Serious 6 Patient fell and Patient lost balance when closing the Patients will be supervised with their mobility for the Completed. sustained bathroom door. first 48 hours of admission regardless of level of fractured hip. independence. Serious 6 Patient fell and Patient fell earlier in day and no project completed and new risk assessments Completed. fractured corrective actions taken to minimise, and education in place for staff. thus patient fell again later. Serious 6 Patient fell and Patient assessed as requiring Falls project completed and new risk assessments Completed. fractured hip, assistance mobilising walked alone and and education in place for staff. which required fell. surgical repair. Serious 6 Patient fell and Patient with fluctuating confusion and Patients who are able shall have meals in the dining Completed. sustained head decreased mobility attempted to room with one staff member present at all times. injury (sub mobilise unaided. Patient was to be Rapid nursing rounds are conducted Mon-Fri and arachnoid high risk for falling and was on increased Completed. identify that fall risk assessment is carried out per haemorrhage). watch. procedure. Serious 6 Patient fell and Review in progress. fractured hip, requiring surgical repair. Serious 6 Patient fell Patient up from chair and fell. Increased supervision for patient. Completed. resulting in her Use of lap belt identified as appropriate for this Completed. sustaining a patient. fractured wrist. Serious 6 Patient fell and Patient with history of falls mobilised Falls project completed and new risk assessments Completed. sustained without supervision. and education in place for staff. fractured skull. Serious 6 Patient fell and Patient with history of falls mobilised Falls project completed and new risk assessments Completed sustained head without supervision. and education in place for staff injury.
Serious 6 Patient fell and sustained fractured hip. Patient lost balance when closing the bathroom door. Patients will be supervised with their mobility for the first 48 hours of admission regardless of level of independence. Completed. Serious 6 Patient fell and fractured Patient fell earlier in day and no corrective actions taken to minimise, thus patient fell again later. project completed and new risk assessments and education in place for staff. Completed. Serious 6 Patient fell and fractured hip, which required surgical repair. Patient assessed as requiring assistance mobilising walked alone and fell. Falls project completed and new risk assessments and education in place for staff. Completed. Serious 6 Patient fell and sustained head injury (sub arachnoid haemorrhage). Patient with fluctuating confusion and decreased mobility attempted to mobilise unaided. Patient was to be high risk for falling and was on increased watch. Patients who are able shall have meals in the dining room with one staff member present at all times. Rapid nursing rounds are conducted Mon-Fri and identify that fall risk assessment is carried out per procedure. Completed. Completed. Serious 6 Patient fell and fractured hip, requiring surgical repair. Review in progress. Serious 6 Patient fell resulting in her sustaining a fractured wrist. Patient up from chair and fell. Increased supervision for patient. Use of lap belt identified as appropriate for this patient. Completed. Completed. Serious 6 Patient fell and sustained fractured skull. Patient with history of falls mobilised without supervision. Falls project completed and new risk assessments and education in place for staff. Completed. Serious 6 Patient fell and sustained head injury. Patient with history of falls mobilised without supervision. Falls project completed and new risk assessments and education in place for staff Completed
SSE_cases_2010_11_FINALv1.docx