Community Hospital Self Assessment

Community Hospital
Self Assessment

Instructions	Licensure and Insurance	HIPAA	Employee Training	Lab	Anesthesia	Emergency Room	Risk Management
Quality Improvement	Environment of Care	Restraint Use	Infection Control	Falls Management	Patient Management	Documentation	Pharmaceutical Management

CRITERIA MEASURE	Met	Not Met	Comments	Refer to Department
Staff is trained regarding falls risk among patients
Patients are assessed for falls risk upon admission
Assessment includes age, diagnoses and medications
Patients are assessed for falls risk after completion of procedures
Patients are identified as falls risk
Falls Management Program is in place:
Environmental assessment
Medications
Cognition and compliance ability
Co-morbidities
Balance
Adaptive appliances
Interventions
Patients and families are educated regarding falls risks