Fall Prevention in Hospitals

@article{Spoelstra2012FallPI,
  title={Fall Prevention in Hospitals},
  author={Sandra L. Spoelstra and Barbara A. Given and Charles W. Given},
  journal={Clinical Nursing Research},
  year={2012},
  volume={21},
  pages={112 - 92}
}
This article summarizes research and draws overall conclusions from the body of literature on fall prevention interventions to provide nurse administrators with a basis for developing evidence-based fall prevention programs in the hospital setting. Data are obtained from published studies. Thirteen articles are retrieved that focused on fall interventions in the hospital setting. An analysis is performed based on levels of evidence using an integrative review process. Multifactoral fall… 
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The findings suggest that hospitalised older adults inadequately estimate their own fall risk, and most participants did not perceive themselves as at risk for falling in the hospital.
The use of the Morse Fall Scale in an acute care hospital
TLDR
Findings suggest a change in practice is warranted as the values showed a poor balance between the sensitivity and specificity range, and recommending changes in practice include changing the screening tool cut-off point from 25 to 55.
Recommendations for Fall-Related Injury Prevention
TLDR
Analysis of injurious falls in the Veterans Health Administration provides generalizable recommended actions to prevent future events and describes interventions during the fall and provides resources for future prevention.
Risk stratification for early and late falls in acute care settings.
TLDR
By separately extracting risk factors for early and late falls in an acute care hospital setting, this study shed light on the characteristics of the respective types of falls.
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References

SHOWING 1-10 OF 62 REFERENCES
Fall prevention in acute care hospitals: a randomized trial.
TLDR
The use of a fall prevention tool kit in hospital units compared with usual care significantly reduced rate of falls and was found to be particularly effective with patients aged 65 years or older.
Fall prevention and injury protection for nursing home residents.
Preventing falls and fall-related injuries in hospitals.
Effectiveness of targeted falls prevention programme in subacute hospital setting: randomised controlled trial
TLDR
A targeted multiple intervention falls prevention programme implemented in addition to usual care compared with usual care alone reduces the incidence of falls in the subacute hospital setting.
Population-based interventions for the prevention of fall-related injuries in older people.
TLDR
The consistency of reported reductions in fall-related injuries across all programmes support the preliminary claim that the population-based approach to the prevention of fall- related injury is effective and can form the basis of public health practice.
Incidence of In‐Hospital Falls in Geriatric Patients Before and After the Introduction of an Interdisciplinary Team–Based Fall‐Prevention Intervention
TLDR
A structured multifactorial intervention reduced the incidence of falls, but not injurious falls, in a hospital ward setting with existing geriatric multidisciplinary care.
VHA’s National Falls Collaborative and Prevention Programs
TLDR
Three successful patient safety fall prevention projects completed within the Department of Veterans Affairs Healthcare Administration are presented: the National Fall Collaborative Breakthrough Project, the development and deployment of the National Falls Toolkit, and the National falls Data Collection Project.
Interventions for preventing falls in older people in nursing care facilities and hospitals.
TLDR
There is evidence that multifactorial interventions reduce falls and risk of falling in hospitals and may do so in nursing care facilities and Vitamin D supplementation is effective in reducing the rate of falls in Nursing care facilities.
Using targeted risk factor reduction to prevent falls in older in-patients: a randomised controlled trial.
TLDR
The use of a core care plan targeting risk factor reduction in older hospital in-patients was associated with a reduction in the relative risk of recorded falls.
Inpatient falls in adult acute care settings: influence of patients' mental status.
  • H. Tzeng
  • Medicine, Psychology
    Journal of advanced nursing
  • 2010
TLDR
Involving nursing staff and family members in assessing a patient's mental status may help to prevent falls caused by mental status deficits and risk assessment and targeted surveillance should be used as part of falls prevention policy.
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