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Empira Falls Series: Applying Root Cause Analysis to Falls

presented by Sue Ann Guildermann

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Disclosure Statement:

Financial: Sue Ann Guildermann, RN, BA, MA receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.


 Non-Financial: Sue Ann Guildermann, RN, BA, MA has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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Accreditation Check:
This course is part 2 of a 4 part series of the Empira Fall Module. Empira is a consortium of Aging Service providers in Minnesota who created a successful Falls program for the long term care setting based on Root Cause Analysis (RCA). This course provides all staff in skilled nursing facilities with application of RCA to falls management and prevention.

Meet Your Instructor

Sue Ann Guildermann, RN, BA, MA

Sue Ann Guildermann has more than forty years of experience providing education, leadership, and consultation to nonprofit and for-profit senior service organizations. Sue Ann is a registered nurse, with a BA and MA in communication. She currently conducts research of evidence-based findings and practices to create quality improvement programs, educational seminars, and conferences with targeted…

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Chapters & Learning Objectives

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1. Application of RCA to Resident Falls in Nursing Homes

Unlike many clinical conditions that have limited and defined causes and interventions, a fall is not just a fall. Falls are symptoms that can indicate intrinsic, extrinsic and systemic conditions are amiss. Each fall has unique and individual causes that require unique and individual interventions.

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2. Fall Prevention and Management Process and Tools for Nursing Homes

While not all falls can be mitigated, their occurrence can be lessened through the diligent and consistent use of root cause analysis process and tools. Empira has created several tools to bring this complex theory to practical application in the nursing home.

More Courses in this Series

Empira Falls Series: Introduction to Root Cause Analysis

Presented by Sue Ann Guildermann, RN, BA, MA

Empira Falls Series: Introduction to Root Cause Analysis

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course is part 1 of a 4-part series of the Empira Falls Series. Empira is a consortium of Aging Service providers in Minnesota who created a successful falls program in the nursing home setting based on Root Cause Analysis (RCA) and evidence-based research. This course provides all staff in nursing homes with the key concepts, methodology and tools of RCA to assist in determining causation of problems, conditions and situations. RCA is a structured method of problem solving utilized to find out what happened and why it happened, and to determine what can be done to prevent it from happening again. While it is frequently used when something goes wrong, RCA can also be used when something goes right – to ensure that it happens again. Focusing performance improvement operations at root causes is more effective than merely treating the symptoms of problems.

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Empira Falls Series: Causation of Resident Falls

Presented by Sue Ann Guildermann, RN, BA, MA

Empira Falls Series: Causation of Resident Falls

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course is part 3 of a 4 part series of the Empira Fall Module. Empira is a consortium of Aging Service providers in Minnesota who created a successful Falls Management Program designed with evidenced-based research and practical application in the long term care setting. This course is designed to assist all staff in skilled nursing facilities with the identification of the intrinsic and personal conditions of the resident that may contribute to resident falls. Key intrinsic causes with successful solutions will be explained.

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Empira Falls Series: Falls Solutions & Interventions

Presented by Sue Ann Guildermann, RN, BA, MA

Empira Falls Series: Falls Solutions & Interventions

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course is part 4 of a 4 part series of the Empira Fall Module. After fall causation is identified, solutions and interventions need to be determined. A solution that eliminates the cause is preferable. However, too often the cause can not be eliminated; therefore, solutions consideration become broader and needs to focus prevention through intrinsic, extrinsic and systemic interventions.

View full course details

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