Review of the Evidence on Falls Prevention in Hospitals

Reviews and documents the existing evidence base for interventions to prevent falls in hospitals, provides an overview of the performance of existing tools with known measurement properties, and compiles available online resources.

[1]  E. Ang,et al.  Evaluating the use of a targeted multiple intervention strategy in reducing patient falls in an acute care hospital: a randomized controlled trial. , 2011, Journal of advanced nursing.

[2]  É. Minvielle,et al.  Designing adverse event prevention programs using quality management methods: the case of falls in hospital. , 2002, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[3]  Anita Szerszen,et al.  An inpatient fall prevention initiative in a tertiary care hospital. , 2011, Joint Commission journal on quality and patient safety.

[4]  A. Mitchell,et al.  Striving to prevent falls in an acute care setting--action to enhance quality. , 1996, Journal of clinical nursing.

[5]  C Tuffnell Falling can seriously damage one's health--even in hospital. , 1990, World health forum.

[6]  E. Patatanian,et al.  Development and Implementation of a Pharmacy Fall Prevention Program , 2009 .

[7]  M. Shekleton,et al.  Analysis of falls in the acute surgical and cardiovascular surgical patient. , 1988, Applied nursing research : ANR.

[8]  C. Meade,et al.  Effects of Nursing Rounds: on Patients' Call Light Use, Satisfaction, and Safety , 2006, The American journal of nursing.

[9]  C. Matheis-Kraft,et al.  Fall occurrence in a geriatric psychiatry setting before and after a fall prevention program. , 2001, Journal of gerontological nursing.

[10]  K. Hyrkäs,et al.  Testing the sensitivity, specificity and feasibility of four falls risk assessment tools in a clinical setting. , 2011, Journal of nursing management.

[11]  P. K. Lieu,et al.  Prevention of falls in a geriatric ward. , 1997, Annals of the Academy of Medicine, Singapore.

[12]  G. Baker,et al.  Using SBAR to communicate falls risk and management in inter-professional rehabilitation teams. , 2010, Healthcare quarterly.

[13]  J. Donoghue,et al.  A volunteer companion-observer intervention reduces falls on an acute aged care ward. , 2005, International journal of health care quality assurance incorporating Leadership in health services.

[14]  P. Shekelle,et al.  Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomised clinical trials , 2004, BMJ : British Medical Journal.

[15]  M. Secic,et al.  Test—Retest Reliability of the Geriatric Institutional Assessment Profile , 2009, Clinical nursing research.

[16]  Klaus Hauer,et al.  Measuring the Psychological Outcomes of Falling: A Systematic Review , 2005, Journal of the American Geriatrics Society.

[17]  K. Kamwendo,et al.  How to identify potential fallers in a stroke unit: validity indexes of 4 test methods. , 2006, Journal of rehabilitation medicine.

[18]  A. Kratz Use of the Acute Confusion Protocol: A Research Utilization Project , 2008, Journal of nursing care quality.

[19]  Ngaire Kerse,et al.  Interventions for preventing falls in older people in nursing care facilities and hospitals. , 2010, The Cochrane database of systematic reviews.

[20]  C. Zimring,et al.  Developing a multi-systemic fall prevention model, incorporating the physical environment, the care process and technology: a systematic review. , 2011, Journal of advanced nursing.

[21]  Tom Krause,et al.  Incidence of In‐Hospital Falls in Geriatric Patients Before and After the Introduction of an Interdisciplinary Team–Based Fall‐Prevention Intervention , 2007, Journal of the American Geriatrics Society.

[22]  Instruments for measuring fall risk in older adults living in long-term care facilities: an integrative review. , 2009, Journal of gerontological nursing.

[23]  B. A. Hill,et al.  Reducing the incidence of falls in high risk patients. , 1988, The Journal of nursing administration.

[24]  B. O'Connell,et al.  A failed fall prevention study in an acute care setting: lessons from the swamp. , 2001, International journal of nursing practice.

[25]  A. Mitchell,et al.  Screening and case finding tools for the detection of dementia. Part I: evidence-based meta-analysis of multidomain tests. , 2010, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.

