Empira Falls Series: Applying Root Cause Analysis to Falls

presented by Sue Ann Guildermann

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 over forty years experience providing education, leadership and consultation to non-profit 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 solutions for Empira, a consortium of 26 skilled nursing facilities and 14 Assisted Living facilities in Minnesota. For the past three years she has traveled nationally to share the findings from the work of two national and state quality improvement grants awarded to Empira. The purpose of these grants was to reduce resident falls in skilled nursing homes and to ensure that their residents slept undisturbed throughout the night.

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Chapters & Learning Objectives

Download Learning Objectives
  1. Application of RCA to Resident Falls in Nursing Homes

    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.

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

    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.