Enterprise Quality Patient Safety & Infection Control
Memorial Hermann Health System
Memorial Hermann Memorial City (MHMC) is a 444-bed hospital in southeast Texas. The hospital chose to participate in nation-wide collaborative project with The Center for Transforming Healthcare on preventing falls with
injury, beginning with a study of fall on its cardiology unit. Over 20 months, an interdisciplinary hospital fall team led by a dedicated Process Owner and Six Sigma Black Belt identified 28 contributing factors to falls with injury. As a result The rate of falls on the Cardiology unit decreased 50.5 and falls with injuries decreased 49.2 percent. The team credits the success of the program to three factors: robust process improvement, safety culture, and leadership commitment.
· Implement RPI tools, such as a measurement system analysis and robust data collection plan, to assess reliability in fall risk assessment and factors to falls, such as medications, call light response time, call light behavior, and change in condition
· Utilize Best Practice solutions, such as a post-fall huddle tool, to track, communicate, and follow-up on root causes to falls
· Establish a robust accountability system and safety culture for fall prevention