Type of publication:
Service improvement case study
Author(s):
*Karen Forrest; *Debbie Pearce
Citation:
SaTH Improvement Hub, June 2025
SMART Aim:
To reduce the number of falls on ward 28 by 10% by the end of April 2025. Ward 28 aimed to increase their compliance with neurological observations to 100% by April 2025.
Type of publication:
Service improvement case study
Author(s):
*Clare Walsgrove; *Lynette Williams; *Mandie Esp; *Mandy Leverington; *Gill Joseph
Citation:
SaTH Improvement Hub, May 2025
SMART Aim:
To reduce the number of falls on Ward 25 at Royal Shrewsbury Hospital By 15% by 31st March 2025.
Type of publication:
Service improvement case study
Author(s):
*Dr Radhi Al-Shaharli
Citation:
SaTH Improvement Hub, April 2025
SMART Aim:
I am aiming to:
By May 2024
Type of publication:
Service improvement case study
Author(s):
*Gary Francis
Citation:
SaTH Improvement Hub, March 2025
SMART Aim:
To reduce the risk of patient A falling over in hospital by the end of his stay as evidenced by the number of falls
Type of publication:
Service improvement case study
Author(s):
*Lucy Roberts and *Gemma Styles
Citation:
SaTH Improvement Hub, December 2023
SMART Aim:
The overall PSIRF aim for the Trust is to reduce the number of falls with harm. Ward 8 aimed to increase their compliance with neurological observations to 100%
Type of publication:
Service improvement case study
Author(s):
*Helen Williams and *Gemma Styles
Citation:
SaTH Improvement Hub, January 2025
SMART Aim:
To reduce the number of falls with moderate harm or above on ward 32 by 50% by December 2024
Type of publication:
Conference abstract
Author(s):
*Claire Swindell, *Omar Hassouba
Citation:
Journal of Healthcare Simulation 2024;4(Suppl 1):A1–A102
Abstract:
Introduction: This quality improvement initiative focuses on utilising in-situ simulation techniques to promote active participation from the multidisciplinary healthcare team to improve in-patient falls management. The project focused on a simulated patient that had sustained a fractured neck of Femur after experiencing a fall on the ward. Safe transfer of the fallen patient and identification of equipment needed was central to the project’s objectives. In doing so, learner centred engagement assisted in the identification of organisational and systematic barriers that impinge on best practice. As in-situ simulation can proactively identify latent system issues that may be acting as barriers in achieving best practice, how effective can it be in improving staff management, in response to a fallen in-patient that has sustained a Fractured neck of Femur? Methods: A collaborative approach was initiated and fostered to allow key stakeholders to identify fall-related issues and areas most in need of improvement within the Trust relating to falls. Using in-situ simulation, a standardised patient was utilised to recreate a realistic scenario, where a patient falls on the way to the toilet. The standardised patient ‘role plays’ that they have sustained a hip injury which presents as a fractured neck of femur, hence unable to get up from the floor. The multidisciplinary ward team were then observed to see how they collectively managed the fallen patient and how they safely transfer the patient from the floor. A protected, inclusive debrief was then carried out to enhance understanding of the scenario undertaken and to highlight barriers encountered. Results: Although the multidisciplinary team appeared to have a good awareness of Trust policy and procedure pertaining to post-fall care, accessibility to essential equipment needed was lacking. A need for staff training in the safe use of this essential equipment was apparent. Discussion: By carrying out this immersive in-situ simulation, specific ward issues that required attention were identified, problems that may have gone unnoticed if not presented in a realistic scenario, recreating real-time patient care needs. Therefore, in-situ simulation is an ideal and effective modality in capturing authentic latent issues that may occur during the management of a fallen patient that has sustained a fractured neck of femur. The need for improvements were identified and cascaded to the relevant teams to remove barriers for best practice.
Type of publication:
Service improvement case study
Author(s):
*Clare Walsgrove, *Leeanne Morgan, *Ward Managers
Citation:
SaTH Improvement Hub, May 2022
SMART Aim:
In order to maintain the overall health of our patients, it is important to monitor patients at risk of falls and the post fall care received.
Link to PDF poster [no password required]
Type of publication:
Service improvement case study
Author(s):
*Leeanne Morgan- Falls Prevention Practitioner (FPP) *Gary Francis Ward 10 Manager, & his team *Angie Boulds Ward 11 Manager, & her team *Sr Elizabeth Bennett, *Sr Ann Allsop, *Chris Jones, Medline Rep, *Audrey Cope, Medline Nurse Practitioner, *SaTH charity
Citation:
SaTH Improvement Hub, 2022
SMART Aim:
In order to maintain the safety of our patients and help reduce the risk of falls, falls sensor mats were trialled on Ward 10 and 11. The mats have resulted in an overall reduction in falls of 55% on Ward 10 and 62% reduction in Ward 11 during the trial period.
Link to PDF poster [no password required]
Type of publication:
Service improvement case study
Author(s):
*Leeanne Morgan- Falls Prevention Practitioner (FPP) *Gary Francis Ward 10 Manager, & his team *Angie Boulds Ward 11 Manager, & her team *Sr Elizabeth Bennett, *Sr Ann Allsop, *Chris Jones, Medline Rep, *Audrey Cope, Medline Nurse Practitioner, SaTH charity
Citation:
SaTH Improvement Hub, 2022
SMART Aim:
In order to maintain the safety of our patients and help reduce the risk of falls, falls sensor mats were trialled on Ward 10 and 11. The mats have resulted in an overall reduction in falls of 55% on Ward 10 and 62% reduction in Ward 11 during the trial period.
Link to PDF poster [no password required]
Shrewsbury and Telford Hospital NHS Trust has an active Research and Innovation Department.
Find out more by visiting either the R&I Intranet pages (only available on a Trust PC) or the R&I pages on the SaTH website.
Shrewsbury and Telford Hospital NHS Trust has an active Improvement Hub.
Find out more by visiting either the Improvement Hub Intranet pages (only available on a Trust PC) or the Improvement Hub page on the SaTH website.