Monday Mar 21, 2022

High Reliability: Strategies to Reduce Patient Falls

High Reliability Organizations are organizations that experiences success in avoiding harm within a highly complex and risky business.  This podcast will discuss how one participant of the Vizient High Reliability PI Collaborative reduced their patient falls.


Guest speakers:
Bert Lindsey, PT, DH
Director of Rehab Services & Patient Mobility, Acute
Saint Tammany Health System


Rebecca Baradell
Rehab Manager for Acute Care
Saint Tammany Health System


Marilyn Sherrill, RN, MBA
PI Program Director


For more information, email


Show Notes:

[01:30] Saint Tammany uses new graduates as mobility technicians to increase patient rounding and mobility assessment.

[3:10] Saint Tammany uses Weick and Sutcliffe’s pre-occupation with failure techniques. They train their young, just out of college, staff to expect errors and to work on repeatable results. 

[4:30] GEM (Greenville Early Mobility) is a four-integer scoring system developed by a group of physical therapists to aid acute care nurses by assigning patients to a level of mobility.

[5:35] Saint Tammany uses the GEMs as part of their Progressive Mobility Program which is an order set for nurses to mobilize patients to their highest capability twice a day.

[6:54] Data showing the correlation between the patient’s mobility and their likelihood to fall

[9:03] Mobility technicians look for the 3 P’s: pain, potty and position.

[10:09] Communicating patient mobility status with the caregivers

[12:30] Getting the program started

[14:00] Future plans for improving the Progressive Mobility Program


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