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A collaborative occupational therapy and nursing approach to falls prevention in hospital inpatients.

Originally Published:
1999
Key Point Summary
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Key Concepts/Context

It is estimated that one-third of elderly people fall each year', with general agreement that there are many associated factors.

Objectives

This collaborative approach of occupational therapy and nursing staff aimed to reduce the number of patients falling while they were hospital inpatients. This paper discusses the findings of the falls audit and presents the 'Fall STOP' falls prevention program that was initiated.

Methods

A retrospective audit of inpatient falls at the Gold Coast Hospital was conducted in August 1996.

Design Implications
To reduce patient falls, use high standards for equipment to enable patients to mobilize within a safe environment and gain mobility and strength.
Findings

From the first audit a number of high risk patient groups, activities, and ward environments were identified and a falls prevention program implemented. A second audit conducted two years later demonstrated a decrease in falls and related injuries. The outcomes revealed that fewer people were falling, and when they did fall, fewer injuries were reported.

Limitations

Incident reporting by staff was used to determine rates of falls, and may under-represent the true rate of falls.

Design Category
Furniture, Fixtures & Equipment (FF&E)
Setting
Hospitals
Outcome Category
Fall related outcomes
Primary Author
Brandis, S.