Innovations in Rural Health Care: “CAPTURE”ing the Challenges and Successes of Implementing Interprofessional Fall Risk Reduction Programs in Nebraska’s Critical Access Hospitals
Advisor Information
Roni Reiter-Palmon
Location
Dr. C.C. and Mabel L. Criss Library
Presentation Type
Poster
Start Date
7-3-2014 1:00 PM
End Date
7-3-2014 4:00 PM
Abstract
Patient falls are a common, costly, and serious adverse event in all hospitals. Compared to larger urban hospitals, smaller and more rural Critical Access Hospitals (CAHs) tend to serve higher proportions of older adults at risk for falls and have higher fall injury rates. Yet, CAHs lack many of the incentives and resources present in larger hospitals to adequately attend to falls as a patient safety risk. To address this patient safety risk, we partnered with 17 of Nebraska’s CAHs to implement an innovative patient safety program called Collaborative and Proactive Teamwork Used to Reduce (CAPTURE) Falls. The CAPTURE Falls program moves beyond the traditional paradigm of fall prevention by establishing collaborative interprofessional fall risk reduction teams who coordinate fall prevention processes and assume accountability for the hospital’s fall risk reduction program and outcomes. Through the CAPTURE Falls program, CAHs are working to establish a culture of safety and collaborative teamwork, and to utilize action planning and sensemaking to overcome barriers and implement evidence based practices to support fall risk reduction. We will share the challenges and successes faced by CAHs in implementing sustainable patient safety programs and provide a model for addressing the unique challenges in implementing innovations in small rural hospitals.
Innovations in Rural Health Care: “CAPTURE”ing the Challenges and Successes of Implementing Interprofessional Fall Risk Reduction Programs in Nebraska’s Critical Access Hospitals
Dr. C.C. and Mabel L. Criss Library
Patient falls are a common, costly, and serious adverse event in all hospitals. Compared to larger urban hospitals, smaller and more rural Critical Access Hospitals (CAHs) tend to serve higher proportions of older adults at risk for falls and have higher fall injury rates. Yet, CAHs lack many of the incentives and resources present in larger hospitals to adequately attend to falls as a patient safety risk. To address this patient safety risk, we partnered with 17 of Nebraska’s CAHs to implement an innovative patient safety program called Collaborative and Proactive Teamwork Used to Reduce (CAPTURE) Falls. The CAPTURE Falls program moves beyond the traditional paradigm of fall prevention by establishing collaborative interprofessional fall risk reduction teams who coordinate fall prevention processes and assume accountability for the hospital’s fall risk reduction program and outcomes. Through the CAPTURE Falls program, CAHs are working to establish a culture of safety and collaborative teamwork, and to utilize action planning and sensemaking to overcome barriers and implement evidence based practices to support fall risk reduction. We will share the challenges and successes faced by CAHs in implementing sustainable patient safety programs and provide a model for addressing the unique challenges in implementing innovations in small rural hospitals.