[26]  J. Webster,et al.  The STRATIFY tool and clinical judgment were poor predictors of falling in an acute hospital setting. , 2010, Journal of clinical epidemiology.

[27]  I. Donald,et al.  Preventing falls on an elderly care rehabilitation ward , 2000, Clinical rehabilitation.

[28]  P. Varghese,et al.  Pragmatic, Cluster Randomized Trial of a Policy to Introduce Low‐Low Beds to Hospital Wards for the Prevention of Falls and Fall Injuries , 2010, Journal of the American Geriatrics Society.

[29]  B. Hodgkinson,et al.  Falls in Acute Hospitals; A Systematic Review , 1998 .

[30]  John Adams Fall prevention: a systematic review , 2000 .

[31]  A. Fletcher,et al.  Evidence-based management practice: reducing falls in hospital. , 2007, Collegian.

[32]  Gail Powell-Cope,et al.  Reducing Serious Injury From Falls in Two Veterans' Hospital Medical‐Surgical Units , 2009, Journal of nursing care quality.

[33]  M. Ehnfors,et al.  Use of initial risk assessment and recording as the main nursing intervention in identifying risk of falls. , 1999, Journal of advanced nursing.

[34]  Johannes Hilbe,et al.  Development and alarm threshold evaluation of a side rail integrated sensor technology for the prevention of falls , 2010, Int. J. Medical Informatics.

[35]  L. Mion,et al.  Improving the Capture of Fall Events in Hospitals: Combining a Service for Evaluating Inpatient Falls with an Incident Report System , 2008, Journal of the American Geriatrics Society.

[36]  Koen Milisen,et al.  Falls and consequent injuries in hospitalized patients: effects of an interdisciplinary falls prevention program , 2006, BMC Health Services Research.

[37]  V. Goldner,et al.  Preventing falls and eliminating injury at Ascension Health. , 2007, Joint Commission journal on quality and patient safety.

[38]  A. Minnick,et al.  Outcomes following physical restraint reduction programs in two acute care hospitals. , 2001, The Joint Commission journal on quality improvement.

[39]  R. Dodge Rural health: a challenge for medical education. Proceedings of the 1990 invitational symposium. San Antonio, Texas, February 1–3, 1990. Proceedings , 1990, Academic medicine : journal of the Association of American Medical Colleges.

[40]  Brock E. Brush,et al.  The American Geriatrics Society , 1965 .

[41]  Suzanne Bakken,et al.  Development and Representation of a Fall-Injury Risk Assessment Instrument in a Clinical Information System , 2004, MedInfo.

[42]  E. Capezuti,et al.  Factor Structure of the Geriatric Care Environment Scale , 2007, Nursing research.

[43]  P. Guin,et al.  Implementation Of A Patient Fall Prevention Program , 1991, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[44]  S. Tyson,et al.  How to measure balance in clinical practice. A systematic review of the psychometrics and clinical utility of measures of balance activity for neurological conditions , 2009, Clinical rehabilitation.

[45]  D D Fife,et al.  A risk/falls program: code orange for success. , 1984, Nursing management.

[46]  T. Hoffmann,et al.  Measuring Falls Events in Acute Hospitals—A Comparison of Three Reporting Methods to Identify Missing Data in the Hospital Reporting System , 2010, Journal of the American Geriatrics Society.

[47]  A. Akpan,et al.  Reduction of Falls‐Related Injuries Using a Hospital Inpatient Falls Prevention Program , 2004, Journal of the American Geriatrics Society.

[48]  R. Cumming,et al.  Interventions for preventing falls in elderly people. , 2003, The Cochrane database of systematic reviews.

[49]  N. Hadidi,et al.  INTERVENTIONS FOR PREVENTING FALLS IN ACUTE AND CHRONIC CARE HOSPITALS: A SYSTEMATIC REVIEW AND META‐ANALYSIS , 2008, Journal of the American Geriatrics Society.

[50]  Kristine Votova,et al.  Multifactorial and functional mobility assessment tools for fall risk among older adults in community, home-support, long-term and acute care settings. , 2007, Age and ageing.

