Falls (Swiss cheese and serious harm)

I wonder

What is the rule for hospital

Inpatient falls.

 

I mean,

There must be some

Golden Rule

That you can

Work-out.

 

How many minor falls

For every bad fall.

 

Bad being

Broken hip,

Brain bleed

Death.

 

Interesting ratio to calculate.

 

‘How many patients have fallen in your hospital in the past year, how many serious injuries’

 

Would the data tell us something?

 

We all strive to minimise falls for patients in hospitals,

Everyone has a different strategy to achieve this.

It is

the single biggest harm we cause our patients

or

Some might argue,

our patients cause themselves.

 

It has all to do with Swiss Cheese;

The James Reason

Variety.

 

The more porous your cheese,

The more incidents

And likely the more serious harm.

Swiss_cheese_model_of_accident_causation

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