Joanne Elkins, MSN, RN, CPHQ, Lula Williams, MN, RN, CPHQ, Andrea M. Spehar, MS, DVM, MPH, Patricia A. Quigley, PhD, ARNP, CRRN, Tamala Gulley, MSCE, and Josefina Perez-Marrero, PhD
Ms. Elkins is a quality systems coordinator and Ms. Williams is a utilization manager, both at the Bay Pines VA Medical Center, Bay Pines, FL. Dr. Spehar is a project manager and Dr. Quigley is an associate director of the clinical division at the Veterans Integrated Service Network 8 Patient Safety Center of Inquiry, both at the James A. Haley Veterans' Hospital, Tampa, FL. Ms. Gulley is an industrial engineer and, at the time of submission, Dr. Perez-Marrero was a research assistant, both at the Bay Pines VA Medical Center.
Representing up to 89% of all reported adverse clinical incidents, falls are costly in both human and financial terms. Here's how VISN 8 transformed their fall reporting process so that it could be used to drive system changes that would prevent falls.
