Falls Prevention Horizon Scanning Bulletin Volume 1 Issue 5

07/10/2010

Acute care patient falls: evaluation of a revised fall prevention program following comparative analysis of psychiatric and medical patient falls

06/10/2010

Source: Applied Nursing Research, article in press, August 2010

Follow this link for the abstract

Date of publication: August 2010

Publication type: Journal article

In a nutshell: This study investigated inpatient falls on psychiatric and medical wards in a U.S. community hospital before, during and after changes were made to the hospital’s Fall Assessment and Prevention Policy. The study results showed an increase in the number of medical patient falls despite revisions to the fall policy and a reduction in psychiatric inpatient falls. Most medical falls involved geriatric patients whereas psychiatric patients who fell were mostly female and under the age of 65. Non-compliance will falls prevention procedures relating to the use of non-skid gripper socks, bed exit alarms and the routine review of patient medication profiles were contributing factors to medical patient falls.  As a result of the study which included a survey of nursing staff, the hospital has expanded its falls prevention education programme and uses Patient Safety Attendants to monitor patients at high risk of falling. Patient rounding by nurses and nursing assistants has also been introduced to help further reduce falls.

Length of publication: 7 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


North West In-Patient Falls Audit

04/10/2010

Source: Greater Manchester Public Health Practice Unit

Follow this link for the full text

Date of publication: September 2010

Publication type: Report

In a nutshell: This report presents the findings of the in-patient audit into falls management and prevention which was carried out across 14 acute trusts in the North West in 2009. Case notes relating to 998 patients formed the basis of the audit, and data collated concerning the frequency and type of falls assessments undertaken. The results of the case note review and service evaluation (carried out across 13 organisations including a community hospital and a treatment centre) revealed some improvements in falls services, compared to previous years such as the development of falls training programmes and designated falls leads. However,  in some hospitals basic checks are still found to be lacking and there is a need for falls risk assessments to be adapted at a local level and in line with the latest guidelines.

Length of publication: Executive Summary (14 pages), Service Evaluation (99 pages), Case Note Review (128 pages)

Aknowledgement: Clinical Effectivness Unit Blog, Stockport NHS Foundation Trust


What works in falls prevention after stroke? A systematic review and meta-analysis

28/09/2010

Source: Stroke, 2010, 41(8), p.1715 – 1722

Follow this link for the abstract

Date of publication: August 2010

Publication type: Journal article

In a nutshell: Falls among the stroke population are common and can result in increased fracture rates and serious injury. This review sought to evaluate and integrate the evidence for interventions that reduce falls after stroke. Thirteen randomized controlled studies were included in the review. Out of these, the only intervention shown to be effective in reducing falls was vitamin D for female stroke patients in an institutional setting.

Length of publication: 8 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Thinking falls – taking action: a guide to action for falls prevention

28/09/2010

Source: British Journal of Community Nursing, 2010, 15(8), p.406 – 410

Follow this link for the abstract

Date of publication: August 2010

Publication type: Journal article

In a nutshell: This article describes how the Rushcliffe Falls Prevention and Research Group developed the Guide to Action for Falls Prevention tool (GtA) to support health professionals to identify potential falls risks and what actions to take to prevent falls. The GtA tool was piloted and found to be quick and easy to complete. Involvement by various agencies and individuals in developing the tool, means that it can be used across a range of disciplines, health and social care settings.

Length of publication: 5 pages

Some important notes: Please contact your local NHS Library for the full text of the article. Follow this link to find your local NHS Library.


Further Dissemination

28/09/2010

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