. 10, No. 6, p. 995).

MDPI.

Davis, A. H., & McCauley, A. J. (2023). Evidence-Based Pearls: Falls in the Intensive Care

Unit. Critical Care Nursing Clinics, 35(2), 161-170.

Ngassa, R. E. (2023). The Effect of Hourly Rounding in Reducing Fall Incidence Among High

Risk Geriatric Patients in a Nursing Facility (Doctoral dissertation, University of

Massachusetts Global).

Patil, R. (2021). Developing Risk Assessment Tool for Patients' In-Hospital Falls Using

Predictive Modeling. Rochester Institute of Technology.

Yunusova, V. (2022). REDUCING THE RISK OF FALLS IN ELDERLY PATIENTS AND THE

PREVENTION OF FALLS IN AN IN-PATIENT AND OUT-PATIENT

SETTING (Doctoral dissertation, Ternopil).


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