Fall Reduction in a Behavioral Health Setting

Introduction

Inpatient fall rates have been a concern at Beckley Appalachian Regional Hospital (Beckley ARH) for many years. In 2015, a project was launched in order to evaluate and trend the falls that occurred in the Behavioral Science Center (BSC).1 Appalachian Regional Healthcare System found that Beckley falls in the BSC were above the system benchmark of 4.91 falls per 1,000 bed days. Beckley ARH fall rates were 6.15 falls per 1,000 bed days. A Falls Committee was formed and tasked to bring falls under the health system benchmark.

Method

The Falls Committee concluded that the hiring of additional personal care assistants would have the greatest and quickest impact on these totals. This influx of staff helped reduce falls to 4.35 per 1,000 bed days. While this reduction improved falls data dramatically, the Committee was not satisfied. Deeper investigation found an additional resource that promised to improve falls data further. The committee reached out to Beckley ARH’s local bed sales rep, who suggested trialing a fully adjustable, ligature-resistant behavioral health bed frame. The bed’s 7.5” low deck is designed to reduce the number of patient falls, and lessen chances of injury if falls do occur.^{2, 3}