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Assess what the data reveals about the prevalence of the patient falls over the past four quarters. Analyze the trends and patterns that are apparent

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  1. Assess what the data reveals about the prevalence of the patient falls over the past four quarters.
  2. Analyze the trends and patterns that are apparent between the patients in the data set.
  3. Determine what appears to be the root cause of the patient falls, using your findings of trends and patterns to support your response.
  4. Please provide an explanation for questions 1-3, if possible (images pertaining to the questions are below)
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A B C D E F G H I J K This chart depicts the number of patient falls that occurred in the hospital in the past four quarter 3 Patient Falls Qtr. 1 # of Patients July Aug Sept. 0 Total 12 Qtr. 2 # of Patients 3 Oct. 0 Nov. 0 Dec. 1 Total 8 Qtr. 3 # of Patients Jan. Feb. WNW Mar. Total 8 Qtr. 4 # of Patients Apr. 10 May June Total 9This chart depicts all the clinical documentation that was done during the course of the patient's stay. Patient Name Medical Allergies Admit Date Discharge Vital Signs Fall Risk # Days Before # Days Before Diagnosis Pain Pain CIWA Lung Edema Weight Height (cm) GI Foley Braden Skin Record Date Pressure Documented: Date Assessment Clinician Clinician (Other) Score Controlled Score Sounds (Ibs.) Bowel Score Intact Ulcer / Number and Time Documented: Documented Documented Fall (MRN) Sounds Wounds Date and Time Vital Signs Risk Assessment PATIENT 1 MRN Peanut ##########|2/7/2016 0:00 2/1/16 12:30 2/2/16 12:30 5.08 6.08 HYPOGLYCEMIA 10 Yes Normal None 120 60 Normal No 13 Yes None PATIENT 2 MRN2 No Known Allergy ##########|2/9/2016 0:03 2/2/16 6:30 2/4/16 6:30 3.82 5.82 HYPERTENSION 7 Yes Normal None 130 65 Normal No PATIENT 3 15 Yes None MRN3 No Known Allergy | 1/4/2016 9:08 1/7/2016 0:03 1/6/16 10:20 1/5/16 10:20 2.05 1.05 OSTEOPOROSIS 8 Yes Abnormal None 145 PATIENT 4 16 Yes MRN4 No Known Allergy 2/1/2016 11:08 2/7/2016 0:20 55 Normal No /2/2016 12:15 2/6/2016 12:15 None 1.05 5.05 OSTEOPOROSIS 5 Yes Norma 90 PATIENT 5 None MRNS 75 Normal Yes 18 Yes None No Known Allergy 2/2/2016 20:55 2/5/2016 0:26 /5/2016 10:25 2/5/2016 11:25 2.56 2.60 HYPOGLYCEMIA 10 Yes Normal None 122 PATIENT 6 MRN6 30 Normal None No Known Allergy # ######## #|4/5/2016 0:59 15 Yes 4/4/2016 8:17 4/3/2016 8:17 3.81 2.81 OSTEOPENIA 10 Yes Normal None 130 PATIENT 7 MRN7 4/5/2016 6:18 16 Yes None No Known Allergy 4/9/2016 1:00 4/7/2016 6:18 0 Normal Yes 4.72 6.72 OSTEOPENIA Yes Norma None 136 PATIENT 8 MRN8 60 Normal No 14 Yes None No Known Allergy # # ######### 3/16/2016 10:11 3/17/2016 10:11 1.94 2.94 OSTEOPENIA 5 Yes Normal None 144 65 Normal No 12 Yes 1 PATIENT 9 MRN9 None No Known Allergy 4/13/2016 9:40 ######## # 4/17/2016 3:00 4/19/2016 3:00 3.72 5.72 OSTEOPENIA 7 Yes None 155/ PATIENT 10 66 Normal No MRN10 None Penicillin 4/12/2016 9:46 ####### Abnorma 11 Yes 1/18/2016 5:11 4/20/2016 5:11 5.81 7.81 DIABETES 3 Yes Abnormal None 156 PATIENT 11 12 Yes MRN1 54 Normal No No Known Allergy 4/1/2016 15:11 ## 4/9/2016 9:11 4/12/2016 9:11 None 7.75 10.75 DEMENTIA 9 Yes Abnormal None 170 