Translation of falls prevention knowledge into action in hospitals: What should be translated and how should it be done?

Journal of Safety Research

Volumn 42, Issue 6, 2011, Pages 431-442

  Haines, Terry P ^a,b   Waldron, Nicholas G ^c,d  

^a Kingston Centre   (Australia)

^b MONASH UNIVERSITY   (Australia)

^c DEPARTMENT OF HEALTH   (Australia)

^d Armadale Kelmscott Memorial Hospital   (Australia)

Author keywords

Falls; Hospital; Injury; Prevention

Indexed keywords

CLINICAL PRACTICES; EVIDENCE-BASED PRACTICES; FALLS; HOSPITAL SETTINGS; INJURY; PATIENT SAFETY; PREVENTION; RESOURCING;

HOSPITALS;

ACCIDENT PREVENTION;

ACCIDENT PREVENTION; AGED; ARTICLE; EVIDENCE BASED MEDICINE; FALLING; HOSPITAL; HUMAN; MASS COMMUNICATION; STANDARD; TRANSLATIONAL RESEARCH;

ACCIDENT PREVENTION; ACCIDENTAL FALLS; AGED; AGED, 80 AND OVER; DIFFUSION OF INNOVATION; EVIDENCE-BASED MEDICINE; HOSPITALS; HUMANS; TRANSLATIONAL MEDICAL RESEARCH;

EID: 82955163245     PISSN: 00224375     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jsr.2011.10.003     Document Type: Article

References (79)

