Date of Submission

Fall 12-4-2019

Document Type


Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Dr. Serafin-Dickson

Second Advisor

Dr. Borges


Falls and related injuries are becoming a massive concern for healthcare systems. Preventing falls should be the top priority for healthcare organizations. Since the risk of falling cannot be eliminated, implementing a plan that addresses fall prevention strategies can significantly reduce the number of falls. This article explores evidence-based practice (EBP) interventions in order to prevent elderly patient falls in a skilled nursing facility (SNF). The EBP research interventions, such as fall screening tools used for patient assessment, safety education classes for staff, bedside nursing communication exchange, and daily nursing leadership rounds, can have a vital effect on patient and staff safety. The fall prevention interventions were implemented in 2019 for a fall reduction project at a 120-bed SNF located in the San Francisco Bay area. The goal was to reduce fall incidents by 50% and increase safety knowledge among the staff by 50% within one year of the Centers for Medicare & Medicaid Services state survey window. The ongoing project outcome data show dramatically reduced inpatient falls and increased safety knowledge among the staff.

Included in

Nursing Commons