{"id":1933,"date":"2025-02-20T09:24:25","date_gmt":"2025-02-20T17:24:25","guid":{"rendered":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/?p=1933"},"modified":"2025-03-04T14:05:00","modified_gmt":"2025-03-04T22:05:00","slug":"med-surg-falling-stars-project","status":"publish","type":"post","link":"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/med-surg-falling-stars-project\/","title":{"rendered":"Med-Surg: Falling Star project\u00a0"},"content":{"rendered":"<p><span data-contrast=\"auto\">At the end of 2023 and into 2024, Kaiser Permanente Santa Rosa experienced a notable increase in patient fall rates, including falls with injury, despite the continuation of the 2022 performance improvement strategies. Recognizing the need for new approaches, the Falls Workgroup initiated several performance improvement plans using the A3 template for process improvement and Plan-Do-Study-Act (PDSA) cycles.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;201341983&quot;:0,&quot;335551550&quot;:1,&quot;335551620&quot;:1,&quot;335559685&quot;:0,&quot;335559737&quot;:0,&quot;335559738&quot;:240,&quot;335559739&quot;:240,&quot;335559740&quot;:259}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">Key interventions included:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"30\" data-aria-level=\"1\"><span data-contrast=\"auto\">Falls Bundle Implementation: The workgroup focused on adherence to the falls prevention bundle, utilizing the Schmid Fall Risk Assessment Tool. Particular attention was given to the Schmid mentation score to ensure that all qualifying patients had the bundle in place.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"31\" data-aria-level=\"1\"><span data-contrast=\"auto\">Components of the Bundle: Yellow gown, socks, band, blanket, bed\/chair alarm activation, and patient education on fall risks.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"32\" data-aria-level=\"1\"><span data-contrast=\"auto\">Visual Cues: The yellow components provided a clear, immediate visual indicator for the care team and patients, enhancing awareness of fall risk.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"33\" data-aria-level=\"1\"><span data-contrast=\"auto\">Quality Audits: Regular audits were conducted to monitor adherence to the bundle and identify areas where implementation drift occurred.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">These measures resulted in a reduction in fall rates; however, sustained success and the overall target had not yet been achieved.\u00a0<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">The Falls Workgroup collaborated with the Comprehensive Unit-based Safety Program (CUSP) teams from the ICU and Medical-Surgical units, leveraging their successful approaches from mobility and tooth-brushing performance improvement work as a model for progress.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<p><span data-contrast=\"auto\">&#8220;Falling Star&#8221; Safety Initiative:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559685&quot;:0,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"21\" data-list-defn-props=\"{&quot;335552541&quot;:1,&quot;335559685&quot;:720,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"1\" data-aria-level=\"1\"><span data-contrast=\"auto\">A staff-led safety initiative introduced the <\/span><i><span data-contrast=\"auto\">Falling Star<\/span><\/i><span data-contrast=\"auto\"> signage system, which included:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"34\" data-aria-level=\"1\"><span data-contrast=\"auto\">Clear Visual Cues: Signs outside patient rooms identified those at risk for falls, increasing team awareness.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"35\" data-aria-level=\"1\"><span data-contrast=\"auto\">Checklist Integration: Each sign featured a shift-specific checklist to ensure adherence to the falls prevention bundle, including all necessary interventions such as yellow gown, socks, band, blanket, bed\/chair alarms, and patient education.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"36\" data-aria-level=\"1\"><span data-contrast=\"auto\">Impact: This initiative increased awareness and improved consistency in implementing bundle elements.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">Despite these improvements, fall rates remained higher than desired, prompting further review and analysis by the Falls Workgroup.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"37\" data-aria-level=\"1\"><span data-contrast=\"auto\">Identifying the Gap: The team recognized that simply knowing a patient is at risk for falls was insufficient.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"38\" data-aria-level=\"1\"><span data-contrast=\"auto\">New &#8220;Safety Stop&#8221; Sign:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">The <\/span><i><span data-contrast=\"auto\">Falling Star<\/span><\/i><span data-contrast=\"auto\"> signage was retired and replaced with a redesigned <\/span><i><span data-contrast=\"auto\">Falls Safety Stop<\/span><\/i><span data-contrast=\"auto\"> sign, which includes:<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/p>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"39\" data-aria-level=\"1\"><span data-contrast=\"auto\">Individualized Risk Factors: Each sign highlights specific risk factors unique to the patient.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li data-leveltext=\"\uf0b7\" data-font=\"Symbol\" data-listid=\"13\" data-list-defn-props=\"{&quot;335551500&quot;:10496915,&quot;335552541&quot;:1,&quot;335559685&quot;:810,&quot;335559991&quot;:360,&quot;469769226&quot;:&quot;Symbol&quot;,&quot;469769242&quot;:[8226],&quot;469777803&quot;:&quot;left&quot;,&quot;469777804&quot;:&quot;\uf0b7&quot;,&quot;469777815&quot;:&quot;hybridMultilevel&quot;}\" data-aria-posinset=\"40\" data-aria-level=\"1\"><span data-contrast=\"auto\">Tailored Prevention Measures: Prevention strategies are linked directly to the identified risk factors, providing a more personalized and effective approach to fall prevention.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:0,&quot;335559739&quot;:0}\">\u00a0<\/span><\/li>\n<\/ul>\n<p><span data-contrast=\"auto\">The Falls Workgroup remains dedicated to evaluating the effectiveness of these strategies, using data to refine processes and achieve sustained success in fall reduction. By fostering collaboration and continually innovating, the team aims to create a safer environment for all patients. This ongoing effort underscores the commitment of the KP SRO team to refine and reinforce falls prevention strategies, ensuring patient safety remains a top priority.<\/span><span data-ccp-props=\"{&quot;134233117&quot;:false,&quot;134233118&quot;:false,&quot;335559738&quot;:240,&quot;335559739&quot;:240}\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>At the end of 2023 and into 2024, Kaiser Permanente Santa Rosa experienced a notable increase in patient fall rates, including falls with injury, despite the continuation of the 2022 performance improvement strategies. Recognizing the need for new approaches, the Falls Workgroup initiated several performance improvement plans using the A3 template for process improvement and&hellip;<\/p>\n","protected":false},"author":2,"featured_media":2741,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"_custom_body_class":"","_custom_post_class":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[56],"tags":[],"ncal_area":[97],"site_only":[],"report_year":[58],"class_list":["post-1933","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-exemplary-professional-practice","ncal_area-santa-rosa","report_year-58","entry","has-media"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Med-Surg: Falling Star project\u00a0 - Kaiser Permanente Northern California 2024 Annual Nursing Report<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/nursingncal.kaiserpermanente.org\/annual-report\/exemplary-professional-practice\/med-surg-falling-stars-project\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Med-Surg: Falling Star project\u00a0 - Kaiser Permanente Northern California 2024 Annual Nursing Report\" \/>\n<meta property=\"og:description\" content=\"At the end of 2023 and into 2024, Kaiser Permanente Santa Rosa experienced a notable increase in patient fall rates, including falls with injury, despite the continuation of the 2022 performance improvement strategies. 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