Making Madison the safest place to receive healthcare

Patient Falls Initiative - Safe Room Set-up to Reduce Patient Falls

Environmental interventions implemented include the use of assistive equipment such as walkers and bedside commodes and adopting safe room set-ups (SRSU). For the safe room set-up module, education is provided on components of a ‘safe room set-up’ and walking rounds are made to assess and provide feedback on whether the conditions and arrangement of patient rooms, equipment and furniture maximize safety for patients at risk for falls, including:

  • Lighting: Are lights bright and glare-free? Are there automatic night lights present?
  • Equipment: Are IV poles and electrical/monitoring cords secured out of the way, on the non-exit side of the bed?
  • Flooring: Is it slip resistant and free of spills & clutter?
  • Furniture: Is it stable and out of the ambulation route? Is the bedside table on the non-exit side of the bed? Are all wheels locked? Is one bedrail down on the exit side of bed and is the bed in the low position?

A universal set of SRSU precautions that should be in place for all patients regardless of risk level was established by consensus of the group. In addition, a more comprehensive set of precautions was established for high risk patients. Hospitals have implemented the safe room set-up precautions, educated staff and routinely audit for adherence.

This project also enabled the hospitals to acquire and trial further assistive and protective equipment such as: non-slip floor mats, automatic motion sensing lights, bedside commodes, walkers, hip pads, and enclosure beds for extremely high risk patients. Staff members have been educated on the availability of such equipment and how to use these devices to help prevent falls and reduce injury.

Results

  • Safe Room Set-Up (SRSU) is in place at three hospitals and audits are routinely performed.
  • Staff members, including Environmental and Food & Nutrition staff, have been trained on SRSU.
  • The percent of patient rooms in compliance with this comprehensive set of measures is up to 97%.
  • Two organizations have expanded SRSU to all units and the other is working to do so.
  • Nurses and other support staff have been trained on, have access to and are providing patients with assistive and protective equipment such as walkers, bedside commodes, hip pads, bed alarms, etc.


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View photos of safe room set-up here

View an example of a safe room set-up protocol here