Reducing falls can help trusts improve patient experience and reduce costs

17/08/2017

Source: NHS Improvement, 2017

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Date of publication: July 2017

Publication type: Website

In a nutshell: This report from NHS Improvement provides a picture of the scale of inpatient falls and the benefits to the NHS if the rate in hospitals was reduced. It followed the successful completion of their collaboration between 19 trusts to adopt improvement methodologies and creating a learning community to discuss changes. Results include the observation that older patients represent 77% of total falls, but 87% of total costs – reducing this group by around 25-30% could result in annual savings of up to £170m.

Length of publication: 1 page

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Community falls service produces ‘significant’ improvements in patients

15/09/2016

Source: The Chartered Society of Physiotherapy, 2016, online

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Date of publication: August 2016

Publication type: Website news item

In a nutshell: A physiotherapist at a west London falls service has ‘significantly improved’ the health of patients, according to four commonly-used clinical outcome measures. The patients were discharged from April to June, and at the end of the programme people had improved their balance by nearly seven points on the Berg Balance Scale. Timed Up and Go, a simple and reliable test of a person’s risk of falls, showed an average improvement of nearly seven seconds across the group.

Length of publication: 1 page


Patient perceptions with falls during hospitalization and after discharge

14/03/2016

Source: Applied Nursing Research, 2016, Vol 31 p. 79-85

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Date of publication: August 2016

Publication type: Journal article

In a nutshell: This study aims to describe the perceptions of hospitalised older people around their falls risk and fall prevention strategies received while hospitalised, and any instructions they received to prevent possible falls after discharge.

Length of publication: 6 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.


A study on floor wear development: Impact on slip-resistance performance

16/12/2015

Source: Tribology International, 2016, Vol 95 p. 316-323

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Date of publication: March 2016

Publication type: Journal article

In a nutshell: This study looked into the dynamics of wear and tear to pedestrian walkways to understand how wear develops and its impacts on slip-resistant performance. Friction tests were conducted and both qualitative and quantitative investigations carried out by surface analysis and microscopic observation. Changes to the surface were caused by direct and indirect wear which significantly affected slip-resistant function. The study may have potential applications for design improvements of floors and walkways to prevent slip and fall incidents.

Length of publication: 7 pages

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


Unintentional injuries treated in emergency departments among older people

16/12/2015

Source: Journal of Safety Research, 2015, online

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Date of publication: December 2015

Publication type: Journal article

In a nutshell: In the USA, unintentional injuries among older adults, and especially falls-related injuries, are an increasing public health concern. In 2011, 65% of these injuries were due to falls, which increased with age and peaked at the ≥ 100 age group. Prevention efforts to reduce falls and resulting injuries among adults aged ≥ 65 years have the potential to increase well-being and reduce health care spending. Increasing knowledge about fall risk factors and broadly disseminating evidence-based injury and fall prevention programs in both clinical and community settings must be priorities.

Length of publication: 1 page

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


Physios and OTs promote falls prevention

17/11/2015

Source: Chartered Society of Physiotherapists

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Date of publication: November 2015

Publication type: Website

In a nutshell: Physio and occupational therapy staff teamed up at Plymouth Hospitals NHS Trust to provide general awareness of falls and factors that can reduce risk of falls. Patients, relatives and hospital visitors received CSP and Age UK leaflets, explaining how to ‘fall-proof’ a home and improve strength and balance through exercising, and in addition, staff checked walking aids and, where necessary, changed the ferrules, or rubber caps, on the ends of walking aids.

Length of publication: 1 page


The epidemiology of fractures in infants – Which accidents are preventable?

15/10/2015

Source: Injury, 2015, online

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Date of Publication: September 2015

Publication type: Journal article

In a nutshell: In children, fractures have a huge impact on the health care system. In order to develop effective prevention strategies exact knowledge about the epidemiology of fractures is mandatory. This study aims to describe clinical and epidemiological data of fractures diagnosed in infants. Falls from the changing table, the arms of the caregivers and out of bed caused the majority of fractures (especially skull fracture) in infants. Therefore, awareness campaigns and prevention strategies should focus on these mechanisms of accident in order to decrease the rate of fractures in infants.

