1. Increasing Referrals to a Community Paramedicine Fall Prevention Program Through Implementation of a Daily Management System
- Author
-
Julianne B Ontengco
- Subjects
Male ,Quality management ,Referral ,Frail Elderly ,Allied Health Personnel ,Emergency Nursing ,Critical Care Nursing ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Operations management ,Community Health Services ,Maine ,Referral and Consultation ,Aged ,Advanced and Specialized Nursing ,Aged, 80 and over ,030504 nursing ,030208 emergency & critical care medicine ,Paramedicine ,Operational excellence ,Quality Improvement ,Management system ,Accidental Falls ,Female ,Business ,Performance indicator ,0305 other medical science ,people ,PDCA ,people.professional_field ,Fall prevention - 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.
- Published
- 2019