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Key issues to consider and innovative ideas on fall prevention in the geriatric department of a teaching hospital
Author(s) -
Chan Daniel KY,
Sherrington Cathie,
Naganathan Vasi,
Xu Ying Hua,
Chen Jack,
Ko Anita,
Kneebone Ian,
Cumming Robert
Publication year - 2018
Publication title -
australasian journal on ageing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.63
H-Index - 34
eISSN - 1741-6612
pISSN - 1440-6381
DOI - 10.1111/ajag.12528
Subject(s) - clips , rehabilitation , medicine , fall prevention , acute hospital , psychology , medical emergency , physical therapy , injury prevention , poison control , health care , surgery , economic growth , economics
Falls in hospital are common and up to 70% result in injury, leading to increased length of stay and accounting for 10% of patient safety‐related deaths. Yet, high‐quality evidence guiding best practice is lacking. Fall prevention strategies have worked in some trials but not in others. Differences in study setting (acute, subacute, rehabilitation) and sampling of patients (cognitively intact or impaired) may explain the difference in results. This article discusses these important issues and describes the strategies to prevent falls in the acute hospital setting we have studied, which engage the cognitively impaired who are more likely to fall. We have used video clips rather than verbal instruction to educate patients, and are optimistic that this approach may work. We have also explored the option of co‐locating high fall risk patients in a close observation room for supervision, with promising results. Further studies, using larger sample sizes are required to confirm our findings.