[51]  P. Bossuyt,et al.  A Failed Model‐Based Attempt to Implement an Evidence‐Based Nursing Guideline for Fall Prevention , 2003, Journal of nursing care quality.

[52]  H. C. Hanger,et al.  An Analysis of Falls in the Hospital: Can We Do Without Bedrails? , 1999, Journal of the American Geriatrics Society.

[53]  J. Chapman,et al.  Exploring and evaluating five paediatric falls assessment instruments and injury risk indicators: an ambispective study in a tertiary care setting. , 2010, Journal of nursing management.

[54]  A. Oliven,et al.  A simplified fall-risk assessment tool for patients hospitalized in medical wards. , 2008, The Israel Medical Association journal : IMAJ.

[55]  Arthur R. Williams,et al.  The Humpty Dumpty Falls Scale: a case-control study. , 2009, Journal for specialists in pediatric nursing : JSPN.

[56]  B. Meissner Patient fall prevention. , 1988, Nursing management.

[57]  C. Helfrich,et al.  Implementation Science Organizational Readiness to Change Assessment (orca): Development of an Instrument Based on the Promoting Action on Research in Health Services (parihs) Framework , 2022 .

[58]  T. Dassen,et al.  The use of fall prevention guidelines in German hospitals - a multilevel analysis. , 2010, Journal of evaluation in clinical practice.

[59]  Lori L Candela,et al.  Developing a Unit‐Specific Falls Reduction Program , 2004, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

[60]  Maria Crotty,et al.  Can volunteer companions prevent falls among inpatients? A feasibility study using a pre-post comparative design , 2006, BMC geriatrics.

[61]  A. McDonnell,et al.  Medication review and hourly nursing rounds: An evidence-based approach reduces falls on oncology inpatient units , 2011 .

[62]  Jack Needleman,et al.  Transforming Care at the Bedside , 2010 .

[63]  J. Butler,et al.  Cost Analysis of a Falls-prevention Program in an Orthopaedic Setting , 2011, Clinical orthopaedics and related research.

[64]  S. Rogers Reducing falls in a rehabilitation setting: a safer environment through team effort. , 1994, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[65]  U. Saleh,et al.  The nursing rounds system: effect of patient's call light use, bed sores, fall and satisfaction level. , 2016, International journal of nursing practice.

[66]  Marie Gowdy,et al.  Using tools to assess and prevent inpatient falls. , 2003, Joint Commission journal on quality and safety.

[67]  S. Terrell,et al.  Predicting In‐Hospital Falls: Development of the Scott and White Falls Risk Screener , 2005, Journal of nursing care quality.

[68]  J. Grunawalt,et al.  Effective assessment of use of sitters by nurses in inpatient care settings. , 2008, Journal of advanced nursing.

[69]  H. Saenger,et al.  Insights obtained from an evaluation of a falls prevention program set in a rural hospital. , 2001, The Australian journal of rural health.

[70]  C. Counsell,et al.  Planned change to implement a restraint reduction program. , 1999, Journal of nursing care quality.

[71]  J. Larrabee,et al.  Patient falls: An outcome indicator , 1991, Journal of nursing care quality.

[72]  M. M. Kolin,et al.  Fall Initiatives: Redesigning Best Practice , 2010, The Journal of nursing administration.

[73]  S L Luther,et al.  Fall risk assessment measures: an analytic review. , 2001, The journals of gerontology. Series A, Biological sciences and medical sciences.

[74]  S. Brandis,et al.  A collaborative occupational therapy and nursing approach to falls prevention in hospital inpatients. , 1999, Journal of quality in clinical practice.

[75]  K. Ismond,et al.  An intervention program to reduce falls for adult in-patients following major lower limb amputation. , 2008, Healthcare quarterly.

[76]  D. Oliver,et al.  Preventing falls and fall-related injuries in hospitals. , 2010, Clinics in geriatric medicine.

[77]  Sarah J. Ratcliffe,et al.  Psychometric Properties of the Post-Fall Index , 2006, Clinical nursing research.

