Fall Prevention, Using Root Cause Analysis to June …

fall prevention , Using root Cause Analysis to Eliminate Alarms & RestraintsJune 25, 2013 Alabama Nursing Home Association1 fall prevention , Using root Cause AnalysisFall prevention , Using root Cause Analysisto Eliminate Alarms & Restraintsto Eliminate Alarms & RestraintsSue Ann Guildermann, Sue Ann Guildermann, RN, BA, MARN, BA, MADirector of Education, EmpiraDirector of Education, Utilize root Cause Analysis in the investigation Utilize root Cause Analysis in the investigation and prevention of resident fallsand prevention of resident falls Analyze the internal, external and systemic Analyze the internal, external and systemic conditions and operations that may be the conditions and operations that may be the causes of resident fallscauses of resident fallscauses of resident fallscauses of resident falls Explain how noise and sleep disturbance Explain how noise and sleep disturbance contributes to the resident s fallscontributes to the resident s falls Discuss the stages and mechanisms of sleep Discuss the stages and mechanisms of sleep and its effects on health and illnessand its effects on health and illnessBackground & ProcessBackground & Process Empira awarded 3 Empira awarded 3--year MN DHS PIPP grant, began 10/1/08year MN DHS PIPP grant, began 10/1/08

Fall Prevention, Using Root Cause Analysis to Eliminate Alarms & Restraints June 25, 2013 Alabama Nursing Home Association 3 Why Do RCA After a Fall?

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