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Mm week 6 7/10 piggy bag **files (1)** – ## Fallprevention.pdf **## Fallprevention.pdf** Preventing Falls in Adult Daycare Settings • Michelle Murray • NU710 – Improvement Science • Dr. • 4/5/2026 • Herzing University • Presentation Topic: Quality Improvement & Fall Prevention In Adult Daycare Setti…
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Mm week 6 7/10 piggy bag
**files (1)**
– ## Fallprevention.pdf
**## Fallprevention.pdf**
Preventing Falls in
Adult Daycare
Settings
• Michelle Murray
• NU710 – Improvement Science
• Dr.
• 4/5/2026
• Herzing University
• Presentation Topic: Quality
Improvement & Fall Prevention In
Adult Daycare Settings
Define the Practice Problem
• Falls are prevalent among adult
populations in day cares.
• Older adults are at risk of falls because of
mobility problems (Moreland et al.,
2023).
• Falls may result in injuries,
hospitalization or death.
• Approximately 1 per 4 adults 65 years
and older/annually falls.
• There are numerous falls that can be
avoided through adequate interventions.
Conform to National
Health Goal.
• Healthy People 2030 Objective: IVP-08
(Towne et al., 2023).
• Minimize the number of fall-related
deaths in older adults.
• Challenge: Prevention of injuries and
promotion of safety.
• Helps the national priorities in public
health.
• Meets with preventive care programs.
• Meets the health needs of the aging
population.
Triple Aim
Alignment.
• Enhance patient experience by being
safe.
• Minimize fall-related injuries and fear.
• Improve population health outcomes
(Kokko, 2022).
• Reduce hospitalization costs on
healthcare.
• Encourage self-reliance in the elderly.
• Enhance quality of care provision.
Implement Benchmarking
(Concept).
• Benchmarking is the comparison of
performance against the standards.
• Assists in determining performance
deficiencies.
• Leads quality improvement processes.
• Available of internal and external sources of
data.
• Supports evidence-based decision-making
• Songs develop with time.
Implement Benchmarking
(KPIs).
• Benchmark source: NDNQI or CMS Quality Net
(George et al., 2025).
• KPI: Fall rate/1,000 days of the patient.
• Goal: Decrease the number of falls by half.
• Observe the extent of injury due to falls.
• Track compliance with fall risk assessment.
• Assess compliance of staff to protocols.
PDSA Plan Phase (AIM and Change).
• GOAL: Decrease the number of falls by 20%
within 3 months.
• Enhance security in adult daycare
environment.
• Change that is being proposed: Fall risk
assessment tool.
• Adopt employee training in fall prevention.
• Implement environmental safety changes.
• Assistive devices should be used where
necessary.
Plan Phase of
PDSA
(Prediction and
Measures).
PDSA-Plan stage
(Team and Timeline)
Team: Nurses, caregivers,
administrators.
Include physical therapists
Involve patients and families.
Timeframe: 3 months pilot test.
Weekly progress check.
Modify interventions where
necessary.
Reflection
• Benchmarking made clear
performance gaps.
• Evidence-based method enhanced
knowledge.
• Connection to national objectives
made it more relevant.
• PDSA framework offered
improvement structure.
• Greater trust in quality
improvement.
References
• George, N., Pascale, A., & Warshawsky, N. E. (2025). Practice environment and
nurse outcomes by ANCC designation: insights from NDNQI. Journal of Nursing
Management, 2025(1), 1772029.
https://onlinelibrary.wiley.com/doi/pdf/10.1155/jonm/1772029
• Kokko, P. (2022). Improving the value of healthcare systems using the Triple
Aim framework: A systematic literature review. Health policy, 126(4), 302-309.
https://www.sciencedirect.com/science/article/pii/S0168851022000549
• Moreland, B. L., Legha, J. K., Thomas, K. E., & Burns, E. R. (2023). Hip fracture –
related emergency department visits, hospitalizations and deaths by
mechanism of injury among adults aged 65 and older, United States
2019. Journal of aging and health, 35(5-6), 345-355.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf
• Towne Jr, S. D., Ng, B. P., Reres, A., Rigsby, M., Lee, C., Smith, M. L., & Ory, M. G.
(2023). Rural Healthy People: Older Adults.
https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-
e08752b909ee/download
[https://onlinelibrary.wiley.com/doi/pdf/10.1155/jonm/1772029](https://onlinelibrary.wiley.com/doi/pdf/10.1155/jonm/1772029)
[https://www.sciencedirect.com/science/article/pii/S0168851022000549](https://www.sciencedirect.com/science/article/pii/S0168851022000549)
[https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf)
[https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf)
[https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
– Slide 1: Preventing Falls in Adult Daycare Settings
– Slide 2: Define the Practice Problem
– Slide 3: Conform to National Health Goal.
– Slide 4: Triple Aim Alignment.
– Slide 5: Implement Benchmarking (Concept).
– Slide 6: Implement Benchmarking (KPIs).
– Slide 7: PDSA Plan Phase (AIM and Change).
– Slide 8: Plan Phase of PDSA (Prediction and Measures).