1. 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 2009 Commonwealth of Australia Canberra accessed August 2011, from http://www.health.gov.au/internet/safety/publishing.nsf/ content/FallsGuidelines-AustHospitals
2. D.I. Baker, M.B. King, R.H. Fortinsky, L.G.T. Graff, M. Gottschalk, and D. Acampora Dissemination of an evidence-based multicomponent fall risk-assessment and -management strategy throughout a geographic area Journal of American Geriatrics Society 53 4 2005 675 680 (Pubitemid 41623492)
3. A. Barker, C. Brand, T. Haines, K. Hill, S. Brauer, and D. Jolley The 6-PACK programme to decrease fall-related injuries in acute hospitals: protocol for a cluster randomised controlled trial Injury Prevention 17 4 2011 e5
4. A. Barker, J. Kamar, M. Graco, V. Lawlor, and K. Hill Adding value to the STRATIFY falls risk assessment in acute hospitals Journal of Advanced Nursing 67 2010 450 457
5. A. Barker, J. Kamar, A. Morton, and D. Berlowitz Bridging the gap between research and practice: review of a targeted hospital inpatient fall prevention programme Quality & Safety in Health Care 18 6 2009 467 472
6. A. Barker, A. Morton, M. Gatton, E. Tong, and A. Clements Sequential monitoring of hospital adverse events when control charts fail: the example of fall injuries in hospitals Quality & Safety in Health Care 18 6 2009 473
7. S. Barrecca, C. Sigouin, C. Lambert, and B. Ansley Effects of extra training on the ability of stroke survivors to perform an independent sit-to-stand: A randomized controlled trial Journal of Geriatric Physical Therapy 27 2 2004 59 68
8. A.A. Black, S.G. Brauer, R.A. Bell, A.J. Economidis, and T.P. Haines Insights into the climate of safety towards the prevention of falls among hospital staff Journal of Clinical Nursing 2011
9. D. Boswell, J. Ramsey, M. Smith, and B. Wagers The cost-effectiveness of a patient-sitter program in an acute care hospital: A test of the impact of sitters on the incidence of falls and patient satisfaction Quality Management in Health Care 10 1 2001 10 16
10. I. Boutron, D. Moher, D.G. Altman, K.F. Schulz, and P. Ravaud Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration Annals of Internal Medicine 148 4 2008 295 309 (Pubitemid 351665487)
11. C.E. Brown, M.A. Wickline, L. Ecoff, and D. Glaser Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center Journal of Advanced Nursing 65 2 2009 371 381
12. E. Burleigh, J. McColl, and J. Potter Does vitamin D stop inpatients falling? A randomised controlled trial Age and Ageing 36 2007 507 513 (Pubitemid 47554939)
13. I. Cameron, G. Murray, L. Gillespie, M. Robertson, K. Hill, and R. Cumming Interventions for preventing falls in older people in nursing care facilities and hospitals Cochrane Database of Systematic Reviews Issue 1 2010 10.1002/14651858.CD005465.pub2 Art. No.:CD005465
14. A. Campbell, M. Robertson, M. Gardner, R. Norton, M. Tilyard, and D. Buchner Randomised controlled trial of a general practice programme of home based exercise to prevent falls in elderly women BMJ 315 1997 1065 1069 (Pubitemid 27458401)
15. A.J. Campbell, M.C. Robertson, S.J. La Grow, N.M. Kerse, G.F. Sanderson, and R.J. Jacobs Randomised controlled trial of prevention of falls in people aged > or = 75 with severe visual impairment: the VIP trial BMJ 331 7520 2005 817
16. W. Chaboyer, J. Johnson, L. Hardy, T. Gehrke, and K. Panuwatwanich Transforming care strategies and nursing-sensitive patient outcomes Journal of Advanced Nursing 66 5 2010 1111 1119
17. J. Chang, S. Morton, L. Rubenstein, W. Mojica, M. Maglione, and M. Suttorp Interventions for the prevention of falls in older adults: Systematic review and meta-analysis of randomised clinical trials BMJ 328 2004 680 683 (Pubitemid 38393406)
18. S. Chari, T. Haines, P. Varghese, and A. Economidis Are non-slip socks really 'non-slip'? An Analysis of slip resistance BMC Geriatrics 9 1 2009 39
19. B. Copnell, V. Hagger, S.G. Wilson, S.M. Evans, P.C. Sprivulis, and P.A. Cameron Measuring the quality of hospital care: an inventory of indicators Internal Medicine Journal 39 6 2009 352 360
