{"id":1180,"date":"2020-10-29T00:00:00","date_gmt":"2020-10-29T00:00:00","guid":{"rendered":"https:\/\/nari.extreme-marketing.com.au\/marc\/marc_research\/developing-falls-prevention-interventions-in-a-hospital\/"},"modified":"2026-08-13T15:42:04","modified_gmt":"2026-08-13T15:42:04","slug":"developing-falls-prevention-interventions-in-a-hospital","status":"publish","type":"marc_research","link":"https:\/\/nari.extreme-marketing.com.au\/marc\/marc_research\/developing-falls-prevention-interventions-in-a-hospital\/","title":{"rendered":"A Pragmatic Approach to Developing Falls Prevention Interventions in a Hospital Setting"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_padding=&#8221;84px||70px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;1366px&#8221; custom_padding=&#8221;0px||0px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;Lato|500|||||||&#8221; header_2_text_color=&#8221;#1F1F1F&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.18em&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_phone=&#8221;27px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;||20px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Problem<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Despite evidence that some falls prevention interventions can work in hospitals, translation of evidence is difficult, possibly due to differences in settings, patient profiles and falls rates; high patient turnover, the perception that everything is being done, availability of resources and focus on screening rather than intervention. This project has developed and trialled a context specific falls prevention model to extract local data and select and implement interventions based on this data.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;Lato|500|||||||&#8221; header_2_text_color=&#8221;#1F1F1F&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.18em&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_phone=&#8221;27px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;||20px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Design<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; custom_margin=&#8221;||24px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"margin:0 0 12px;padding-left:26px;position:relative;font-size:16.5px;line-height:1.65;\"><span style=\"position:absolute;left:0;top:6px;width:10px;height:10px;background:#E06E00;display:inline-block;\"><\/span>Develop context specific falls prevention model<\/p>\n<p style=\"margin:0 0 12px;padding-left:26px;position:relative;font-size:16.5px;line-height:1.65;\"><span style=\"position:absolute;left:0;top:6px;width:10px;height:10px;background:#E06E00;display:inline-block;\"><\/span>10 week data collection at each site about falls and fallers, falls prevention knowledge, staff work practices, patients&#8217; perception of falls risk and an environmental audit<\/p>\n<p style=\"margin:0 0 12px;padding-left:26px;position:relative;font-size:16.5px;line-height:1.65;\"><span style=\"position:absolute;left:0;top:6px;width:10px;height:10px;background:#E06E00;display:inline-block;\"><\/span>Data analysed and findings used to generate optimal interventions<\/p>\n<p style=\"margin:0 0 12px;padding-left:26px;position:relative;font-size:16.5px;line-height:1.65;\"><span style=\"position:absolute;left:0;top:6px;width:10px;height:10px;background:#E06E00;display:inline-block;\"><\/span>Site-specific interventions implemented and evaluated by frontline staff for 10 weeks.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;Lato|500|||||||&#8221; header_2_text_color=&#8221;#1F1F1F&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.18em&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_phone=&#8221;27px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;||20px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Themes &#038; Key Findings<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Patients do not think they are at risk of falling whilst in hospital because nurses will keep them safe<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>A roadmap for use in complex systems can achieve falls reduction in the hospital setting<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Staff can be engaged in collecting local data and in selecting and implementing strategies for their unit\/ward based on that local data<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Falls prevention should be considered cyclical and ongoing in line with the local context.