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Quality Improvement (Original Research)

Implementing Fall Mats to Prevent Major Injury in the Inpatient Rehabilitation Facility

Thursday, October 23, 2025
12:45 PM - 2:15 PM MT
Location: Kiosk 9
Disclosure(s):
Raisa Yewah, MD, MPH: No financial relationships to disclose
Brandon Trivax, DO, MPH: No financial relationships to disclose
Background and/or Objectives: To (1) reduce overall injuries from falls, (2) reduce major injuries from falls, (3) identify if fall mats help to decrease injuries from falls.

Design: Three-month prospective quality improvement project

Setting : 86-bed inpatient rehabilitation unit within a major academic and referral center with level 1 adult trauma

Participants : All patients on the Corewell Health William Beaumont University Hospital Inpatient Rehabilitation Facility (CHWBUH IRF).

Interventions: The implementation of fall mats in the rooms of patients in the IRF who were identified to have a high fall risk score

Main Outcome Measures: Fall with no injury. Fall with injury (except major), Fall with major injury

Results: Following fall mat implementation, results show the rate of patients identified with falls with no injury per 1000 patient days in the CHWBUH IRF was 0.87, compared to 3.73 and 3.52, regional and national IRF rates, respectively. The rate of patients identified with falls with injury (except major injury) per 1000 patient days is 0.00, compared to 0.92 and 0.96, regional and national rates, respectively. The rate of patients identified with falls with major injury per 1000 patient days is 0.00, compared to 0.13 and 0.12, regional and national IRF rates, respectively. Comparatively, fall data collected throughout 2024 showed that the rate of patients identified with falls per 1000 patient days in the CHWBUH IRF was 3.67, compared to 4.34 and 4.21, regional and national rates, respectively. The rate of patients identified with falls with injury (except major injury) per 1000 patient days in the CHWBUH IRF was 1.04, compared to 0.85 and 0.91, regional and national rates, respectively. The rate of patients identified with falls with major injury per 1000 patient days in the CHWBUH IRF was 0.20, compared to 0.09 and 0.12, regional and national rates, respectively.

Conclusions: Utilizing fall mats helped to decrease the rate of any injuries sustained following falls.