- What issues or problems are you working on or want to work on for your MSN evidence-based
practice quality improvement project? How would the John Hopkins model be used to support
this project process? (This is brainstorming.).Reduce patient falls
In a hospital setting, increased patient falls characterized by slippery floors, medication, and
sensory impairment. The Johns Hopkins Evidence-Based Practice (EBP) Model is a structured
guide for healthcare physicians to make evidence-based and informed choices. In preventing
patient falls, implementing this model is a systematic intervention to identify and assess evidence
for developing successful interventions.
The increased number of patients falls in geriatric facility largely stems from environmental
hazards. The elderly populace is at greater risk of falls owing to the fact that they have impaired
balance and gait, impaired cognition, and altered agility. Therefore, the facility would question,
“What measures are effective at preventing falls in geriatric patients of acute care settings?” Using
the Johns Hopkins EBP Model, patient falls can be addressed systematically and supported with
evidence-based strategies specific to each healthcare organization while continually improving
interventions based on experience.
2. Thinking about these issues or problems, what internal organization data is currently available,
tracked, or reviewed? (What is it that indicated to you that this was an issue or problem? Do not
drill down to the details; keep it broad. Do you see patterns developing? Such as between 2-4 am
most patients between the ages of 65-85 fall.
Answer: Agency for Healthcare Research and Quality (AHRQ) estimates that each year, patient falls
are approximately more than 600,000 but less than 1 million, which account for more than
200,000 injuries. In addition, in hospitals, more than 10,000 patients die as a result of falls
(LeLaurin and Shorr, 2019)