<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; header_2_font=&#8221;Lato|500|||||||&#8221; header_2_text_color=&#8221;#1F1F1F&#8221; header_2_font_size=&#8221;40px&#8221; header_2_line_height=&#8221;1.18em&#8221; header_2_font_size_tablet=&#8221;32px&#8221; header_2_font_size_phone=&#8221;27px&#8221; header_2_font_size_last_edited=&#8221;on|phone&#8221; custom_margin=&#8221;||20px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Results<\/h2>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>77% of AMU patients and 60% of Ward 10 patients did not think they were risk of falling whilst in hospital<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Data was used by the frontline staff at each site to select and implement optimal interventions<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Interventions were very different at each site despite apparent similarities between wards<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>AMU\u2014focused on risk identification by patients and staff<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Ward 10\u2014focussed on increasing supervision for cognitively impaired patients<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Both wards had a reduction in falls rates following implementation of the intervention<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>AMU\u2014 14.2 falls to 4.5 falls per 1000 bed days<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Ward 10\u201412.9 falls to 4.5 falls per 1000 bed days<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|400|||||||&#8221; text_text_color=&#8221;#2B3352&#8243; text_font_size=&#8221;17px&#8221; text_line_height=&#8221;1.8em&#8221; custom_margin=&#8221;||18px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Completed July 2017<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;#FFF6EC&#8221; custom_padding=&#8221;70px||60px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; width=&#8221;90%&#8221; max_width=&#8221;1366px&#8221; custom_padding=&#8221;0px||0px||true|true&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Roboto|700|||||||&#8221; text_text_color=&#8221;#E06E00&#8243; text_font_size=&#8221;11px&#8221; text_letter_spacing=&#8221;2px&#8221; text_line_height=&#8221;1.4em&#8221; custom_margin=&#8221;||14px||true|true&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>ABOUT THIS PROJECT<\/p>\n<p>[\/et_pb_text][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p style=\"margin:0 0 4px;font-family:Roboto,Arial,sans-serif;font-weight:700;font-size:10px;letter-spacing:1.6px;text-transform:uppercase;color:#6E7591;\">COLLABORATORS<\/p>\n<p style=\"margin:0 0 22px;font-size:16px;line-height:1.7;color:#2B3352;\">NARI, Austin Health, Melbourne Health.<\/p>\n<p style=\"margin:0 0 6px;font-size:11px;font-weight:700;letter-spacing:1.5px;text-transform:uppercase;color:#6E7591;\">LAST UPDATED<\/p>\n<p style=\"margin:0 0 22px;font-size:16px;line-height:1.7;color:#2B3352;\">22 April 2026<\/p>\n<p>[\/et_pb_text][et_pb_button button_url=&#8221;https:\/\/www.nari.net.au\/Handlers\/Download.ashx?IDMF=f2d8804a-10af-4c19-93e9-2cca340f93c4&#8243; button_text=&#8221;Falls Project Summary Infographic&#8221; url_new_window=&#8221;on&#8221; _builder_version=&#8221;4.27.7&#8243; _module_preset=&#8221;default&#8221; custom_button=&#8221;on&#8221; button_text_color=&#8221;#1F1F1F&#8221; button_bg_color=&#8221;#FF8200&#8243; button_border_width=&#8221;2px&#8221; button_border_radius=&#8221;3px&#8221; button_font=&#8221;Roboto|400|||||||&#8221; button_text_size=&#8221;16px&#8221; custom_margin=&#8221;0px|14px|10px|0px|true|true&#8221; custom_padding=&#8221;13px|24px|13px|24px|true|true&#8221; global_colors_info=&#8221;{}&#8221; button_border_color=&#8221;#FF8200&#8243;][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>ProblemDespite evidence that some falls prevention interventions can work in hospitals, translation of evidence is difficult, possibly due to differences in settings, patient profiles and falls rates; high patient turnover, the perception that everything is being done, availability of resources and focus on screening rather than intervention. This project has developed and trialled a context [&hellip;]<\/p>\n","protected":false},"featured_media":1485,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"resource-topics":[15,17],"class_list":["post-1180","marc_research","type-marc_research","status-publish","has-post-thumbnail","hentry","marc_theme-falls-and-balance-research","marc_theme-hospital-care-research"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A Pragmatic Approach to Developing Falls Prevention Interventions in a Hospital Setting - MARC<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Pragmatic Approach to Developing Falls Prevention Interventions in a Hospital Setting - MARC\" \/>\n<meta property=\"og:description\" content=\"ProblemDespite evidence that some falls prevention interventions can work in hospitals, translation of evidence is difficult, possibly due to differences in settings, patient profiles and falls rates; high patient turnover, the perception that everything is being done, availability of resources and focus on screening rather than intervention. 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