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See what others are saying about HD Nursing and the HD Falls Program


Click To Read The SSM Success Story Poster

“The success of the Hester Davis implementation across our system has both empowered bedside clinicians to influence change and driven leadership to increase its focus on the key priorities of safety, quality, and service.”

– Maggie Fowler, RN, BSN, MBA, NEA-BC System VP and Chief Nursing Officer, SSM Health


“Having the evidence based and standardized approach to falls management of the HD Falls Program© resulted in better patient outcomes that we have been able to sustain year over year. The ongoing support from the Hester Davis team has been paramount in our success.”

– Beth Pfeiffer- Arens, BS, System Manager, Clinical Effectiveness, SSM Health


“The Hester Davis Scale provided more detailed fall risk information on our patients, but it was the HD Falls Care Plan & Toolkit that drove the improved patient outcomes at our health system. The comprehensive, individualization of the HD Falls Care Plan compared to previous practice was critical to our improved outcomes as was the HD Falls Toolkit and Sustainability in maintaining the improvements in practice.”

– Aspirus System Research and Innovation Council

Read the Aspirus Zero Falls Press Release


White River Medical Center Staff Comments:

“The HDS is a risk assessment tool the clinicians believe in and trust.”-Progressive Care Nurse Manager 

“The HD Falls Program provides “a more accurate reflection of the true fall risk in our patients that makes the volume of patients needing intervention more manageable and doable”- Senior Haven Nurse Manager“ 

“The HDS impacts have been two fold. . .staff have a scale that appropriately guides care interventions which has created the biggest impact of all. . .increased patient safety.”   

“Senior Haven’s Fall’s with Injury rate decreased by more than 50% after implementing the HDS.” 

“The culture of safety for PCU has significantly improved utilizing evidence-based fall prevention tools. The key to success is proper identification of high fall risk patients, focus on injury prevention, hold each other accountable, and transparency of data.” 

“Staff appreciated the ability stratify patients fall risk based on functional ability AND cognitive ability.” 

“Nurses soon identified the value of the more specific risk score in aiding with the maintaining a safe environment and organization of care by getting the appropriate interventions to the appropriate patient” 

 “When you work in a specialty area, it is a challenge to use any screening/assessment tool that is not validated for that specific population. It is important and of value to use tools validated for the specific area/patient population.” 


– Stella Kientz, MSN/ED, RN, CPPS, Regional Leader Accreditation, Regulatory & Licensing Kaiser Permanente Southern California 

“The eHDS is perfect for the ED setting. The two short questions are so fast and easy to answer that we had no staff complaints when we added them to our primary assessment. Even better, the eHDS works! The eHDS is 100% accurate at screening for anticipated physiologic fall risk*, helping us identify when advanced interventions are needed. As the only Level I Trauma and Comprehensive Stroke Center in the state, we are extremely busy, with up to 200 visits per day. In spite of our high volume and acuity, we have a low fall rate. As of today, we have – thanks to the eHDS – gone 8 weeks without a fall of any kind in the ED!” 

–Melissa Easdon, MBA, BSN, RN, CEN, CPEN, UAMS Ed Director Arkansas ENA Chapter 


All aspects of the HD Nursing fall prevention program have made such a difference in how we view preventability and safety for our patients. From the comprehensive risk assessment to the individualized interventions to the tool kit, all have added value.

We have front line staff conducting audits and receiving feedback, we instituted “Fall Ball” to discuss anticipated physiological/ preventable falls, and utilize the safety cross and other tools regularly.  Front line staff understand the importance of MALARM (mat+alarm), communication, and patient engagement.

– Meryl Montgomery, RN, MSN, CLSSBB, Coordinator Professional Nursing Practice, Magnet Program Director, Medical Center, Navicent Health

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