Falls in Elderly People- October 2012

 

 

Falls Assessment – Quarterly Update  

October -2012

 

 

 


Welcome to the first Quarterly bulletin on Falls Assessment being produced by the HEFT Library Services. This bulletin is produced to support VITAL for Nurses core skills programme developed in the Trust. This issue will highlight evidence published between May –October 2012. Full text articles can be accessed via your HEFT Athens ID.

National Guidelines and Reports

 

Guidelines for the Physiotherapy management of older people at risk of falling.

Produced by the AGILE Falls guidelines working group: Victoria Goodwin & Louise Briggs, August 2012

This updates the previous guideline ‘‘Guidelines for the rehabilitative management of elderly people who have fallen’ and aims to provide Physiotherapy focussed summary of the current evidence and to supplement Chartered Society of Physiotherapy and AGILE Standards of Practice

 

Osteoporosis fragility fracture risk: EIA recommendations

NICE guidance, August 2012

The short clinical guideline advises on methods to help clinicians assess who might be at risk of a fragility fracture, and will support them in identifying who will benefit from treatments that help prevent such fractures occurring.

 

Acute Care toolkit 3: Acute medical care for frail older people.

Royal College of Physicians, March 2012

This toolkit, the third in a series on acute care, recommends procedures for both initial assessment on admission and later Comprehensive Geriatric Assessment (CGA). 

 

Falls prevention: new approaches to integrated falls prevention services

NHS Confederation, April 2012

This Briefing shares the learning and recommendations from a workshop for members held by the NHS Confederation and the Ambulance Service Network on falls prevention strategies for the older population.

National Osteoporosis Society: Falls and Fractures Alliance.

The Falls and Fractures Declaration

The National Osteoporosis Society and Age UK have established a new Falls and Fractures Alliance in England. Members of the Alliance have all signed the Falls and Fractures Declaration which is a commitment to reduce the rate of hip fractures and falls related injuries in older people over the next five years.
 

National Falls and Bone Health Audit

This site provides access to all the latest information for the National Audit of Falls and Bone Health in Older People which is being undertaken by the Clinical Effectiveness & Evaluation Unit of the Royal College of Physicians. Links to FallSafe workshop resources and patient involvement projects are also available.

 

 

Falls Prevention

  • Fracture prevention
  • Patient safety
  • Assessment and prevention in older people

 

Title: Interventions for preventing falls in older people living in the community.

Citation: Cochrane Database of Systematic Reviews, 2012, vol./is. 9/(CD007146), 1361-6137;1469-493X (2012) Author(s): Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE

Abstract: This is an update of a Cochrane review first published in 2009. Aims is to assess the effects of interventions designed to reduce the incidence of falls in older people living in the community. Full Text: Available in fulltext at Wiley


 

 

 

Title: Exploration of the association between quality of life, assessed by the EQ-5D and ICECAP-O, and falls risk, cognitive function and daily function, in older adults

with mobility impairments.

Citation: BMC Geriatr. 2012 Oct 24;12(1):65. [Epub ahead of print] Author(s): Davis JC, Bryan S, McLeod R, Rogers J, Khan K, Liu-Ambrose T.

Abstract: The research sought to understand how falls risk, cognitive function, and daily function are associated with health related quality of life (using the EuroQol-5D) and quality of life (using the ICECAP-O) among older adults with mobility impairments.

Full text: Available in full text here.


 

Title: "The balancing act"--- Licensed practical nurse experiences of falls and fall prevention: a qualitative study.

Citation: BMC Geriatr. 2012 Oct 15;12(1):62. [Epub ahead of print] Author(s): Häggqvist B, Stenvall M, Fjellman-Wiklund A, Westerberg K, Lundin-Olsson L.

Abstract: The aim of this study was to describe licensed practical nurse experiences of predicting and preventing further falls when working with patients who had experienced a fall-related fracture. Licensed practical nurses are the main caretakers that work most closely with the patients.

Full Text: Available in full text here.


