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Maryland Steps Forward: A Falls Improvement Initiative

Reducing the number and severity of patient falls. Improving outcomes. Strengthening safety across the region.

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Why This Initiative Matters

Patient falls remain a leading cause of harm in healthcare facilities nationwide. Reducing the number and severity of them requires more than quick fixes; it demands structured, collaborative approaches that identify root causes and share proven solutions.


MPSC is proud to lead the Maryland Steps Forward: Falls Improvement Initiative, designed to equip hospitals and other healthcare organizations with evidence-based tools, training, and shared learning opportunities to reduce both the number and severity of falls.

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How This Phase 1 Inpatient Initiative Works

Through a “train-the-trainer” model, participating hospitals:

  • Designated 1–3 site champions from a selected adult inpatient unit

  • Received education on post-fall debriefing best practices

  • Are implementing structured debriefs after falls to uncover root causes

  • Sharing findings with MPSC to inform regional learning and interventions

  • Accessing monthly implementation support, education, and peer sharing sessions

The goal is to foster a culture of safety where every fall is a learning opportunity, driving long-term improvements in patient care.

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Our Shared Goals

Together, across healthcare settings, we aim to:

Reduce the frequency and severity of patient falls

Identify root causes through structured debriefing

Standardize interventions and share them region-wide

Build collaborative solutions that strengthen patient safety across healthcare organizations

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By working together, we can create safer environments for patients, empower clinical teams, and and reduce the number and severity of falls for patients.

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Join Us

Help us transform fall prevention efforts across the region.

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