Imagine you are the assistant director of ABC Surgical Center, a free-standing surgical center that typically sees outpatient surgical patients with same-day discharge, though the facility is staffed and prepared for overnight stays when they are required. Unfortunately, the center has experienced five patient falls within the past 30 days (during which there were only 187 patient days which is a rate of 26.74 falls per 1,000 patient days). You have suggested new quality improvement initiatives based on an analysis of the center’s organizational metrics listed in the chart below. Your manager, the director of ABC, questions the need for the change and the validity of the evidence-based literature you shared with her. The director has asked you to write a memo justifying the need for change. You have decided to also include a discussion on the validity of the research in the memo.