Fall Prevention: A Purposeful Rounding Quality Improvement Project (2024)

FAQs

What is purposeful rounding and fall prevention? ›

The purposeful hourly rounding program was effective in decreasing the fall rate from an average of 2 to 0 falls per 1,000 patient days for two consecutive months.

Essential components of hourly rounding, often referred to as the “5 P's”, include assessing pain, restroom needs, proximity of possessions, patient position, and safety of environment for patients every hour during waking hours (Brosey & March, 2015).

Many healthcare facilities are using the method of rounding addressing the 4P's (possessions, position, pain, and potty). Despite using the 4 P's rounding, there has been an increase in patient falls and miscommunication among staff and patients.

Falls Prevention Strategies

The 4P's stand for: Pain, Position, Placement, and Personal Needs. This approach may be used by various caregivers and members of the care team to help prevent falls, and to develop a culture that checks in with the resident and addresses their needs at different times of the day.

Purposeful rounding is defined as a proactive, systemic, nurse-driven, evidence-based intervention that helps anticipate and address patient needs, helps create a quality patient-provider relationship [1]. That relationship is a tried-and-true component to improve the patient experience.

The study investigated if 20-min rounding reduced falls in aged-care facilities. Overall, falls were reduced for residents of the aged-care facilities.

Utilizing the 5P framework to assess one's microsystem is a reasonable place to start. This chapter provides a quick reference on performing a microsystem assessment in various healthcare settings, highlighting the 5Ps, including purpose, patients, professionals, processes, and patterns.

Hourly rounding (or more frequent and as needed to be individualized to patient) using 5 Ps (Potty, Pain Assessment, Placements, Positioning and Pumps).

If the smallest place digit is greater than or equal to 5, then round up the digit. Since the digit in the smallest place is less than 5, a round down has to be done and also the digit remains unchanged. Every other digit becomes zero.

Explain the Steps of Rounding Off

If the number you're rounding has a 5, 6, 7, 8, or 9 after it, round it up. Example: 28 rounded to the nearest tens place equals 30. If the number you're rounding has a 0, 1, 2, 3, or 4 after it, round it down. For instance, 13 rounded to the nearest ten equals 10.

What are the 4 steps to rounding? ›

Key Takeaways

The four Ps are the four essential factors involved in marketing a product or service to the public. The four Ps are product, price, place, and promotion. The concept of the four Ps has been around since the 1950s.

For years, folks in the fall protection industry have preached the ABCD's of personal fall arrest systems: Anchorage, Body support, Connecting devices, and Descent and rescue.

The three main types of fall protection devices are fall arrest systems, fall restraint systems, and fall prevention measures. Fall arrest systems stop a fall in progress and protect workers through safety harnesses, self-retracting lifelines, and shock-absorbing lanyards.

The six Ps include: Pain, Position, Personal care needs, Proximity of belongings, Pumps and Promise. If you have any questions after reviewing the toolkit, please contact Patient Safety at LHSC.

IR is a timed, planned intervention that sets out to address fundamental elements of nursing care, typically by means of a regular bedside ward round. The aim is to proactively identify and meet patients' fundamental care needs and psychological safety.

Perform scheduled tasks. Address the 3 P's: pain, potty, and position. Assess additional comfort needs. Conduct an environmental assessment.

Instead, Herrmann and her team created an improved nurse rounding program known as the "6 Ps" of patient care, or Pain, Personal Needs, Pulmonary Hygiene, Positions, Possessions and Place.