Improving Compliance and Effectiveness in Fall Prevention

Background: Patient falls remain a persistent safety issue in hospitals, causing injury and prolonging hospitalization. Despite protocols, Wadi Al-Dawaser General Hospital Riyadh Region, Kingdom of Saudi Arabia, saw increased fall incidents in late 2024. Aim: To enhance compliance with fall prevention protocols and reduce inpatient falls by 50% within nine months. Methods: A hospital-wide quality improvement project was launched across MSW, ICU, PW, and OPD (July 2024–March 2025). Interventions included staff re-education, environmental audits, equipment readiness checks, and standardized fall risk assessment using the Morse Fall Scale. Results: Fall rate reduced from 0.36 to 0.18 per 1,000 patient days (50% reduction). Total falls declined from 5 (Jul–Nov) to 3 (Dec–Apr). From February to April 2025, zero fall incidents were reported, with staff protocol compliance >90%. Conclusion: Targeted interventions significantly improved fall prevention outcomes. Continued training, environmental vigilance, and real-time monitoring are essential for sustaining gains.