As the assistant manager of the facility, you note a fall rate of 5% for the past 3 months. Five percent does not sound like much, but consider the facility sees 3,000 patients a month which means 15 of those patients fell getting into the facility. One of those numbers is Mrs. Jones, an 82-year-old grandmother of nine who makes the best donuts in town and remains active in the community. When entering the facility, she trips on the raised entry-way door sill and sustains a broken hip. At an age where an accident such as this can cause debilitating injury, Mrs. Jones is hospitalized with a fractured hip and after 10 days of confinement dies due to complications of surgery. You are tasked with choosing a quality improvement tool to evaluate the reasons (note there could be many) causing the high number of falls in your facility.
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