1. Regional collaboration in falls prevention - making a continuum
Tarja Tervo-Heikkinen, Clinical Nurse Consultant, RN, PhD
Arja Holopainen, RN, PhD, Research Director, Nursing Research Foundation
Kaisa Haatainen, RN, Associate Professor, Patient Safety Manager
Merja Miettinen, RN, CENO, Associate Professor
Kuopio University Hospital
2. Above - Kuopio University Hospital (KUH)
Below - Kuopio city seen from the Puijo tower
Regional Responsibilities of the five University Hospitals in Finland
KUH regional responsibility area
3. What Happens in Finland?
30.9.2014
3
In 2012 the amount of hip fractures was 7806
In 2012 falls, slips and trips caused 112,5 treatment periods per 10 000 citizen
Over 65 years old the frequency was 177,1 treatment periods per 10 000 citizen of the same age
SOTKAnet Statistics and Indicator Bank (www.sotkanet.fi); National Institute for Health and Welfare (www.thl.fi); Pajala 2012
4. What are the Costs of Falls?
30.9.2014
4
In 2012 in Finland occurred 7806 hip fractures to the citizens of over the age of 65
in 2-3 % of the hip fractures the reason is a fall
The costs of hip fractures after fall were about 250 m€ in 2010
SOTKAnet Statistics and Indicator Bank (www.sotkanet.fi); Piirtola et al. 2012. Gerontology 2012;58:296–304
5. The Regional Fall Prevention Network (RFPN) – the Goal
30.9.2014
5
To promote the awareness of fall prevention among patients and their families as well as social and health care personnel
by organizing education and training
by following falls in different organizations
by promoting evidence based uniform practices
by writing recommendations and guidelines
6. Multiprofessional RFPN
30.9.2014
6
Members are from
Kuopio University Hospital
other hospitals in the area
public health care (Health Care Centers)
private nursing home
academies (Savo Consortium for Education, Savonia University of Applied Sciences and University of Eastern Finland)
7. Outcomes
30.9.2014
7
Well functioning Network
Follow-up of the falls in the area
Uniform instructions for fall prevention
Regional education of health care personnel and students
The use of Fall Risk Assessment Tool
Checklist – tasks after fall
Keep Standing – guide
Process description
http://www.hotus.fi/hotus-en/model-consistent-practices
8. In the Near Future
30.9.2014
8
Implementing uniform practices in the area
health care
social care
academies
The evaluation of the actions
9. Our new hospital building will be introduced at the beginning of 2015
Making a continuum