4 PATIENT 12 63 Normal None MRN12 18 N No Known Allergy 4/5/2016 10:45 ##### # # No 4/20/2016 3:11 4/20/2016 8:11 4.68 4.89 DIABETES 10 Yes Normal None 155 5 PATIENT 13 65 Normal No MRN13 15 Yes None No Known Allergy ########## ######### 5/21/2016 7:15 5/27/2016 7:15 6.67 2.67 HYPOGLYCEMIA 10 Yes None 160 PATIENT 14 Abnormal 65 Normal No 10 Yes MRN14 None No Known Allergy 5/14/2016 9:15 5/19/2016 11:11 5/18/2016 11:11 5.08 4.08 OSTEOPENIA 10 Yes 7 PATIENT 15 0 Normal None 144 9 Yes MRN15 No Known Allergy # ######### ######### 6/17/2016 9:11 6/19/2016 9:11 1.94 64 Normal No None 3.94 DEMENTIA 9 Yes Normal None 135 8 PATIENT 16 MRN16 63 Normal No 10 Yes No Known Allergy # # ######## ######### 0.93 None 5/23/2016 11:11 6/22/2016 13:11 0.01 DEMENTIA 5 Yes 0 Abnormal None 98 PATIENT 17 68 Normal No 15 No MRN17 None No Known Allergy 6/20/2016 7:43 ######### 6/23/2016 9:11 6/21/2016 9:11 3.06 1.06 DEMENTIA 7 Yes Normal None 100 64 Normal No 15 No NoneC D E F on the patient, such as labs, radiology, and consults done on the patient. Radiology Labs Performed Consults Ordered Source of Performed Data IN EKGUS Abdomen CBC with Diff Cardiac RehabPT Consult |Lab System EKGUS Abdomen CBC with Diff PT Consult Lab System EKGUS Abdomen CBC without Diff OT Consult Lab System EKGUS Abdomen CBC with Diff Cardiac RehabPT Consult Lab System 7 EKGUS Abdomen CBC without Diff PT Consult Lab System 8 EKGUS Abdomen CBC without Diff PT Consult Lab System 9 EKGUS Abdomen CBC with Diff PT Consult Lab System EKGUS Abdomen CBC with Diff OT Consult Lab System 1 EKGUS Abdomen CBC with Diff PT Consult Lab System 2 EKGUS Abdomen CBC with Diff Cardiac RehabOT Consult Lab System .3 EKGUS Abdomen CBC with Diff Cardiac RehabOT Consult Lab System 4 EKGUS Abdomen CBC with Diff OT Consult Lab System 5 EKGUS Abdomen CBC with Diff OT Consult Lab System 6 EKGUS Abdomen CBC without Diff PT Consult Lab System 7 EKGUS Abdomen CBC without Diff PT Consult Lab System 8 EKGUS Abdomen CBC without Diff OT Consult Lab System 9 EKGUS Abdomen CBC without Diff Cardiac Rehab Lab SystemA B This chart depicts all the medications that the patients took during the course of their stay. Patient Name Medical Record Medications Medication Review: Medication Reviewed By Source of Data Number (MRN) Date and Time Enoxaparin Sodium 40 Mg Syringe Creatinine 0.90 mg/dL 09/14/16 07:22 cefTRIAXONE LevETIRAcetam INR 3.7 09/13/16 05:30 3 PATIENT 1 MRN1 INR 3.9 09/14/16 05:22 2/1/16 12:30 Nurse Medication System 4 PATIENT 2 MRN2 Enoxaparin 30 MG/ 0.3 ML SubQ Q12H 2/2/16 6:30 Nurse Medication System 5 PATIENT 3 MRN3 Gabapentin Oral 300 MG / 6 ML PEG Tube TID 1/6/16 10:20 Clinical Pharmacist Medication System PATIENT 4 MRN4 dexaMETHasone 4 MG/ 1 TAB PO Q8H TIMED 2/2/2016 12:15 Nurse Medication System 7 PATIENT 5 MRN5 dexaMETHasone 2 MG/ 0.5 TAB PO Q8H TIMED 2/5/2016 10:25 Nurse Medication System 8 PATIENT 6 MRN6 Bisacodyl 10 MG/ 2 TAB PO Once 4/4/2016 8:17 Nurse Medication System 9 PATIENT 7 MRN7 Acetaminophen 650 MG/ 2 TAB PO Q6H 4/5/2016 6:18 Nurse Medication System 10 PATIENT 8 MRN8 Magnesium Citrate 150 ML PO Once 3/16/2016 10:11 Unknown Medication System 11 PATIENT 9 MRNS Quetiapine 12.5 MG / 0.5 TAB PO BID PRN Agitation 4/17/2016 3:00 Nurse Medication System 12 PATIENT 10 MRN10 Gabapentin 