Citation

Zubkoff L, Neily J, Quigley P, Delanko V, Young-Xu Y, Boar S, Mills PD. J. Nurs. Care Qual. 2018; 33(4): 334-340.

Affiliation

VA National Center for Patient Safety, White River Junction, Vermont (Drs Zubkoff, Young-Xu, and Mills and Mss Neily and Boar); Geisel School of Medicine at Dartmouth, Hanover, New Hampshire (Drs Zubkoff and Mills); Patricia A. Quigley, Nurse Consultant, LLC, St Petersburg, Florida (Dr Quigley); and National SVH Program Manager for Quality & Oversight, VA Geriatric & Extended Care Operations, Erie, Pennsylvania (Dr Delanko).

Copyright

(Copyright © 2018, Lippincott Williams and Wilkins)

DOI

10.1097/NCQ.0000000000000309

PMID

29240572

Abstract

This article reports on improved processes and outcomes from a virtual breakthrough series quality improvement collaborative to reduce preventable falls and fall-related injuries in 23 State Veterans Homes. Participating teams implemented 24 interventions (process changes); the most common was the postfall huddle. Teams reduced falls and fall-related injuries. This project highlights the importance of leadership support, interdisciplinary team involvement, and collaboration as essential components of fall prevention work.

Language: en