20. J. Coussement, L. DePaepe, R. Schwendimann, K. Denhaerynck, E. Dejaeger, and K. Milisen Interventions for preventing falls in acute and chronic care hospitals: A systematic review and meta-analysis Journal of American Geriatrics Society 56 2008 29 37
21. R.G. Cumming, C. Sherrington, S.R. Lord, J.M. Simpson, C. Vogler, and I.D. Cameron Cluster randomized trial of a targeted multifactorial intervention to prevent falls among older people in hospital BMJ 336 7647 2008 758 760 (Pubitemid 351507405)
22. E.C. Devine, and E. Reifschneider A meta-analysis of the effects of psychoeducational care in adults with hypertension Nursing Research 44 4 1995 237 245
23. I. Donald, and H. Shuttleworth Preventing falls on an elderly care rehabilitation ward Clinical Rehabilitation 14 2000 178 185 (Pubitemid 30162633)
24. P.C. Dykes, D.L. Carroll, A. Hurley, S. Lipsitz, A. Benoit, and F. Chang Fall prevention in acute care hospitals: a randomized trial Journal of the American Medical Association 304 17 2010 1912 1918
25. C. Elnitsky, B. Nichols, and K. Palmer Are hospital incidents being reported? Canadian Journal of Nursing Administration 27 11 1997 40 46 (Pubitemid 27488493)
26. D. Fonda, J. Cook, V. Sandler, and M. Bailey Sustained reduction in serious fall-related injuries in older people in hospital The Medical Journal of Australia 184 8 2006 379 382
27. I.D. Graham, J. Logan, M.B. Harrison, S.E. Straus, J. Tetroe, and W. Caswell Lost in knowledge translation: time for a map? The Journal of Continuing Education in the Health Professions 26 1 2006 13 24
28. T. Greenhalgh, G. Robert, F. Macfarlane, P. Bate, and O. Kyriakidou Diffusion of innovations in service organizations: systematic review and recommendations The Milbank Quarterly 82 4 2004 581 629 (Pubitemid 40143100)
29. T.P. Haines, R.A. Bell, and P.N. Varghese Pragmatic, cluster randomized trial of a policy to introduce low-low beds to hospital wards for the prevention of falls and fall injuries Journal of American Geriatrics Society 58 3 2010 435 441
30. T. Haines, K. Bennell, R. Osborne, and K. Hill Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial BMJ 328 2004 676 679 (Pubitemid 38393405)
31. T. Haines, P. Cornwell, J. Fleming, P. Varghese, and L. Gray Documentation of in-hospital falls on incident reports: Qualitative investigation of an imperfect process BMC Health Services Research 8 2008 254
32. T. Haines, K. Hill, K. Bennell, and R. Osborne New instrument for targeting falls prevention interventions accurate and clinically applicable in hospital setting Journal of Clinical Epidemiology 59 2006 168 175 (Pubitemid 43111621)
33. T.P. Haines, K.D. Hill, K.L. Bennell, and R.H. Osborne Hip protector use amongst older hospital inpatients: compliance and functional consequences Age and Ageing 35 5 2006 520 523 (Pubitemid 44295643)
34. T.P. Haines, K.D. Hill, K.L. Bennell, and R.H. Osborne Patient education to prevent falls in subacute care Clinical Rehabilitation 20 11 2006 970 979 (Pubitemid 46940893)
35. T.P. Haines, K.D. Hill, K.L. Bennell, and R.H. Osborne Additional exercise for older subacute hospital inpatients to prevent falls: benefits and barriers to implementation and evaluation Clinical Rehabilitation 21 8 2007 742 753 (Pubitemid 47422763)
36. T.P. Haines, A.M. Hill, K.D. Hill, S. McPhail, D. Oliver, and S. Brauer Patient education to prevent falls among older hospital inpatients: a randomized controlled trial Archives of Internal Medicine 171 6 2011 516 524
37. T. Haines, K. Hill, W. Walsh, and R. Osborne Design-related bias in hospital fall risk screening tool predictive accuracy evaluations: systematic review and meta-analysis The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 62 6 2007 664
38. T. Haines, S.S. Kuys, G. Morrison, J. Clarke, and P. Bew Balance impairment not predictive of falls in geriatric rehabilitation wards The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 63 5 2008 523 528
39. T. Haines, B. Massey, P. Varghese, J. Fleming, and L. Gray Inconsistency in classification and reporting of in-hospital falls Journal of American Geriatrics Society 57 3 2009 517 523
