Reducing serious fall-related injuries in acute hospitals: Are low-low beds a critical success factor?
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Aim: This article is a report of a study of associations between occurrence of serious fall-related injuries and implementation of low-low beds at The Northern Hospital, Victoria, Australia. Background: A 9-year evaluation at The Northern Hospital found an important reduction in fall-related injuries after the 6-PACK falls prevention program was implemented. Low-low beds are a key component of the 6-PACK that aims to decrease fall-related injuries. Design: A retrospective cohort study. Methods: Retrospective audit of The Northern Hospital inpatients admitted between 1999–2009. Changes in serious fall-related injuries throughout the period and associations with available low-low beds were analysed using Poisson regression. Results: During the observation of 356,158 inpatients, there were 3946 falls and 1005 fall-related injuries of which 60 (5.9%) were serious (55 fractures and five subdural haematomas). Serious fall-related injuries declined significantly throughout the period. When there was one low-low bed to nine or more standard beds there was no statistically significant decrease in serious fall-related injuries. An important reduction only occurred when there was one low-low bed to three standard beds. Conclusion: The 6-PACK program has been in place since 2002 at The Northern Hospital. Throughout this time serious fall-related injuries have decreased. There appears to be an association between serious fall-related injuries and the number of available low-low beds. Threshold numbers of these beds may be required to achieve optimal usability and effectiveness. A randomized controlled trial is required to give additional evidence for use of low-low beds for injury prevention in hospitals.
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The 6-PACK programme to decrease fall-related injuries in acute hospitals: Protocol for a cluster randomised controlled trialBarker, A.; Brand, C.; Haines, T.; Hill, Keith; Brauer, S.; Jolley, D.; Botti, M.; Cumming, R.; Livingston, P.; Sherrington, C.; Zavarsek, S.; Morello, R.; Kamar, J. (2011)Background and aims: In-hospital fall-related injuries are a source of personal harm, preventable hospitalisation costs, and access block through increased length of stay. Despite increased fall prevention awareness and ...
The 6-PACK programme to decrease fall-related injuries in acute hospitals: protocol for a cluster randomised controlled trial.Barker, A.; Brand, C.; Haines, T.; Hill, Keith; Brauer, S.; Jolley, D.; Botti, M.; Cumming, R.; Livingston, P.; Sherrington, C.; Zavarsek, S.; Morello, R.; Kamar, J. (2011)In-hospital fall-related injuries are a source of personal harm, preventable hospitalisation costs, and access block through increased length of stay. Despite increased fall prevention awareness and activity over the last ...
The 6-PACK programme to decrease falls and fall-related injuries in acute hospitals: protocol for an economic evaluation alongside a cluster randomised controlled trialMorello, R.; Barker, A.; Zavarsek, S.; Watts, J.; Haines, T.; Hill, Keith; Sherrington, C.; Brand, C.; Jolley, D.; Stoelwinder, J. (2012)Falls are a common hospital occurrence complicating the care of patients. From an economic perspective, the impact of in-hospital falls and related injuries is substantial. However, few studies have examined the economic ...