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Current literature suggests that a multitude of fall prevention methods, practices and tools exist and are widely available for organizations to choose from. Although much patient fall reduction information is easily accessible, very few fall prevention tools are Emergency Department (ED) specific. Goal: The main goal of this project was to reduce or eliminate patient falls in the ED by implementing a customized set of Agency for Healthcare Research and Quality (AHRQ) patient fall reduction guidelines. PICOT: For adult patients age 18 and over in the Emergency Department at a community medical center, how can the implementation of AHRQ Patient Fall Reduction Guidelines, compared to current practice, effect patient fall outcomes, over a three-month time period? Method: Falls in the ED were calculated using a patient fall calculation method (number of patient falls x 1000 / number of patients seen in the ED). The KINDER 1 Fall Risk Assessment Tool was used to quickly identify patients at risk for falls. During project implementation, one patient experienced a fall. The number of patients who met fall risk assessment criteria was 328 out of 3,323 adult patients. Patients age 17 or younger were omitted from project data collection and participation. When a patient was identified as a fall risk, additional patient fall interventions were implemented. Results/Outcomes: Prior to implementation of AHRQ guidelines, the hospital’s previous annual ED fall rate average was 1.06% The fall rate percentage at the completion of this project was 0.30% over a three-month time frame from January 2019 through March 2019. Fall rate comparison showed, with a 95% confidence interval, no major change in fall rate during the length of this project. However, there was a downward trend in patient fall rate that was well established. Nursing Implication: Additional research is needed that will compare quarterly fall rates over an extended period of time in order to better understand the underlying causes that contribute to patient falls and improved patient safety in the ED across various health systems.

Translational Nursing Science: Implementation of a Patient Fall Reduction Strategy in the Emergency Department at a Community-Based Medical Center