 

Title: Is It Possible to Identify Risks for Injurious Falls in Hospitalized Patients?

Citation: Joint Commission Journal on Quality & Patient Safety, 01 September 2012, vol./is. 38/9(408-413), 15537250 Author(s): Mion, Lorraine C., Chandler, A. Michelle, Waters, Teresa M., Dietrich, Mary S., Kessler, Lori A., Miller, Stephen T., Shorr, Ronald I.

Abstract: A retrospective study was conducted to determine predictors and outcomes of fall injuries among a cohort of adult hospitalized patients.


 

Title: Good memory as a predictor of falls: fact or artefact.

Citation: Age & Ageing, May 2012, vol./is. 41/3(404-8), 0002-0729;1468-2834 (2012 May)

Author(s): Delbaere K, Close JC, Kochan NA, Sachdev PS, Lord SR

Abstract: To investigate the influence of memory in relation to fall reporting.


 

Title: Fall prevention in hospitals: an integrative review.

Citation: Clinical Nursing Research, Feb 2012, vol. 21, no. 1, p. 92-112, 1054-7738 (February 2012) Author(s): Spoelstra, Sandra L., Given, Barbara A., Given, Charles W.

Abstract: This article summarizes research and draws overall conclusions from the body of literature on fall prevention interventions to provide nurse administrators with a basis for developing evidence-based fall prevention programs in the hospital setting.


 

Title: A pilot study testing a fall prevention intervention for older adults: determining the feasibility of a five-sensor motion detection system.

Citation: Journal of Gerontological Nursing, Jan 2012, vol. 38, no. 1, p. 13-16, 0098-9134 (January 2012) Author(s): Ferrari, Marisa, Harrison, Barbara, Rawashdeh, Osamah, Rawashdeh, Muawea, Hammond, Robert, Maddens, Michael

Abstract: Interventions to prevent hospital-based falls in older adults are critically important to reduce morbidity, mortality, and health care costs. The purpose of this pilot study was to test the accuracy and acceptability of a wireless five-sensor motion detection system (5S-MDS) for detecting falls. Full Text: Available in fulltext at ProQuest


 

Title: Fall prevention through patient partnerships.

Citation: Nurse Practitioner, July 2012, vol./is. 37/7(14-9; quiz 19-20), 0361-1817;1538-8662 (2012 Jul 10) Author(s): Day JR, Ramos LC, Hendrix CC

Abstract: Falls in community-dwelling older adults are often preventable, yet remain the leading cause of deaths due to injury and a major cost to the healthcare system. Primary care nurse practitioners who care for older adults can minimize the risk for falls by using specific assessment and prevention strategies.


 

Title: Using root cause analysis to reduce falls with injury in community settings.

Citation: Joint Commission Journal on Quality & Patient Safety, August 2012, vol./is. 38/8(366-74), 1553-7250;1553-7250 (2012 Aug) Author(s): Lee A, Mills PD, Neily J

Abstract: Falls are a common occurrence for older adults living in the community that may lead to physical injury and psychological harm. The US Department of Veterans Affairs National Center for Patient Safety (NCPS) database contains root cause analysis (RCA) reviews that identify falls resulting in injury in the community and subsequent action plans that may be helpful to prevent future falls.


 

Title: Effectiveness of Tai Chi as a Community-Based Falls Prevention Intervention: A Randomized Controlled Trial.

Citation: Journal of the American Geriatrics Society, 01 May 2012, vol./is. 60/5(841-848), 00028614 Author(s): Taylor, Denise, Hale, Leigh, Schluter, Philip, Waters, Debra L., Binns, Elizabeth E., McCracken, Hamish, McPherson, Kathryn, Wolf, Steven L.

Abstract: To compare the effectiveness of tai chi and low-level exercise in reducing falls in older adults; to determine whether mobility, balance, and lower limb strength improved and whether higher doses of tai chi resulted in greater effect.

Full Text: Available from EBSCOhost EJS in Journal of the American Geriatrics Society


 

Title: Nintendo Wii As a Training Tool in Falls Prevention Rehabilitation: Case Studies.

