1. Rapid Fire Team Presentation Julie Valiquette, Physiotherapist & Jessica Emed, Clinical Nurse Specialist

2. Who We Are Jewish General Hospital Montreal, Quebec Acute care hospital 637 beds Over 24 800 admissions/year Affiliated with McGill University

3. AIM • To engage fall prevention team members in the National Falls Facilitated Learning Series (FFLS) to work towards reducing fall rates and injuries from falls • To learn and integrate strategies of sustainability into our organization's falls improvement plans • To network with other enrolled teams in the FFLS program

4. Team Members • Team sponsors • Judy Bianco, Interim Associate Nursing Director, Critical Care Services • Chantal Bellerose, JGH Accreditation Coordinator & Quality Improvement Advisor • Department Chiefs for Nutrition, Physiotherapy, Occupational Therapy • Team leaders • Julie Valiquette, Physiotherapist • Jessica Emed, Clinical Nurse Specialist • Team members • Zeina Aoude, Dietician • Helena Etrata, Nursing Education Consultant • Rania Ibrahi, Occupational Therapist-Psychiatry • Maya Lallouz, Physiotherapist • Yanna Mentakis, Occupational Therapist • Jocelyne Pépin, Pharmacist

5. Falls Change Ideas tested to date in our organization

6. Measures • 3 of the 4 in-patient units targeted for audits have shown improvements in completing fall risk assessments on admission and documenting individualized intervention plans • Special attention to one unit not yet showing improvements • Overall number of falls did increase slightly in the last fiscal year, may be attributed to: • More complex patient population • Possibility of increased reporting related to awareness-raising activities • Promotion of early mobilization as much as possible

7. Lessons Learned on Sustaining Falls Improvement Work during Action Period • Importance of team work and involvement of all hospital departments • Importance of designated team members with protected time to work on fall prevention • Importance of sustained efforts to implement changes and keep up momentum • Fall prevention is a key component in patient safety

8. Challenges to Sustaining Falls Improvement • Very short time period for an institution with high turnover and a high numbers of admissions • Time allowance to implement changes • Given the program • Given size of our institution, competing demands • Some falls are very difficult to prevent (e.g., patients with mental status changes)

9. 6 Month Post FFLS Sustainability Plans for Falls Improvement Work

10. 6 Month Post FFLS Sustainability Plan (continued)

11. Contact Information • Julie Valiquette • jvaliquette@jgh.mcgill.ca • (514)340-8238 • Jessica Emed • jemed@nurs.jgh.mcgill.ca • (514)340-8222 ext. 2726