Reducing Falls in an Acute Hospital Setting using Quality Improvement (QI) and Patient Safety Incidence Response Framework (PSIRF)

Introduction
St Marys Hospital is a small acute island hospital. The Isle of Wight is a popular retirement destination with a rapidly aging population. Inpatients comprise a high proportion of older people living with frailty at high risk of falling during their admission. St Mary’s were early adopters of PSIRF, and falls prevention was highlighted as a primary local priority. PSIRF focusses on learning, rather than attributing blame, 
Method 
Data from 2023 indicated that 40% falls were related to toileting. Quality Improvement methodology was used to review evidence for improving outcomes. Switching to decaffeinated drinks as routine, was discussed with housekeepers, and after a tea tasting session, implementation was agreed. Sourcing herbal and decaffeinated products was arranged with a local company to sponsor the initiative. 
Results
Switching to decaffeinated products saw a reduction in falls related to toileting by 15 % 
Housekeepers were engaged throughout the programme, and implementation quickly embedded. Patients tasted no difference in  decaffeinated products and were happy with improved sleep as an unintended consequence.
Conclusion
Reducing falls in a busy acute hospital involves multiple approaches. Nonclinical staff are enthusiastic participants in improving patient experience.