Quality Improvement Plan, Resources and Conclusion.  Using and Introduction. Briefly review your practice problem and include a purpose statement. Include data to support the problem.  

  • Evidence-Based Practice Plan Explanation  (Completed in Week 4)
    • Provide a detailed explanation of the evidence-based practice quality improvement plan that you will use to address the practice problem.
    • Support your plan with scholarly references (the sources you found in the analysis of the evidence).
  • Resources (new in Week 5)
    • Describe the resources needed to support the change in practice such as personnel time, supplies for staff education, cost of new equipment, or cost of software.
    • Explain why each resource is necessary.
    • Conclusion
    • Discuss all key points addressed in this assignment.

Some of the problems that have been noted in the emergency room when talking with my mentor and other staff nurses regarding fall prevention are: the lack of understanding from the patients when talking about being a fall risk, the proper uses of the bed alarms and having the proper amount of supplies when using the fall risk bands.

The plan to fix the problem is to research and make signs describing what a fall risk is and placing the signs in the room, then pointing the signs out to the patients. Having education come in to do hands on training with the nursing staff to show the proper way to use the bed alarms. Make sure all rooms are stocked with the fall risk bands and make sure that all nursing staff knows how and when to use them.

Resources are needed for the solutions I have come up with and it does not look like it would be too expensive to implement. The biggest cost would be the print-out and hanging of posters in all of the patient rooms and keeping the fall risk bands stocked. Bed alarms do take batteries, but that is a minimum cost. Education on how to use the bed alarms can be done with every shift so that nursing staff does not need to come in on a no scheduled day and will not need to be paid extra for the education.


Materials for health care providers. (2021). Great Plains Center for Agricultural Health | Protecting and improve the health and safety of agricultural workers. https://gpcah.public-health.uiowa.edu/materials-for-health-care-providers/

Week 5 pract post

Falls in the emergency room are a severe safety issue with patients. As a result, the goal of this project is to improve patient safety by identifying and decreasing the key causes of falls in the emergency room, as well as implementing customized preventive techniques. The FADE model will be utilized to guarantee that the deployed interventions are effective and evidence-based in order to attain this goal. There is a need for implementing 90% of the quality in the emergency department, to reduce falls, a systematic approach is required, which includes allocating resources to monitor, analyze, and implement successful solutions (Wagner, 2011).

The intervention implementation strategy will begin with the intervention that requires training and resource assistance. When a nurse does their initial assessment in the room, the nurse will go over the fall risk algorithm that displays in the EMR. Once the patient is recognized as a fall risk the nurse will place a “fall risk” arm band and educate the patient and family about being a fall risk by going over the fall poster on the wall. If the patient is identified as a major fall risk the bed alarm will be turned on. Finally, the nurse will communicate all of this to the CNA that is assisting so that they are aware of the patient in the room being a fall risk.

The use of the quality improvement process and referred to as the way for overcoming the associated problem is an important part of the plan to improve the quality and reduce falls. It is necessary to have a direct understanding for overcoming the problems and make sure that a good kind of quality will be implemented helping to reduce falls and should improve based on this plan (Rask, 2007).


Wagner, L. M., Dionne, J. C., Zive, J. R., & Rochon, P. A. (2011). Fall risk care processes in nursing home facilities. Journal of the American Medical Directors Association, 12(6), 426-430.

Rask, K., Parmelee, P. A., Taylor, J. A., Green, D., Brown, H., Hawley, J., … & Ouslander, J. G. (2007). Implementation and Evaluation of a Nursing Home Fall Management Program: (See editorial comments by Drs. Magaziner, Miller, and Resnick on pp 464–466.). Journal of the American Geriatrics Society, 55(3), 342-349.






Jennifer Hewitt

Walden University

NURS-4220 Leadership Competencies in Nursing and Healthcare

September 19, 2021

Emergency rooms should have the entire associated technologies essential for the patient’s treatment in their hour of need. This fact needs to be kept in mind that there is a need to take rapid action in emergency cases rather than focusing on the detailed analysis. In this way, several falls have occurred in the emergency department that negatively affected the patients. The emergency room nurses must focus on overcoming the falls to improve the quality of services (Gray-Miceli, 2017). Nevertheless, it becomes a challenge to reduce the entire falls suddenly, so this report is made to reduce the falls in the emergency room by 10% in the next six months.

The emergency room is in charge of providing emergency care to patients in an emergency situation. There is a need for advanced technology, beds, active management participation, and leadership planning in this context. When the emergency room is compromise on any single factor, then it has a direct impact on increasing the fall. For instance, if the fall rate is 2.7% per 1000 beds in one year, but the leadership is working, it can manage the fall rate (Goldsack, 2015). On the other hand, if the fall rate is 1.6% per 1000 beds in one year, but the leadership is not focusing on fall rates, it is considered a challenging situation for the emergency rooms. It is worthy to say that the active participation of the management and leadership is essential to overcome the fall rates from emergency rooms (Goldsack, 2015).

The purpose of this paper is to see if there is a way of reducing falls in the emergency room by 10% in a time frame of six months. The purpose is comprehensive, so it becomes easy to plan by focusing on the fall rate in the given time.

It is analysed that the concentration on the fall rates is essential for improving the services in the emergency room. This fact needs to be kept in mind that the emergency room consists of nurses who have experience dealing with emergency patients. It is found that the emergency room nurses ignored several falls for the rapid treatment of the patients. They argued that the focus on the falls might require more time and resources that are challenging for treating in an emergency (Morris, 2017). In this way, there is a need to plan for the leadership and the ER nurses to quickly adapt the planned factors to reduce falls in emergency rooms.

The falls in