[78]  S. Nikoletti,et al.  Fall risk assessment : A prospective investigation of nurses' clinical judgement and risk assessment tools in predicting patient falls in an acute care setting , 2003 .

[79]  Barbara G. Covington,et al.  Using Information Technology to Assist in Redesign of a Fall Prevention Program , 2004, Journal of nursing care quality.

[80]  A R Levy,et al.  A randomized trial of identification bracelets to prevent falls among patients in a rehabilitation hospital. , 1994, Archives of physical medicine and rehabilitation.

[81]  Patricia C. Dykes,et al.  Fall TIP: Validation of Icons to Communicate Fall Risk Status and Tailored Interventions to Prevent Patient Falls , 2009, Nursing Informatics.

[82]  S. Su,et al.  Applying root cause analysis to improve patient safety: decreasing falls in postpartum women , 2010, Quality and Safety in Health Care.

[83]  J. Y. Lee,et al.  Impact of a fall prevention programme in acute hospital settings in Singapore. , 2009, Singapore medical journal.

[84]  Michael Vassallo,et al.  The Effect of Changing Practice on Fall Prevention in a Rehabilitative Hospital: The Hospital Injury Prevention Study , 2004, Journal of the American Geriatrics Society.

[85]  R. Osborne,et al.  A new instrument for targeting falls prevention interventions was accurate and clinically applicable in a hospital setting. , 2006, Journal of clinical epidemiology.

[86]  J. Neily,et al.  Measuring fall program outcomes. , 2007, Online journal of issues in nursing.

[87]  R Tideiksaar,et al.  Falls prevention: the efficacy of a bed alarm system in an acute-care setting. , 1993, The Mount Sinai journal of medicine, New York.

[88]  Effect of an implemented fall prevention program on the frequency of patient falls. , 1984, QRB. Quality review bulletin.

[89]  P. Shekelle,et al.  Falls Prevention Interventions in the Medicare Population , 2003 .

[90]  D. Havens,et al.  The Shift Coupon: An Innovative Method to Monitor Adverse Events , 2006, Journal of nursing care quality.

[91]  J. Craighead,et al.  Seven steps for fall prevention. , 1991, Dimensions in health service.

[92]  C. Annweiler,et al.  Stops walking when talking: a predictor of falls in older adults? , 2009, European journal of neurology.

[93]  Richard H Osborne,et al.  Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial , 2004, BMJ : British Medical Journal.

[94]  D. Morton Five years of fewer falls. , 1989, The American Journal of Nursing.

[95]  J. Dempsey Falls prevention revisited: a call for a new approach. , 2004, Journal of clinical nursing.

[96]  P. Gilbert,et al.  Excellence in Action: Developing and Implementing a Fall Prevention Program , 2009, Journal for healthcare quality : official publication of the National Association for Healthcare Quality.

[97]  J. Potter,et al.  Does vitamin D stop inpatients falling? A randomised controlled trial. , 2007, Age and ageing.

[98]  Helen Myers,et al.  Hospital fall risk assessment tools: a critique of the literature. , 2003, International journal of nursing practice.

[99]  "Safety First" Campaign , 1920, The Hospital.

[100]  Sarah E Lamb,et al.  Systematic review of accuracy of screening instruments for predicting fall risk among independently living older adults. , 2008, Journal of rehabilitation research and development.

[101]  Lilian C.M. Vloet,et al.  Fewer adverse events as a result of the SAFE or SORRY? programme in hospitals and nursing homes. part i: primary outcome of a cluster randomised trial. , 2011, International journal of nursing studies.

[102]  K. Bennell,et al.  Local adaptation and evaluation of a falls risk prevention approach in acute hospitals. , 2011, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[103]  Anne Whitehead,et al.  Strategies to prevent falls and fractures in hospitals and care homes and effect of cognitive impairment: systematic review and meta-analyses , 2006, BMJ : British Medical Journal.

[104]  H. Menz,et al.  A physiological profile approach to falls risk assessment and prevention. , 2003, Physical therapy.