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The Falls Management Program presented in this manual is an interdisciplinary quality improvement initiative. It is designed to assist nursing facilities in providing individualized, person-centered care, and improving their fall care processes and outcomes through educational and quality improvement tools.

By Jo A. Taylor, R.N., M.P.H. Patricia Parmelee, Ph.D. Holly Brown, M.S.N., A.P.R.N.-B.C. Joseph Ouslander, M.D.

Contents

• Acknowledgments
• Chapter 1. Introduction and Program Overview
• Chapter 2. Fall Response
• Chapter 3. Data Collection and Analysis Using TRIPS
• Chapter 4. Long-Term Management
• Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families
• Chapter 6. Environment and Equipment Safety
• Appendix A. References and Equipment Sources
• Appendix B. Forms and Training Materials
• Appendix C. Case Study and Program Examples
• Appendix D. Falls Engineer Instructions

Developed and supported by the ´óÏóÊÓƵ (AHRQ) #290-00-0011, Task Order No. 3. A program of Center for Health in Aging and the , Department of Medicine 1841 Clifton Road, Atlanta, Georgia, 30329; (404) 728-6900.

Acknowledgments

We gratefully acknowledge the expert advice of Elizabeth Capezuti, R.N., Ph.D. and Harry Strothers, M.D. and the invaluable work of Walton Harris in preparing the program materials.

The Falls Management Program builds upon the previous work of Dr. Wayne Ray and colleagues at the Vanderbilt University School of Medicine. Several components of the program and illustrations in this publication are used courtesy of the Department of Preventive Medicine in the Vanderbilt University School of Medicine.

Lucy Rogers, Pam O'Rourke, Ken Brouse and others at Ethica Healthcare Retirement Communities were instrumental in the development of the Tracking Record for Improving Patient Safety and have provided insightful feedback and assistance for material revisions.