– Slide 9: PDSA-Plan stage (Team and Timeline)
– Slide 10: Reflection
– Slide 11: References
**## Fallprevention.pdf**
Preventing Falls in
Adult Daycare
Settings
• Michelle Murray
• NU710 – Improvement Science
• Dr.
• 4/5/2026
• Herzing University
• Presentation Topic: Quality
Improvement & Fall Prevention In
Adult Daycare Settings
Define the Practice Problem
• Falls are prevalent among adult
populations in day cares.
• Older adults are at risk of falls because of
mobility problems (Moreland et al.,
2023).
• Falls may result in injuries,
hospitalization or death.
• Approximately 1 per 4 adults 65 years
and older/annually falls.
• There are numerous falls that can be
avoided through adequate interventions.
Conform to National
Health Goal.
• Healthy People 2030 Objective: IVP-08
(Towne et al., 2023).
• Minimize the number of fall-related
deaths in older adults.
• Challenge: Prevention of injuries and
promotion of safety.
• Helps the national priorities in public
health.
• Meets with preventive care programs.
• Meets the health needs of the aging
population.
Triple Aim
Alignment.
• Enhance patient experience by being
safe.
• Minimize fall-related injuries and fear.
• Improve population health outcomes
(Kokko, 2022).
• Reduce hospitalization costs on
healthcare.
• Encourage self-reliance in the elderly.
• Enhance quality of care provision.
Implement Benchmarking
(Concept).
• Benchmarking is the comparison of
performance against the standards.
• Assists in determining performance
deficiencies.
• Leads quality improvement processes.
• Available of internal and external sources of
data.
• Supports evidence-based decision-making
• Songs develop with time.
Implement Benchmarking
(KPIs).
• Benchmark source: NDNQI or CMS Quality Net
(George et al., 2025).
• KPI: Fall rate/1,000 days of the patient.
• Goal: Decrease the number of falls by half.
• Observe the extent of injury due to falls.
• Track compliance with fall risk assessment.
• Assess compliance of staff to protocols.
PDSA Plan Phase (AIM and Change).
• GOAL: Decrease the number of falls by 20%
within 3 months.
• Enhance security in adult daycare
environment.
• Change that is being proposed: Fall risk
assessment tool.
• Adopt employee training in fall prevention.
• Implement environmental safety changes.
• Assistive devices should be used where
necessary.
Plan Phase of
PDSA
(Prediction and
Measures).
PDSA-Plan stage
(Team and Timeline)
Team: Nurses, caregivers,
administrators.
Include physical therapists
Involve patients and families.
Timeframe: 3 months pilot test.
Weekly progress check.
Modify interventions where
necessary.
Reflection
• Benchmarking made clear
performance gaps.
• Evidence-based method enhanced
knowledge.
• Connection to national objectives
made it more relevant.
• PDSA framework offered
improvement structure.
• Greater trust in quality
improvement.
References
• George, N., Pascale, A., & Warshawsky, N. E. (2025). Practice environment and
nurse outcomes by ANCC designation: insights from NDNQI. Journal of Nursing
Management, 2025(1), 1772029.
https://onlinelibrary.wiley.com/doi/pdf/10.1155/jonm/1772029
• Kokko, P. (2022). Improving the value of healthcare systems using the Triple
Aim framework: A systematic literature review. Health policy, 126(4), 302-309.
https://www.sciencedirect.com/science/article/pii/S0168851022000549
• Moreland, B. L., Legha, J. K., Thomas, K. E., & Burns, E. R. (2023). Hip fracture –
related emergency department visits, hospitalizations and deaths by
mechanism of injury among adults aged 65 and older, United States
2019. Journal of aging and health, 35(5-6), 345-355.
https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf
• Towne Jr, S. D., Ng, B. P., Reres, A., Rigsby, M., Lee, C., Smith, M. L., & Ory, M. G.
(2023). Rural Healthy People: Older Adults.
https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-
e08752b909ee/download
[https://onlinelibrary.wiley.com/doi/pdf/10.1155/jonm/1772029](https://onlinelibrary.wiley.com/doi/pdf/10.1155/jonm/1772029)
[https://www.sciencedirect.com/science/article/pii/S0168851022000549](https://www.sciencedirect.com/science/article/pii/S0168851022000549)
[https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf)
[https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf)
[https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf](https://pmc.ncbi.nlm.nih.gov/articles/PMC10083185/pdf/nihms-1846885.pdf)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
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[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
[https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download](https://oaktrust.library.tamu.edu/bitstreams/85d9634c-f59a-4ee5-a65a-e08752b909ee/download)
– Slide 1: Preventing Falls in Adult Daycare Settings
– Slide 2: Define the Practice Problem
– Slide 3: Conform to National Health Goal.
– Slide 4: Triple Aim Alignment.
– Slide 5: Implement Benchmarking (Concept).
– Slide 6: Implement Benchmarking (KPIs).
– Slide 7: PDSA Plan Phase (AIM and Change).
– Slide 8: Plan Phase of PDSA (Prediction and Measures).
– Slide 9: PDSA-Plan stage (Team and Timeline)
– Slide 10: Reflection
– Slide 11: References
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