IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v29y2020i23-24p4505-4513.html
   My bibliography  Save this article

Falls risk score removal does not impact inpatient falls: A stepped‐wedge, cluster‐randomised trial

Author

Listed:
  • Joanna Jellett
  • Cylie Williams
  • Diana Clayton
  • Virginia Plummer
  • Terry Haines

Abstract

Aims and objectives To investigate the impact of removing a falls risk screening tool from an overall falls risk assessment programme on the rate of falls, injurious falls and completion of falls prevention activities by staff. Background Falls in older patients are common adverse events in hospital settings. Screening and assessing individual patients for risk of falls are a common, but controversial element of falls prevention strategies in hospitals. Design A stepped‐wedge, cluster‐randomised controlled trial using a disinvestment approach. Methods This trial was carried out according to the Consolidated Standards of Reporting Trials (CONSORT). All patients were admitted to 20 health service wards (9 units) over the 10‐month study period. The control condition contained a falls risk screening tool element, a full falls risk factor assessment and intervention provision section. In the intervention condition, only the full falls risk factor assessment and intervention provision section was applied, and the falls risk screening tool element was removed. Fall rates were extracted from hospital level data, files were audited for tool completion, and nurses surveyed about tool use. Results There did not appear to be an impact on the falls rate per month when the risk screening tool component was removed (incidence rate ratio (IRR) = 0.84—favours intervention, 95%CI = 0.67 to 1.05, p = .14) nor on the falls rate with serious injury (IRR = 0.90, 95%CI = 0.26 to 3.09, p = .87). There was a thirty‐six second reduction of time per patient reported by staff to complete paperwork (p

Suggested Citation

  • Joanna Jellett & Cylie Williams & Diana Clayton & Virginia Plummer & Terry Haines, 2020. "Falls risk score removal does not impact inpatient falls: A stepped‐wedge, cluster‐randomised trial," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(23-24), pages 4505-4513, December.
  • Handle: RePEc:wly:jocnur:v:29:y:2020:i:23-24:p:4505-4513
    DOI: 10.1111/jocn.15471
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.15471
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.15471?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Bruno Roza da Costa & Anne Wilhelmina Saskia Rutjes & Angelico Mendy & Rosalie Freund-Heritage & Edgar Ramos Vieira, 2012. "Can Falls Risk Prediction Tools Correctly Identify Fall-Prone Elderly Rehabilitation Inpatients? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Terry P Haines & Mari Botti & Natasha Brusco & Lisa O’Brien & Bernice Redley & Kelly-Ann Bowles & Alison Hutchinson & Debra Mitchell & Joanna Jellett & Kate Steen & Leanne Boyd & Melinda Webb-St Mart , 2021. "Disinvestment in the presence of uncertainty: Description of a novel, multi-group, disinvestment trial design and protocol for an application to reduce or cease use of mobilisation alarms for preventi," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-17, December.
    2. Elissa Dabkowski & Simon J. Cooper & Jhodie R. Duncan & Karen Missen, 2022. "Exploring Hospital Inpatients’ Awareness of Their Falls Risk: A Qualitative Exploratory Study," IJERPH, MDPI, vol. 20(1), pages 1-14, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      More about this item

      Statistics

      Access and download statistics

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:29:y:2020:i:23-24:p:4505-4513. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.