
@article{ref1,
title="Implementing a fall prevention initiative in nurse-facilitated annual wellness visits: a quality improvement project",
journal="Journal of nursing care quality",
year="2023",
author="Quinlan, Sharon and Ryer, Suzanne",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Falls are the leading cause of injury-related death and disability in community-dwelling older adults. LOCAL PROBLEM: Evidence-based fall prevention activities in primary care, including nurse-facilitated wellness visits, have been limited. Barriers including patient engagement and adherence exist. <br><br>METHOD: A quality improvement project integrating components of the Centers for Disease Control and Prevention's Stopping Elder Accidents, Deaths & Injury (STEADI) was introduced by registered nurses during older adult annual wellness visits. INTERVENTION: Nurses assessed risk and implemented patient-centered fall prevention plans including follow-up. <br><br>RESULTS: A total of 522 patients were screened, with 21% (n = 111) having increased fall risk. Of these, 78% (n = 87) engaged in home safety, gait, strength, and balance assessments and the majority (n = 83; 95%) participated in fall prevention plans of care. At 2-week follow-up, patients' self-reported adherence was 74% for gait/strength/balance and 67% for home safety. <br><br>CONCLUSION: An expanded primary care team model shows promise for promoting fall prevention behaviors.<p /> <p>Language: en</p>",
language="en",
issn="1057-3631",
doi="10.1097/NCQ.0000000000000690",
url="http://dx.doi.org/10.1097/NCQ.0000000000000690"
}