Local adaptation and evaluation of a falls risk prevention approach in acute hospitals

International Journal for Quality in Health Care

Volumn 23, Issue 2, 2011, Pages 134-141

  Walsh, Willeke ^a,b,c   Hill, Keith D ^c,d,e   Bennell, Kim ^b   Vu, Michelle ^a   Haines, Terry P ^f,g  

^a SUNSHINE HOSPITAL   (Australia)

^b UNIVERSITY OF MELBOURNE   (Australia)

^c NATIONAL AGEING RESEARCH INSTITUTE   (Australia)

^d LA TROBE UNIVERSITY   (Australia)

^e Allied Health Division   (Australia)

^f Southern Health   (Australia)

^g MONASH UNIVERSITY   (Australia)

Author keywords

Accidental falls; Hospital; Prevention; Risk assessment; Rrisk screening

Indexed keywords

ADULT; AGED; ARTICLE; FALL RISK ASSESSMENT; FEMALE; HEALTH PROGRAM; HOSPITAL CARE; HOSPITAL PATIENT; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL;

ACCIDENTAL FALLS; ADULT; AGED; AGED, 80 AND OVER; FEMALE; HUMANS; INPATIENTS; MALE; MIDDLE AGED; OBSERVER VARIATION; PROSPECTIVE STUDIES; REPRODUCIBILITY OF RESULTS; RISK ASSESSMENT; RISK FACTORS; VICTORIA;

EID: 79952604345     PISSN: 13534505     EISSN: 14643677     Source Type: Journal    
DOI: 10.1093/intqhc/mzq075     Document Type: Article

References (33)

1. Halfon P, Eggli Y, Melle GV et al. Risk of falls for hospitalized patients: a predictive model based on routinely available data. J Clin Epidemiol 2001;54:1258-66.
2. Hitcho EB, Krauss MJ, Birge S et al. Characteristics and circumstances of falls in a hospital setting: a prospective analysis. J Gen Intern Med 2004;19:732-9.
3. Tinetti M, Richman D, Powell L. Falls efficacy as a measure of fear of falling. J Gerontol 1990;45:239-43.
4. Yardley L, Smith H. A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people. Gerontologist 2002;42:17-23.
5. Gluck T, Wientjes H, Rai G. An evaluation of risk factors for in-patient falls in acute and rehabilitation elderly care wards. Gerontology 1996;42:104-7.
6. Aditya BS, Sharma JC, Allen SC et al. Predictors of a nursing home placement from a non-acute geriatric hospital. Clin Rehabil 2003;17:108-13.
7. Oliver D, Hopper A, Seed P. Do hospital fall prevention programs work? A systematic review. J A Geriatrics Soc 2000;48:1679-89.
8. Bates DW, Pruess K, Souney P et al. Serious falls in hospitalized patients: correlates and resource utilization. Am J Med 1995;99:137-43.
9. Hill K, Vu M, Walsh W. Falls in the acute hospital setting-impact on resource utilisation. Aust Health Rev 2007;31:471-7.
10. Tideiksaar R, Feiner CF, Maby J. Falls prevention: the efficacy of a bed alarm system in an acute-care setting. Mount Sinai J Med 1993;60:522-7.
11. Haines T, Bennell K, Osborne R et al. Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial. Br Med J 2004;328:676-9.
12. Haines TP, Hill K, Walsh W et al. Design-related bias in hospital fall risk screening tool predictive accuracy evaluations: systematic review and meta-analysis. J Gerontol Ser A: Biol Sci Med Sci 2007;62A:664-72.
13. Oliver D, Daly F, Martin FC et al. Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review. Age Ageing 2004;33:122-30.
14. Haines T, Hill K, Bennell K et al. Additional exercise for older subacute hospital inpatients to prevent falls: benefits and barriers to implementation and evaluation. Clin Rehabil 2007;21:742-53.
15. Uden G, Ehnfors M, Sjostrom K. Use of initial risk assessment and recording as the main nursing intervention in identifying risk of falls. J Adv Nurs 1999;29:145-52.
16. Oliver D. Falls risk-prediction tools for hospital inpatients. Time to put them to bed? Age Ageing 2008;37:248-50.
17. Oliver D, Papaioannou A, Giangregorio L et al. A systematic review and meta-analysis of studies using the STRATIFY tool for prediction of falls in hospital patients: how well does it work? Age Ageing 2008;37:621-7.
18. Papaioannou A, Parkinson W, Cook R et al. Prediction of falls using a risk assessment tool in the acute care setting. BMC Med 2004;2:1.
19. Barker A, Kamar J, Morton A et al. Bridging the gap between research and practice: review of a targeted hospital inpatient fall prevention programme. Qual Saf Health Care 2009;18:467-72.
20. Haines T, Kuys S, Morrison G et al. Cost-effectiveness analysis of screening for risk of in-hospital falls using physiotherapist clinical judgement. Med Care 2009;47:448-56.
21. Hill K, Vrantsidis F, Jessup R et al. Validation of a falls risk assessment tool in the sub-acute hospital setting: a pilot study. Australas J Podiatr Med 2004;38:99-108.
22. Oliver D, Britton M, Seed P et al. Development and evaluation of evidence based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall: case-control and cohort studies. Br Med J 1997;315:1049-53.
23. Peel N, Bell RAR, Smith K. Queensland Stay on Your Feet Community Good Practice Guidelines-Preventing Falls, Harm from Falls and Promoting Healthy Active Ageing in Older Queenslanders. Brisbane: Queensland Health, 2008.
24. Australian Commission on Safety and Quality in Health Care. Preventing falls and harm from falls in older people. Best practice guidelines for Australian hospitals, 2009.
25. Victorian Quality Council. Minimising the risk of falls & fallrelated injuries, guidelines pack for acute, sub-acute and residential care settings, 2004.
26. Kellogg International Working Group. The prevention of falls in later life. Danish Med Bull 1987;34:1-34.
27. Youden WJ. Index for rating diagnostic tests. Cancer 1950;3:32-5.
28. Haines TP, Hill KD, Bennell KL et al. Recurrent events counted in evaluations of predictive accuracy. J Clin Epidemiol 2006;59: 1155-61.
29. Haines TP, Bennell KL, Osborne RH et al. A new instrument for targeting falls prevention interventions was accurate and clinically applicable in a hospital setting. J Clin Epidemiol 2006;59:168-75.
30. Efron B, Tibshirani R. An Introduction to the Bootstrap. New York: Chapman and Hall, 1993.
31. Beam CA, Wieand HS. A statistical method for the comparison of a discrete diagnostic test with several continuous diagnostic tests. Biometrics 1991;47:907-19.
32. Portney LG, Watkins MP. Foundations of Clinical Research: Applications to Practice. Norwalk, CT: Appleton and Lange, 1993.
33. Greenhalgh T, Robert G, MacFarlane F et al. Diffusion of innovations in service organizations: systematic review and recommendations. Mil Q 2004;82:581-629.