Information
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Document No.
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Department
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Conducted on
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Prepared by
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Personnel
Governance and systems for preventing falls
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10.1.1 Policies, procedures and/or protocols are in use that are consistent with best practice guidelines (where available) and incorporate screening and assessment tools
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10.1.2 The use of policies, procedures and/or protocols is regularly monitored
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10.2.1 Regular reporting, investigating and monitoring of falls incidents is in place
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10.2.2. Administrative and clinical data are used to monitor and investigate regularly the frequency and severity of falls in the health service organisation
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10.2.3 Information on falls is reported to the highest level of governance in the health service organisation.
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10.2.4 Action is taken to reduce the frequency and severity of falls in the health service organisation
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10.3.1Quality improvement activities are taken to prevent falls and minimise patient harm
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10.4.1 Equipment and devices are available to implement prevention strategies for patients at risk of falling and management plans to reduce the harm from falls
Screening and assessing risks of falls and harm from falling
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10.5.1 A best practice screening tool is used by the clinical workforce to identify the risk of falls
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10.5.2 Use of the screening tool is monitored to identify the proportion of at-risk patients that were screened for falls
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10.5.3 Action is taken to increase the proportion of at-risk patients who are screened for falls upon presentation and during admission
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10.6.1 A best practice assessment tool is used by the clinical workforce to assess patients at risk of falling
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10.6.2 The use of the assessment tool is monitored to identify the proportion of at-risk patients with a completed falls assessment
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10.6.3 Action is taken to increase the proportion of at-risk patients undergoing a comprehensive falls risk assessment
Preventing falls and harm from falls
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10.7.1 Use of best practice multifactorial falls prevention and harm minimisation plans is documented in the patient clinical record
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10.7.2 The effectiveness and appropriateness of the falls prevention and harm minimisation plan are regularly monitored
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10.7.3 Action is taken to reduce falls and minimise harm for at-risk patients
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10.8.1Discharge planning includes referral to appropriate services, where available
Communicating with patients and carers
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10.9.1 (D) Patient information on falls risks and prevention strategies is provided to patients and their carers in a format that is understood and meaningful
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10.10.1 (D) Falls prevention plans are developed in partnership with patients and carers
