Authors: (including presenting author): :
Lam PYW, Wong MC, To CN, Chan LNC, Lui SF, Chan WS, Cheung SC
Affiliation: :
Department of Clinical Oncology, Tuen Mun Hospital, NTWC
Keyword 3: :
Prevention Program
Keyword 4: :
Oncology Ward
Introduction: :
A fall incident may cause patient injury or even death. A good falls management program takes a proactive approach in preventing patient falls. There were 5 Fall cases reported AIRS in 2023 in acute oncology ward. However, 5 Fall cases on January to July 2024, an increasing incidence and the team performed the root cause analysis promptly.
Objectives: :
To reduce the fall incidents and assure patient safety in acute oncology ward.
Methodology: :
Enhanced the additional preventive measures in “Fall Prevention Program in an oncology ward” from August 2024: 1.Conducted the in-service training to Nurses and Supporting staffs for the “Morse Fall Assessment Tool” and fall prevention strategies. 2.Performed the weekly audit in “3 cases of High Fall Risk” from different teams, reviewed the “Fall Risk Assessment Record and preventive measures appropriately” on every Tuesday Am duty shift by Ward In-charge for the compliance. 3.Increased the Patrolling Round frequency to hourly by Supporting Staff for the high-risk patients. 4.Displayed the “Bed number of High Fall risk and Usage of Yellow Vest cases” in “electronic Information Display System”, the ward in- charge would be reviewed on everyday AM shift and ensure the Bed numbers were appropriate. 5.The “High Fall Risk Signage” were also displayed in Cubicle Board (in each cubicle) and Bedhead Signage / smart panel for alertness, the ward in-charge would be reviewed on everyday AM shift and ensure the Bed numbers were appropriate. 6.“The Bed number in using the Fall Alarm Mat” were displayed through central monitor in Nurse Station for easy observation. The “Fall Alarm Mat with Yellow Vest” were Pair Up items and used in daily operation. The ward in-charge would be reviewed on everyday AM shift and ensure the Bed numbers were appropriate.
Result & Outcome: :
From August 2024 -25, 1 more Fall case were reported AIRS on October 2024, 2 cases on May and July 2025. Decreased ~60% fall cases. From the weekly audit, the 3 sample of “Fall Assessment Records” were assessed randomly and all met the standard requirements. The positive feedback received from nurses and supporting staffs in the effectiveness of the fall preventive measures.