Length of Publication: 4 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.


Identifying falling hazards in older adult homes using digital photography

15/10/2015

Source: Preventive Medicine Reports, 2015, Vol 2 p. 794-797

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Date of publication: 2015

Publication type: Journal article

In a nutshell: Evaluation and removal of home hazards is an invaluable method for preventing in-home falls and preserving independent living. Current processes for conducting home hazard assessments are impractical from a whole population standpoint given the substantial resources required for implementation. Digital photography offers an opportunity to remotely evaluate an environment for falling hazards.  However, reliability of this method has only been tested under the direction of skilled therapists. This study showed that non-therapists can reliably conduct home hazard evaluations using digital photographs.

Length of publication: 3 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.


Age-related differences in inter-joint coordination during stair walking transitions

15/06/2015

Source: Gait & Posture, 2015, Online

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Date of publication: May 2015

Publication type: Journal article

In a nutshell: Using stairs can be difficult and hazardous as locomotor tasks for older people with fall incidents reported frequently. This study looked at inter-joint coordination to provide insights into age-related changes in neuromuscular control of gait that can inform prevention or intervention strategies. The findings suggest that normal aging adults have less independent control of adjacent joints compared to younger adults suggesting they have less flexibility to modulate inter-joints coordination appropriately during stair walking transitions.

Length of publication: 1 page

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.


Ankle dorsiflexion may be important in falls in fibromyalgic women

15/05/2015

Source: Clinical Biomechanics, 2015, online

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Date of publication: April 2015

Publication type: Journal article

In a nutshell: Fibromyalgia produces chronic pain and allows only for a reduced range of motion, which leads to gait changes and a high incidence of falls. Intervention programmes can be designed by understanding these gait patterns. This study was designed to evaluate the range of motion of the hip and ankle joints in women with and without fibromyalgia. Ranges of motion were similar between groups except that fibromyalgia sufferers showed higher plantar flexion and lower dorsiflexion. Improved ankle kinematics in this group may help prevent falls and improve mobility.

Length of publication: 1 page

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.


Unobtrusive monitoring and identification of fall accidents

17/04/2015

Source: Medical Engineering and Physics, 2015, online

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Date of publication: March 2015

Publication type: Journal article

In a nutshell: The practical use of fall monitoring equipment is limited due to accuracy, usability, cost and the possible stigma attached to them. This paper proposes a fall sensor concept that can be embedded in the user’s footwear. It discusses algorithms, software and hardware developed. Software performance is illustrated using results of a series of functional tests, which show that the developed sensor can be used for the accurate measurement of various mobility and gait parameters and that falls are detected accurately.

Length of publication: 1 page

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.


The medico-legal evaluation of injuries from paediatric falls

17/02/2015

Source: Journal of Forensic and Legal Medicine, 2015 (online)

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Date of publication: February 2015

Publication type: Journal article

In a nutshell: Falls present a high risk of morbidity and mortality, and place a heavy financial burden on the healthcare system, especially in children who are prone to fall accidents. This paper looks at preventive measures that could be introduced to reduce such events.

Length of publication: 1 page

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.


Factors associated with night-falling in older people with hip fractures

17/12/2014

Source: European Geriatric Medicine, 2014, online

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Date of publication: November 2014

Publication type: Journal article

In a nutshell: This study examined factors associated with the night-time fall index in a sample of older patients with hip fractures, focusing on the effects of nocturia, which can significantly affect older people. It found that falling on the way to the bathroom, severe nocturia and mobility impairment were independently associated with night-time falls in these patients.

Length of publication: 1 page

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.


Effect of arm swing on single-step balance recovery

17/12/2014

Source: Human Movement Science, 2014, Vol 38 p. 173-184

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Date of publication: December 2014

Publication type: Journal article

In a nutshell: Balance recovery techniques are useful in preventing falls as well as in many sporting activities. Relatively little is known, though, about the effect of arm swing on stepping balance recovery. This study examined how the arms influence kinematic and kinetic characteristics in single-step balance recovery.

Length of publication: 11 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.