Abstract
Background: Patient falls are a leading cause of injury and extended hospitalization in healthcare settings. Despite existing protocols, the Male Medical Ward of Wadi Al -Dawaser General Hospital, Riyadh Region, Kigdom of Saudi Arabia, experienced a preventable fall in January 2025, highlighting gaps in staff knowledge and protocol adherence.
Objective: This quality improvement project aimed to enhance nurses’ knowledge on fall prevention and reduce fall incidence by implementing structured education and compliance tools.
Methods: A three-month intervention was conducted involving baseline audits, staff education sessions, environmental checks, and implementation of a fall risk assessment checklist. Nurse knowledge was evaluated via pre- and post-tests. Fall incidence rates and protocol adherence were measured.
Results: Nurse knowledge scores increased from 65% to 90%. Fall incidence decreased by 40% (from 5.2 to 3.1 falls/1000 patient-days). Compliance with fall prevention protocols improved from 72% to 94%, and patient/family engagement rose from 55% to 78%.
Conclusion: Structured education, clear protocols, and interdisciplinary collaboration significantly improved fall prevention outcomes. Sustainability will require continued audits, staff motivation, and leadership support.