A nursing assistant found an 82-year-old male patient hospitalized for cellulitis and possible sepsis on the floor

A nursing assistant found an 82-year-old male patient hospitalized for cellulitis and possible sepsis on the floor. The patient is known to be confused at night; The patient was assessed, and the call light was placed within reach with the side rails up. After an hour, he was found on the floor, awake and alert, complaining of hip pain. The patient was caught up in tubing while getting to the bathroom. After the fall, the patient’s vital signs were taken, and he was assessed for pain. He was helped back to bed. The call bell was placed, two side rails were placed, and the patient was reminded to use the call bell and not get out of bed without help. The covering medical resident was notified of the event per policy. Frequent checks were put in place, and X-rays of the left hip were ordered. The charge nurse was notified, and the nurse manager will also be notified in the morning when he arrives.

1. How can leaders help prevent this type of error from occurring again?
2. How might interprofessional collaboration help to prevent this from happening again?