Date of Award

2026

Document Type

Doctor of Nursing Practice (DNP)

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Committee Chair

Lenora Smith

Committee Member

Christy Mnzava

Committee Member

Shihka Modi

Subject(s)

Hospital patients--Safety measures, Falls (Accidents)--Prevention, Medical protocols

Abstract

Background: Inpatient falls are a significant risk to patient safety in acute care settings. Local Problem: A 24-bed adult cardiac step-down unit with elevated fall rate lacked standardized fall risk protocols. Methods: Iterative Plan-Do-Study-Act (PDSA) cycles were used to implement, evaluate, and refine a structured workflow over 12 weeks. Interventions: A protocol-guided fall prevention checklist was deployed, supported staff education, peer coaching and leadership audits. Results: Nursing protocol knowledge increased from 83% to 93.11%, checklist compliance averaged 90%, and these process improvements correlated with a 83.3% reduction in the overall unit fall rate. Conclusions: Standardizing care via a protocol-guided fall prevention checklist significantly increases nursing knowledge and protocol compliance while drastically reducing patient falls indicating its value for nursing care quality. Keywords: Checklist, Risk Management, Clinical Audit; Prevention; Nursing Care.

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