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University of San Francisco

Quality Improvement Project on Patient Falls in a Medical-Telemetry Unit

Abstract

dc:description.abstract

<p>This paper will summarize the quality improvement falls prevention project conducted by a group of University of San Francisco Clinical Nurse Leader (CNL) students. Falls in the acute care setting are a major issue in the current health care system and are a main topic of interest for CNL students to address in order to demonstrate their competency in risk reduction, health promotion, and evidence-based practice. A large, metropolitan hospital uses the Morse Fall Scale to assess patients for fall risk factors. On a medical-telemetry floor, fall incidence rates are increasing from the previous fiscal year. Due to the negative impact of falls on patient outcomes, the CNL students conducted a systematic analysis of the problem. The results were used to design, implement, and evaluate an evidence-based practice intervention to address the root cause of falls on the unit. The systems theories used in this quality improvement project are Chaos Theory and Kotter’s Eight Step Change Model.</p>

Degree

thesis:*
Name thesis:degree_name
Master of Science in Nursing (MSN)
Level thesis:degree_level
Project/Capstone - Global access
Year dc:date.available
2017

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Rivera, Stacey

Identifiers

dc:identifier.*
Repository record dc:identifier
https://repository.usfca.edu/capstone/713
OAI identifier oai:identifier
oai:repository.usfca.edu:capstone-1742

Chain of custody

source
Harvested from
University of San Francisco
Base URL
repository.usfca.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Rivera, Stacey. Quality Improvement Project on Patient Falls in a Medical-Telemetry Unit. Project/Capstone - Global access thesis, 2017. https://repository.usfca.edu/capstone/713