Increasing Referrals to a Community Paramedicine Fall Prevention Program Through Implementation of a Daily Management System. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Ontengco, Julianne B.
• Is Part Of: Journal of trauma nursing. Volume 26:Issue 1(2019)
• Publication Date: 2019-01
• Subjects: Community paramedic -- Daily management system -- Elderly fall prevention -- Operational excellence -- Quality improvement; Emergency nursing -- Periodicals; Emergencies -- Nursing -- Periodicals; Soins infirmiers en situation d'urgence -- Périodiques; Lésions et blessures -- Périodiques; Emergencies -- nursing -- Periodicals; Wounds and Injuries -- nursing -- Periodicals; Nursing -- Periodicals; Traumatology -- Periodicals; Societies, Nursing -- Periodicals; 610.73
• DOI: 10.1097/JTN.0000000000000415
• Languages: English
• ISSNs: 1078-7496

Abstract

Abstract : This quality improvement project was undertaken to improve trauma service referral compliance to an existing home-based elderly fall prevention program through the implementation of a daily management system (DMS). Operational excellence, a hospital-wide initiative, provided the foundation for improvement efforts. This initiative went through a series of 5 plan, do, study, and act (PDSA) cycles and demonstrated significant improvement in referrals from 0% to 100%. Compliance with referrals after the retirement of the key performance indicator remained high at 95.5%. Results from this project provided support for the framework set forth in DMS and PDSA improvement methodologies as a feasible option to implement quality and process improvement projects. Further study in this area is warranted.