40. T.P. Haines, B. Massey, P. Varghese, J. Fleming, and L. Gray Inconsistency in classification and reporting of in-hospital falls Journal of American Geriatrics Society 57 3 2009 517 523
41. T.P. Haines, and S. McPhail Patient preference for falls prevention in hospitals revealed through willingness-to-pay, contingent valuation survey Journal of Evaluation in Clinical Practice 2010
42. T. Haines, J. Nitz, J. Grieve, A. Barker, K. Moore, and K. Hill Cost per fall: a potentially misleading indicator of burden of disease in health and residential care settings Journal of Evaluation in Clinical Practice 2011 (accepted August 2011)
43. B. Haralambous, T.P. Haines, K. Hill, K. Moore, J. Nitz, and A. Robinson A protocol for an individualised, facilitated and sustainable approach to implementing current evidence in preventing falls in residential aged care facilities BMC Geriatrics 10 2010 8
44. M.B. Harrison, F. Legare, I.D. Graham, and B. Fervers Adapting clinical practice guidelines to local context and assessing barriers to their use CMAJ 182 2 2010 E78 E84
45. F. Healey, A. Monro, A. Cockram, V. Adams, and D. Heseltine Using targeted risk factor reduction to prevent falls in older in-patients: a randomised controlled trial Age and Ageing 33 2004 390 395 (Pubitemid 39077248)
46. F. Healey, S. Scobie, D. Oliver, A. Pryce, R. Thomson, and B. Glampson Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports Quality & Safety in Health Care 17 6 2008 424
47. A.M. Hill, T. Hoffmann, K. Hill, D. Oliver, C. Beer, and S. McPhail Measuring falls events in acute hospitals-a comparison of three reporting methods to identify missing data in the hospital reporting system Journal of American Geriatrics Society 58 7 2010 1347 1352
48. S.K. Inouye, S. Studenski, M.E. Tinetti, and G.A. Kuchel Geriatric syndromes: clinical, research, and policy implications of a core geriatric concept Journal of American Geriatrics Society 55 5 2007 780 791 (Pubitemid 46668974)
49. N. Jarvis, K. Kerr, and S. Mockett Pilot study to explore the feasibility of a randomised controlled trial to determine the dose effect of physiotherapy on patients admitted to hospital following a fall Practical Evidence 2 2 2007 4 12
50. S.S. Koh, E. Manias, A.M. Hutchinson, S. Donath, and L. Johnston Nurses' perceived barriers to the implementation of a Fall Prevention Clinical Practice Guideline in Singapore hospitals BMC Health Services Research 8 2008 105
51. J.E. Mador, L. Giles, C. Whitehead, and M. Crotty A randomized controlled trial of a behavior advisory service for hospitalized older patients with confusion International Journal of Geriatric Psychiatry 19 9 2004 858 863 (Pubitemid 39242891)
52. N. Mayo, L. Gloutney, and R. Levy A randomised trial of identification bracelets to prevent falls among patients in a rehabilitation hospital Archives of Physical Medicine and Rehabilitation 75 1994 1302 1308
53. S. Michie, M. Johnston, C. Abraham, R. Lawton, D. Parker, and A. Walker Making psychological theory useful for implementing evidence based practice: a consensus approach Quality & Safety in Health Care 14 1 2005 26
54. G. Morrison, H.L. Lee, S.S. Kuys, J. Clarke, P. Bew, and T.P. Haines Changes in falls risk factors for geriatric diagnostic groups across inpatient, outpatient and domiciliary rehabilitation settings Disability and Rehabilitation 33 11 2011 900 907
55. B. O'Connell, and H. Myers A failed fall prevention study in an acute care setting: Lessons from the swamp International Journal of Nursing Practice 7 2001 126 130
56. D. Oliver, J. Connelly, C. Victor, F. Shaw, A. Whitehead, and Y. Genc Strategies to prevent falls and fracture in hospitals and care homes and effect of cognitive impairment: Systematic review and meta-analyses BMJ 334 2007 82
57. D. Oliver, F. Healey, and T.P. Haines Preventing falls and fall-related injuries in hospitals Clinics in Geriatric Medicine 26 4 2010 645 692
58. D. Oliver, F. Martin, and P. Seed Preventing patient falls Age and Ageing 31 2002 75 76
