Introduction
Patient fall incidents remain the first priority in the risk registry of Occupational Therapy Department in Kowloon Hospital in the pass years. In order to improve the patient safety and quality of services, interventions to prevent patient fall incidents while receiving treatment are required. Currently different specialty team have their own way to orientate new staff and train up their professional and supporting staff to help them to be more competence in serving their unit. However, the training is not comprehensive and lack of focuses on fall prevention as well as suitable for all level of our colleague.
Objectives
A comprehensive Fall Prevention Training package was developed for all level of staff which covered the content of general fall information and patient’s condition, proper use of wheelchair, wheelchair transfer, plinth activities, standing frame activities and use of hoist. The training was implemented and Questionnaire survey was performed to evaluate change in the Level of knowledge and confidence before and after the training as well as the evaluation of the usefulness and satisfactory of the training.
Methodology
Training package was developed in power point presentation, sound recording and video clip for present the Fall prevention strategy, knowledge and skill for staff training. The training package was presented to staff in various ranking including Occupational Therapist, Personal care assistant (PCA) and Operation Assistant (OPA). A self-report questionnaire was designed in four point ordinal scale from strongly agree to strongly disagree to investigate degree of knowledge gain and level of confidence of the colleagues was filled by the colleagues before and after the training session. The usefulness and satisfactory of the training content were also evaluated. The characteristics of the response was analyzed, compared and reported.
Results & Outcome
Two training sessions was implemented. The distribution of response was classified by staff groups (OT, PCA and OPA) and rating of knowledge gain and confidence gain before and after the training was compare to evaluate for any significant change. For the training of fall prevention part 1: 31OT, 22PCA and 11OPA attended, the result found that rating of significant knowledge gain increased from 91% to100% in OT group, increase from 32% to 96% in PCA group and increased from 25% to 80% in OPA group. Rating of significant confidence gain increased from 89% to 99% in OT group, increased from 45% to 96% in PCA group and increased from 19% to 87% in OPA group. Overall usefulness of daily practice of the training was for OT, PCA and OPA were 94%, 91% and 91% respectively and satisfactory rate of the training for OT, PCA and OPA were 94%, 100% and 100% respectively. For the training of part 2 (hoist using): 24OT, 10PCA and 7OPA attended, the result found that rating of significant knowledge gain increased from 39% to 86% in OT group, increase from 20% to 86% in PCA group and increased from 0% to 100% in OPA group. Rating of significant confidence gain increased from 93% to 96% in OT group, increased from 56% to 94% in PCA group and increased from 0% to 100% in OPA group. Overall usefulness of daily practice of the training was for OT, PCA and OPA were 96%, 90% and 100% respectively and satisfactory rate of the training for OT, PCA and OPA were 96%, 90% and 100% respectively. Average severity of patient fall incident captured from the data of AIRS after training on June 2018 was only 1.7 while the data of last five years were 2(2013-14), 2(2014-15), 2.3(2015-16, 1.7(2016-17) and 2.3(2017-18).
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