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Pat Quigley

PhD, MPH, APRN, CRRN, FAAN, FAANP

Dr. Patricia Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP, Nurse Consultant, is a retired Associate Director of the VISN 8 Patient Safety Research Center of Inquiry and is both a Clinical Nurse Specialist and a Nurse Practitioner in Rehabilitation. Her contributions to patient safety, nursing, and rehabilitation are evident at a national level, with emphasis on clinical practice innovations designed to promote elders' independence and safety. For over 40 years, Dr. Quigley has practiced in the field of rehabilitation nursing, including 32.5 years with the Veterans Administration. She serves as patient safety expert for fall and injury reduction to the American Hospital Association, Washington State Hospital Association, Alaska State Hospital and Nursing Home Association, and their Hospital Engagement Networks - now Hospital Improvement Innovation Networks. She also served as fall and fall injury prevention subject matter expert for the 2013 AHRQ National Falls Toolkit and the 2008 and 2013 Institute for Healthcare Improvement Reducing Serious Injurious Falls on Medical Surgical Units. Dr. Quigley serves as a committee member of the NQF Patient Safety Standing Committee and past member of the NQF Patient Safety Complications Steering Committee, nominated by ANA.

Her leadership resulted in redesign measurement of patient safety indicators for falls and fall injuries that link organizational, unit, and patient-level variables that are relevant and evidence-based. With a legacy as primary and co-investigator on health services and rehabilitation research, she has conducted large-scale studies to examine trends and cost savings on national interventions to reduce harm from falls. Dr. Quigley has served as principal or co-investigator in 35 research studies, totaling over $7.5 million. She has a track record of interdisciplinary research with health economists, epidemiologists, and statisticians for population-based outcomes research. Dr. Quigley has co-authored and served as associate director for eleven VISN 8 Patient Safety Center of Inquiry center grants from 1999-2016, totaling over $13 million. She has authored or co-authored more than 60 peer-reviewed manuscripts and more than 50 non-peer-reviewed manuscripts, book chapters, products, and media works.

Dr. Quigley is grounded in practice, with a legacy of leadership in healthcare outcomes related to functional improvement, rehabilitation outcomes, and continuum of care. For over 20 years, she led an interdisciplinary clinical team in the development of evidence-based assessment tools and clinical guidelines related to assessing veterans' risk for falls and fall-related injuries across multiple medical centers. Additionally, she provides ongoing consultation to the nursing staff, quality management, and patient safety coordinators for management of complex patients at risk for falls.

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How Effective Is Your Patient Fall Prevention Education?

Presented by Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP

How Effective Is Your Patient Fall Prevention Education?

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Effective education is critical to ensuring that patients have the knowledge and skills to maximize their health, well-being, functional independence, and social integration. Rehabilitation nurses have the unique role to teach, reinforce, and evaluate effective education to promote positive patient outcomes. Health literacy serves as the foundation to increase the probability that patients really learn what they need to as a result of education programs. Effective education is not a one-way process, but rather requires a systems approach and modification for cognitively alert and cognitively impaired patients. During this course, rehabilitation nurses will refresh their knowledge of the domains of learning, health literacy, and tools to examine teaching effectiveness.

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Reducing Fall Risks Associated With Toileting

Presented by Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP

Reducing Fall Risks Associated With Toileting

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Falls associated with toileting remains one of the top root causes contributing to falls among all adult patients across settings of care. Toilet-related falls occur due to intrinsic risk factors at the patient-level (i.e. impaired gait and balance, muscle weakness, incontinence) and extrinsic risk factors (i.e. toilet height, access to proper grab bars). Universal toileting strategies remain ineffective toileting programs. In this session, rehabilitation nurses will learn strategies to examine current toileting strategies as the opportunity to redesign a population-based approached to scheduled and assisted toileting and create a safer environment for safe toileting.

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Post-Fall Management for Rehabilitation Nurses

Presented by Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP

Post-Fall Management for Rehabilitation Nurses

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All organizations strive for falls to be "never events" in health care. However, falls remain among the top adverse events patients experience in hospitals and nursing homes. When a fall occurs, interventions must be implemented to decrease the chance of reoccurrence. During this course, rehabilitation nurses will: discuss the role of a post-fall huddle as a group consensus approach to determine the immediate/root cause of the fall; differentiate the post-fall huddle from other post-fall management components (incident reports and medical record documentation); and illustrate a post-fall huddle program evaluation model.

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Fall and Injury Risk Assessment Is More Than a Score

Presented by Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP

Fall and Injury Risk Assessment Is More Than a Score

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Rehabilitation nurses have expert clinical knowledge to determine a patient's fall and injury risk status. This session will build upon current practices and processes to move practice beyond the use of a fall risk score to assessment of multifactorial fall risk factors. Participants will be guided in the assessment of select fall and injury risk factors (postural hypotension, lower extremity sensory neuropathy, fracture risk) as examples of the the difference between a fall risk screening and an assessment as the basis for individualized fall patient care planning. The information will allow the participants to understand the implications of modifying their practice and implementing patient-centered individualized care plans to reduce falls and fall-related injuries.

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Fall Program Assessment, Evaluation, and Spread

Presented by Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP

Fall Program Assessment, Evaluation, and Spread

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Analysis of fall prevention programs requires more than examination of aggregated fall rates. Program evaluation is a systematic way to evaluate structures and processes that lead to improvement in outcomes. This session informs rehabilitation nurses about structure and process of fall and fall injury program attributes at the organization, unit and patient levels. This level of program assessment leads to opportunities to enhance practice, clinical skills, and program infrastructure and capacity. As a result, rehabilitation nurses are better positioned as clinical leaders to implement and spread interventions to improve patient and program outcomes.

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