Authors

  1. Zubkoff, Lisa PhD
  2. Neily, Julia MS, MPH, RN
  3. Quigley, Patricia PhD, ARNP, CRRN, FAAN, FAANP
  4. Delanko, Valarie RDN, LDN, CPHQ
  5. Young-Xu, Yinong PhD
  6. Boar, Shoshana MS
  7. Mills, Peter D. PhD, MS

Abstract

This article reports on improved processes and outcomes from a virtual breakthrough series quality improvement collaborative to reduce preventable falls and fall-related injuries in 23 State Veterans Homes. Participating teams implemented 24 interventions (process changes); the most common was the postfall huddle. Teams reduced falls and fall-related injuries. This project highlights the importance of leadership support, interdisciplinary team involvement, and collaboration as essential components of fall prevention work.