300 MG / 1 CAP PO BID 4/18/2016 5:11 Clinical Pharmacist Medication System 13 PATIENT 11 MRN11 oxyCODone 5 MG/ 1 TAB PO Q4H PRN Pain Scale - Moder 4/9/2016 9:11 Unknown Medication System 14 PATIENT 12 MRN12 oxyCODone 10 MG/ 2 TAB PO Q4H PRN Pain Scale - Seve 4/20/2016 3:11 Nurse Medication System 15 PATIENT 13 MRN13 Aspirin 81 MG/ 1 CHTAB PO Daily 5/21/2016 7:15 Unknown Medication System 16 PATIENT 14 MRN14 Multiple Vitamin 1 TAB PO Daily 5/19/2016 11:11 Nurse Medication System 17 PATIENT 15 MRN15 Docusate Sodium 100 MG/ 1 CAP PO BID 6/17/2016 9:11 Nurse Medication System 18 PATIENT 16 MRN16 Polyethylene Glycol 3350 17 G/ 1 PKT PO Daily 6/23/2016 11:11 Unknown Medication System 19 PATIENT 17 MRN17 HyDROmorphone 0.5 MG/ 0.5 ML IV Once 6/23/2016 9:11 Clinical Pharmacist Medication System 20 21This chart depicts the demographic information of the patients who fell in the past two quarters. Patient Name Age Sex Race Confidential Reason for Visit Medical Encounter Type Location Admit Date Discharge Length of Stay Source of Data Record Date (LOS) in Days Number (MRN) PATIENT 1 BO MALE WHITE YES HEAD TRAUMA DUE TO CAR ACCIDENT MRN1 INPATIENT LOCATION A 1/27/2016 10:37 2/7/2016 0:00 11 Registration System 4 PATIENT 2 85 FEMALE BLACK NO HIP REPLACEMENT SURGERY MRN2 SURGICAL LOCATION C 1/29/2016 10:53 2/9/2016 0:03 PATIENT 3 11 Registration System 55 MALE ASIAN NO ABSCESS, SACRUM MRN3 INPATIENT LOCATION A 1/4/2016 9:08 1/7/2016 0:03 6 PATIENT 4 88 MALE 3 Registration System WHITE NO PAIN MRN4 INPATIENT LOCATION B 2/1/2016 11:08 2/7/2016 0:20 PATIENT 5 75 FEMALE 6 Registration System WHITE YES KIDNEY MRNS EMERGENCY LOCATION A 2/2/2016 20:55 2/5/2016 0:26 8 PATIENT 6 80 MALE WHITE 2 Registration System YES PAIN MRN EMERGENCY LOCATION D 3/31/2016 12:57 4/5/2016 0:59 9 PATIENT 7 5 Registration System 87 FEMALE WHITE NO ACUTE KIDNEY INJURY MRN7 INPATIENT LOCATION D 3/31/2016 12:57 4/9/2016 1:00 9 Registration System 0 PATIENT 8 65 MALE BLACK NO CONGESTIVE HEART FAILURE MRN8 EMERGENCY LOCATION A 3/14/2016 11:41 3/17/2016 1:02 1 PATIENT 9 55 MALE 3 Registration System BLACK NO CONGESTIVE HEART FAILURE MRN9 SURGICAL LOCATION D 4/13/2016 9:40 4/20/2016 1:09 7 Registration System 2 PATIENT 10 75 FEMALE ASIAN NO SOB X 3 WEEKS MRN10 INPATIENT LOCATION B 4/12/2016 9:46 4/21/2016 1:09 60 FEMALE 9 Registration System 3 PATIENT 11 BLACK NO DIZZINESS MRN11 EMERGENCY LOCATION B 4/1/2016 15:11 4/22/2016 1:09 14 PATIENT 12 36 MALE HISPANIC 20 Registration System NO ABSCESS, SACRUM MRN12 INPATIENT LOCATION C 4/5/2016 10:45 4/23/2016 1:09 15 PATIENT 13 85 FEMALE BLACK 18 Registration System YES ABSCESS, SACRUM MRN13 INPATIENT LOCATION C 5/14/2016 15:11 5/30/2016 1:09 15 Registration System 6 PATIENT 14 75 MALE WHITE NO PAIN MRN14 SURGICAL LOCATION D 5/14/2016 9:15 5/21/2016 1:09 17 PATIENT 15 7 Registration System 88 FEMALE WHITE YES ACUTE KIDNEY INJURY MRN15 INPATIENT LOCATION B 6/15/2016 10:43 6/21/2016 1:09 6 Registration System 8 PATIENT 16 75 MALE WHITE NO CONGESTIVE HEART FAILURE MRN16 INPATIENT LOCATION C 6/22/2016 12:52 6/23/2016 1:09 9 PATIENT 17 65 FEMALE 1 Registration System WHITE NO HIP REPLACEMENT SURGERY MRN17 SURGICAL LOCATION A 6/20/2016 7:43 6/24/2016 1:09 4 Registration System

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