Falls in Hospitals: Six Sigma Approach for Quality and Safety

This presentation discusses the issue of falls in hospitals and introduces the Six Sigma approach as an effective intervention to improve quality and safety. It explores the rationale behind this approach, facilitators and barriers to implementation, and provides guidance on how to implement it into practice. The presentation concludes with the importance of addressing falls for patient outcomes and references for further reading.

Falls in Hospitals

Table of content
Introduction
Nominated Approach or intervention that addressed the quality and
safety
The rationale of approach/intervention to address the problem
Facilitators to the implementation of strategy
Barriers of Six sigma
Way of implementing the approach or intervention into practice
Conclusion
References

Introduction
Falls in hospital refers to an unplanned descent to the floor with or
without injury to the patient.
It consists that fact that a fall may results into lacerations or internal
bleeding, leads to increase in health care utilisation and fractures.
However, falls are responsible for creating severe injuries sometimes die
that physicians and other care professionals should take care of quality as
well as safety of people in healthcare organisations.

Nominated Approach or intervention that
addressed the quality and safety issue
The approach of addressing the quality & safety issue is Six sigma which
is effective to improve patient outcomes.
The set of management techniques as well as tools that are designed for
improvisation within business activities by eliminating probability of
errors and reduction within variability of processes is defined as six
sigma.

Six Sigma Process
Define: In this step step, team of
hospital is liable for developing
the problem statement like what
the main issues is. It is necessary
to have a clear as well as concise
description which team has to
address. This must also involve
information related with Critical
to Customer Quality.

Cont...
Measure:
In this, the team is liable for assembling entire picture of state of the
process as well as baseline for measuring the falls will be established
by making use of existent system.
Detailed process maps for high risk areas will be required to find the
area which needs maximum acknowledgement.

Cont...
Analyse:
The emphasis is on identification of causal factors which will
identify root causes related with problems.
Comprehensive Care Standard can make use of frequency plots or
scatter plots for analysis of data that is being collected.

Cont...
Improve:
The team of Comprehensive Care Standard has determined the root causes
related with the problem.
This stage will focus on identification, implementation as well as validation
of corrective actions for resolving issues related with falls as well as
improvise the performance.
The team is liable for identification of relevant process improvisation
through which efficiency , quality as well as safety can be intensified.

Cont...
Control:
The aim of this phase involves support as well as maintaining gains
that are realized within improve phase.
For this certain actions have to be taken by team of Comprehensive
Care Standard like update process documentation, training of
associates with respect to new plans along with implementation of
statistical process control.

The rationale of approach/intervention to address
the problem
The selected approach of Six sigma can be described as an effective
method that provide support to improve business procedures with the
help of using statistical analysis.
It is very much efficient to boost up quality and safety of patient in
Comprehensive care Standard.

Facilitators to the
implementation of strategy
Facilitators of Six Sigma
It is a patient driven method which facilitate to attain maximum
client satisfaction and reducing the defects with innovative
technique for improving outcomes.
This intervention leads to rise in patient outcomes along with
reducing efforts of clinical staff.

Barriers of Six Sigma
Suitability of six sigma has
been argued in front of Six
sigma critics because
quality standards are
according to every specific
tasks in hospitals which
consumes additional
duration of time that create
problem some times.

Way of implementing the approach or intervention
into practice
The six sigma is effective approach to boost
up quality and safety in healthcare
organisation that facilitates to increase patient
outcomes.
It consist to remove various kinds of defects
and applying favourable aspects in terms of
improving clinical outcomes in
Comprehensive Care Standard for reducing
the problems of falls.

Cont...
Initially, it is necessary to create a burning platform by analysing main
issue to solve it.
Secondly, it includes to put resources in place correctly in order to apply
six sigma more effectively.
Thirdly, it is required to teach the methodology to staff members for
adopting it properly.

Conclusion
From the above report, it has been analysed that incidents of falls is
major problem which is required to be solve for improving quality and
safety of patient.
It includes six sigma approach that is helpful to remove defects and
increase effectiveness of clinical practices.

References
Garrard, L. and et. al, 2016. Reliability and validity of the NDNQI® injury falls
measure. Western journal of nursing research, 38(1), pp.111-128.
Mahida, N. and Boswell, T., 2016. Non-slip socks: a potential reservoir for transmitting
multidrug-resistant organisms in hospitals?. Journal of Hospital Infection, 94(3),
pp.273-275.
Quigley, P. A. and et. al, 2016. Reducing falls and fall-related injuries in medical-
surgical units: one-year multihospital falls collaborative. Journal of nursing care
quality, 31(2), pp.139-145.
Zhao, Y. L. and Kim, H., 2015. Older adult inpatient falls in acute care hospitals:
intrinsic, extrinsic, and environmental factors. Journal of gerontological nursing,
41(7), pp.29-43.

THANK YOU!!!!!