59. J. Ploeg, B. Davies, N. Edwards, W. Gifford, and P.E. Miller Factors influencing best-practice guideline implementation: lessons learned from administrators, nursing staff, and project leaders Worldviews on Evidence-Based Nursing 4 4 2007 210 219 (Pubitemid 350231227)
60. M. Power, J. Clarke, M. Davidge, L. Doyle, F. Healey, and M. Mavers J. Salford Clarke, The 'how to' guide for reducing harm from falls 2009 National Health Service United Kingdom
61. A. Retsas Barriers to using research evidence in nursing practice Journal of Advanced Nursing 31 3 2000 599 606
62. M. Robertson, N. Devlin, M. Gardner, and A. Campbell Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial BMJ 322 2001 697-670
63. D. Sackett, W. Rosenberg, M. Gray, B. Haynes, and S. Richardson Evidence based medicine: What it is and what it isn't BMJ 312 1996 71 72
64. A.B. Sari, T.A. Sheldon, A. Cracknell, and A. Turnbull Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review BMJ 334 7584 2007 79
65. A. Semin-Goossens, J.M. van der Helm, and P.M. Bossuyt A failed model-based attempt to implement an evidence-based nursing guideline for fall prevention Journal of Nursing Care Quality 18 3 2003 217 225
66. R.I. Shorr, L.C. Mion, A.M. Chandler, L.C. Rosenblatt, D. Lynch, and L.A. Kessler Improving the capture of fall events in hospitals: combining a service for evaluating inpatient falls with an incident report system Journal of American Geriatrics Society 56 4 2008 701 704 (Pubitemid 351473500)
67. H.D. Smith, E.D. Bogenschutz, A.J. Bayliss, P.A. Altenburger, and S.J. Warden Full-text publication of abstract-presented work in physical therapy: do therapists publish what they preach? Physical Therapy 91 2 2010 234 245
68. M. Stenvall, B. Olofsson, M. Lundstrom, U. Englund, B. Borssen, and O. Svensson A multidisciplinary, multifactorial intervention program reduces postoperative falls and injuries after femoral neck fracture Osteoporosis International 18 2 2007 167 175 (Pubitemid 46090221)
69. S.E. Straus, and J. Holroyd-Leduc Knowledge-to-action cycle Evidence-Based Medicine 13 4 2008 98 100
70. J. Sutton, P. Standen, and A. Wallace Unreported accidents to patients in hospital Nursing Times 90 39 1994 46 49
71. R. Tideiksaar, C. Feiner, and J. Maby Falls prevention: The efficacy of a bed alarm system in an acute care setting The Mount Sinai Journal of Medicine 60 1993 522 527
72. M.E. Tinetti, D.I. Baker, M. King, M. Gottschalk, T.E. Murphy, and D. Acampora Effect of dissemination of evidence in reducing injuries from falls The New England Journal of Medicine 359 3 2008 252 261 (Pubitemid 352008440)
73. C. Toman, M.B. Harrison, and J. Logan Clinical practice guidelines: necessary but not sufficient for evidence-based patient education and counseling Patient Education and Counseling 42 3 2001 279 287 (Pubitemid 32042533)
74. E.H. Turner, A.M. Matthews, E. Linardatos, R.A. Tell, and R. Rosenthal Selective publication of antidepressant trials and its influence on apparent efficacy The New England Journal of Medicine 358 3 2008 252 260
75. J. van der Helm, A. Goossens, and P. Bossuyt When implementation fails: the case of a nursing guideline for fall prevention Joint Commission Journal on Quality and Patient Safety 32 3 2006 152 160
76. B.G. van Gaal, L. Schoonhoven, J.A. Mintjes, G.F. Borm, M.E. Hulscher, and T. Defloor 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 International Journal of Nursing Studies 2011 ePub ahead of print March 16th 2011
77. B.G. van Gaal, L. Schoonhoven, J.A. Mintjes, G.F. Borm, R.T. Koopmans, and T. van Achterberg The SAFE or SORRY? programme. Part II: Effect on preventive care International Journal of Nursing Studies 2011 ePub ahead of print March 25th 2011
78. M. Vassallo, R. Vignaraja, J. Sharma, H. Hallam, K. Binns, and R. Briggs The effect of changing practice on fall prevention in a rehabilitative hospital: The hospital injury prevention study Journal of American Geriatrics Society 52 3 2004 335 339 (Pubitemid 38339511)
79. W. Walsh, K.D. Hill, K. Bennell, M. Vu, and T.P. Haines Local adaptation and evaluation of a falls risk prevention approach in acute hospitals International Journal for Quality in Health Care 23 2 2011 134