Fall prevention is a major challenge for care structures, as it strongly impacts the length of stay, cost of care and the feeling of the team workload.
The origin of falls is multifactorial and often concerns complex patients on a medical level. Their care therefore requires mobilizing a significant number of professionals.
This is why the sharing of knowledge and continuing education in prevention are absolutely necessary because, like pain, the risk of falling is a latent element in many patients. Sustained attention is therefore required from caregivers.
How to organize Flash sessions to support the prevention of elderly falls?
It is recommended to organize short sessions of training in fall prevention in the elderly. For example, every week, based on the falls in service.
The production of documents supporting knowledge is often not enough, but it still can be helpful in transmitting information without having to make large organizational modifications.
The most effective method is in fact to rely on examples of falls that occurred as close as possible to the caregivers. They will thus be able easily to contextualize the falls and connect their knowledge of the patient with what the video shows.
The ISA contribution: team analysis
Each week, the automated fall register is accompanied by a folder containing the videos of the different falls. These videos are accessible directly on the web application. Completely secure, it allows each agent to visualize the falls on the terminal of their choice.
Documentation of falls allows you to analyze them more deeply to understand them more fully, while organizing for example, small think tanks to share different points of view. It will then be easy to check what can be improved for the care of the patients, the equipment of the premises, or their furnishings, etc.
Understand how falls occur
The ISA algorithm segments different parts of the scene. In blue, the floor, in red the person, and in green the bed.
In general, 3D captures are used to analyze :
1. The activity before the fall
- Transfers / walking / sitting / dressing / going or returning from the bathroom
- Use of a walking aid / walking aid is poorly positioned
- Use of bed bars (which type ? How many ?) / Use of other types of restraining methods
- Performing two tasks at once
2. The critical phase
- Direction of the fall
- Protective reflex
3. The post-fall and recovery phase
- Response time to the alert
- Behavior after the fall
- Getting up without assistance
Continuous improvement in the care process
Beyond the fascicles or training, it is important to stimulate staff to be vigilant and to apply universal recommendations and specific recommendations.
The ISA system then becomes a real opportunity to adjust the fall prevention policy with concrete, measurable and thus motivating elements. Revisiting this type of incident offers the caregiver staff to improve the quality of life of the people in their care.