Narrative for Brigham and Women's Hospital

BRIGHAM AND WOMEN’S HOSPITAL COMMENT
Brigham and Women’s Hospital welcomes the opportunity to show our nurse sensitive measures as part of our commitment to PatientCareLink. We demonstrate a systematic, organization-wide approach to prevention, as well as improving safety and quality for our patients. We plan to use these results to improve our patient care.

PRESSURE INJURY PREVALENCE
We continue to conduct quarterly pressure injury prevalence surveys. We have seen our pressure injury prevalence rate decrease across most units due to our hospital-based initiatives. These initiatives include unit-based education on prevention, evidence-based practice projects, skin champions and consultation by our wound ostomy clinical specialists. Clinical nurse skin champions serve as our data collectors for our quarterly surveys; they complete training and demonstrate competency to complete an assessment on patients included in the survey.

FALLS
In the care that we provide to our patients, we always strive to keep patients safe from falls. Our falls prevention program keeps the safety of our patients foremost in our minds as we care for them. We have seen a hospital-wide decrease of 2 percent in inpatient falls with injury over the past year. We revised our patient falls policy that includes a standardized approach and integrates prevention strategies to ensure consistency with best practices, such as using the yellow fall risk bracelets. The policy also focuses on bathroom safety, proper bed zoning/alarm activation individualized for patients, visual cures, and increased patient/family education. We are planning a re-education of this intervention bundle with clinical nurses and team members. We will continue to monitor patient fall and fall with injury rates and implement changes to sustain improvements.



11 August 2023