1. CHE 110 Module Two Activity Worksheet Template
As you complete this worksheet, usethe County Health
Rankings and Centers for Disease Control and Prevention:
Diseases and Conditions websites. For the last section, you may
need to broaden your search to find additional sources of
information.
Identify the population related to your chosen issue. Be specific
as you describe those who are impacted by this issue. Details
might include gender, geographic location, age, ethnicity, race,
socioeconomic status, and more.
Identify the stakeholders related to your chosen issue. What
individuals and organizations are related to this issue? What
individuals and organizations are important resources as this
issue is addressed?
Why does this problem need to be addressed? What will happen
if this issue is not resolved?
What information did you gain through websites and other
sources to support your answers? What websites and other
sources, including those listed at the top of this worksheet, are
important to your issue?
WK 1 With the reference:
An increase in falls in the hospital setting is a problem I've
identified as a growing issue in my profession. My mentor, with
whom I work, was the primary leader I consulted for my article.
Most people associate falls with the elderly, but according to

2. the conversation with my mentor shared with me, that is not the
case. Just for the month of July, we had a huge amount of falls
across the hospital, many of which could have been avoided.
Because there are a large number of patients who have not only
fallen but also been hurt, I chose to address this subject as my
capstone paper problem. There were certain mechanisms that
could have been put in place and a few places that could have
been improved while discussing this with my mentor. Falls in
the healthcare setting and the injuries they cause are the most
commonly reported adverse events in the inpatient setting
among adult patients (Quigley et al., 2016). I hope to find good
information from my hospital to help prevent falls.
For measurable-would be to decrease fall rates by 10%?
NEEDS TIME FRAME!!!!
References
Quigley, P. A., Barnett, S. D., Bulat, T., & Friedman, Y. (2016).
Reducing falls and fall-related injuries in medical-surgical
units. Journal of Nursing Care Quality, 31(2), 139-145.
https://doi.org/10.1097/ncq.0000000000000151
WK 2 With All the 5 references to use
I've spent the last nine years working in an emergency room,
and I've seen a lot of falls that should have been avoided. After
consulting with my charge nurse, this class's mentor, and a few
other ER nurses, we believe that the majority of ER falls are
avoidable. According to the charge nurse, the ER has had
difficulty preventing falls since there appears to be a breakdown
in communication between the interdisciplinary team and the
nursing staff in identifying high-risk fallers. A fall risk
assessment is not used by ER nurses to identify patients who are
at high risk of falling. Although the EMR contains a fall risk
tool, the ER nurses claim that they do not have time to use it.
All falls must be reported using our PRISIM report system,

3. which is an electronic database-based incident report.
Managers, nurses involved in the falls, and risk management
attend weekly risk meetings to analyze how the falls could have
been avoided. Regrettably, the meeting's findings are not shared
with the nursing staff, which could help prevent future falls.
Falls are a big concern to patient safety, and it was
acknowledged during my interviews that increased
communication and usage of the fall risk tool, as well as the
devices we have to help avoid falls, are required. This is critical
because falls impose a large financial impact on everyone who
is affected.
If you can't measure it, you can't improve it, according to a
basic premise of quality measurement (5. How do you measure
fall rates and fall prevention practices?, 2013). As a result, as
part of a quality improvement program, fall rates and fall
prevention techniques must be counted and tracked. To assist
decrease patient falls, the research advocates having a
standardized fall procedure in place, as well as hourly rounding
by all staff (Goldsack et al., 2015). Hourly rounding should also
be patient-centered and adapted to the needs of the community.
Communication among healthcare team members is also vital in
decreasing falls, according to research, and fall prevention is
the responsibility of all personnel (Goldsack et al., 2015). Our
stretches have built-in fall alarms that the nurses are not using,
which is another tool we have in the ER.
All fall prevention initiatives, including evaluation,
interventions, and education, are evaluated by the hospital. The
five referance3s I will be using along side with my interviews
are the following: “Preventing Falls in Hospitals”, “Hourly
rounding and patient falls: what factors boost success?”,
“Prevention of falls in hospital”, “Advanced Practice Nurse-Led
Statewide Collaborative to Reduce Falls in Hospitals”, and
“Preventing falls and fall-related injuries in health care
facilities”. I feel with all this I will have enough to plan how to
reduce falls in the ER by 10%.

4. References
5. How do you measure fall rates and fall prevention
practices? (n.d.). Agency for Healthcare Research and
Quality. https://www.ahrq.gov/patient-
safety/settings/hospital/fall-prevention/toolkit/measure-fall-
rates.html
Advanced practice nurse-led statewide collaborative to... :
Journal of nursing care quality. (n.d.).
LWW. https://journals.lww.com/jncqjournal/Abstract/2017/0400
0/Advanced_Practice_Nurse_Led_Statewide.6.aspx
Goldsack, J., Bergey, M., Mascioli, S., & Cunningham, J.
(2015). Hourly rounding and patient falls. Nursing, 45(2), 25-
30. https://doi.org/10.1097/01.nurse.0000459798.79840.95
Morris, R., & O'Riordan, S. (2017, August). Prevention of falls
in hospital. PubMed Central
(PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC629765
6/
Preventing falls and fall-related injuries in health care facilities.
(2015). A complimentary publication of The Joint Commission,
(55). https://www.jcrinc.com/-
/media/tjc/documents/resources/patient-safety-topics/sentinel-
event/sea_55_falls_4_26_16.pdf