NAHQ CPHQ Practice Exam 2025 - Free Certified Professional in Healthcare Quality Practice Questions and Study Guide

The most effective course of action after analyzing six months of incident reports for falls is to form a team to change the ICU fall protocol. This step is crucial because it emphasizes the need for a collaborative and multidisciplinary approach to addressing an identified issue within the healthcare setting. By bringing together a team, including clinical staff, quality improvement stakeholders, and possibly patients or families, you can ensure that diverse perspectives and areas of expertise are applied to develop a more effective fall prevention strategy.

The ongoing evaluation of incident reports has provided insights into the nature and frequency of falls; however, simply continuing to track and trend data or educating staff without making tangible changes limits the action taken based on the findings. Forming a team provides the opportunity to analyze the data collectively, brainstorm specific strategies for improving protocols, and implement and monitor evidence-based changes that could lead to better patient outcomes. Additionally, this process supports engagement and buy-in from team members, which is essential for successful implementation and sustainability of the new protocols.