NURS-FPX4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan

 

Known causes of patient falls include impaired vision, negligence by nurses, sedating medications, gait disturbances, slippery floors, and poor lighting. Therefore, RCA helps investigate the root cause deeply and find solutions. The commonly applied solutions to prevent falls are educating healthcare providers about safety techniques and improving the working environment.

NURS-FPX4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan References

Francis-Coad, J., Hill, A.-M., Jacques, A., Chandler, A. M., Richey, P. A., Mion, L. C., & Shorr, R. I. (2020). Association between characteristics of injurious falls and fall preventive interventions in acute medical and surgical units. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 75(10), e152–e158. https://doi.org/10.1093/gerona/glaa032

Keuseman, R., & Miller, D. (2020). A hospitalist’s role in preventing patient falls. Hospital Practice (1995), 48(sup1), 63–67. https://doi.org/10.1080/21548331.2020.1724473

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: State of the science. Clinics in Geriatric Medicine, 35(2), 273–283. https://doi.org/10.1016/j.cger.2019.01.007

Paulsen, M. (2021). Root cause analysis. JAMA: The Journal of the American Medical Association, 325(3), 225–226. https://doi.org/10.1001/jama.2020.24911

Stoeckle, A., Iseler, J. I., Havey, R., & Aebersold, C. (2019). Catching quality before it falls: Preventing falls and injuries in the adult emergency department. Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association, 45(3), 257–264. https://doi.org/10.1016/j.jen.2018.08.001