Citation: Journal of the American Geriatrics Society, 01 September 2012, vol./is. 60/9(1781-1783), 00028614 Author(s): Taylor, Matthew J. D., Shawis, Teshk, Impson, Rebecca, Ewins, Katie, McCormick, Darren, Griffin, Murray

Full Text: Available from EBSCOhost EJS in Journal of the American Geriatrics Society


 

 

Title: Falls prevention: risk assessment and intervention.

Citation: World of Irish Nursing & Midwifery, Jun 2012, vol. 20, no. 5, p. 37-38, 1393-8088 (June 2012) Author(s): Groarke, Amanda

Abstract: Continuing Education, module 18: bone health. Serious consequences for the older population of falling and the components of a multifactorial falls risk assessment. The assessment should be followed by a tailored intervention with identified risk factors being targeted. [ORIGINAL] 12 references

Full Text: Available in fulltext at EBSCOhost


 

Title: REDUCING FALLS AMONG OLDER PEOPLE IN HOSPITAL.

Citation: Nursing Older People, 01 June 2012, vol./is. 24/5(16-19), 14720795

Author(s): Dean, Erin

Abstract: This article discusses the FallSafe project that aimed to reduce falls in inpatient settings.

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Risk Factors for Falls in Elderly Adults: Not Only Pharmacological Effects...

Citation: Journal of the American Geriatrics Society, 01 July 2012, vol./is. 60/7(1389-1390), 00028614 Author(s): Malafarina, Vincenzo, Úriz-Otano, Francisco, Iniesta, Raquel, Vallejo-García, Víctor, Conesa-Pla, Ana, Pérez-Lázaro, Arancha, Gil-Guerrero, Lucía

Full Text: Available in fulltext at EBSCOhost EJS


 

Title: Focus on falls prevention.

Citation: Nursing Older People, June 2012, vol./is. 24/5(3), 1472-0795;1472-0795 (2012 Jun) Author(s): Berry L

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Falls prevention: assessment and intervention.

Citation: British Journal of Healthcare Assistants, May 2012, vol. 6, no. 5, p. 230-234, 1753-1586 (May 2012) Author(s): Nazarko, Linda

Abstract: Prevention of falls in hospital patients, including falls risk factors and the increased risk with elderly patients. Tools for risk assessment are described and referral to falls clinics is discussed. [ORIGINAL] 20 references

Full Text: Available in fulltext at EBSCOhost EJS; Note: Click on link "Available on Publisher's Site:" Available in print at Heartlands Staff Library


 

Title: Medication-Related Falls in the Elderly: Causative Factors and Preventive Strategies.

Citation: Drugs & Aging, 01 May 2012, vol./is. 29/5(359-376), 1170229X

Author(s): Huang, Allen R., Mallet, Louise, Rochefort, Christian M., Eguale, Tewodros, Buckeridge, David L., Tamblyn, Robyn Language: English


 

Title: Preventing falls and keeping patients safe.

Citation: Nursing New Zealand (Wellington), May 2012, vol./is. 18/4(32), 1173-2032;1173-2032 (2012 May) Author(s): Weston K

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Geriatric Conditions and Adverse Drug Reactions in Elderly Hospitalized Patients.

Citation: Journal of the American Medical Directors Association, 01 February 2012, vol./is. 13/2(96-99), 15258610 Author(s): Lattanzio, Fabrizia, Laino, Irma, Pedone, Claudio, Corica, Francesco, Maltese, Giuseppe, Salerno, Giovanni, Garasto, Sabrina, Corsonello, Andrea, Incalzi, Raffaele Antonelli

Abstract: To investigate the relationship between clinical conditions typically observed in the geriatric patients (geriatric conditions) and adverse drug reactions in older patients admitted to acute care hospitals.


 

Title: Fall prevention in hospitals: an integrative review.

Citation: Clinical Nursing Research, Feb 2012, vol. 21, no. 1, p. 92-112, 1054-7738 (February 2012) Author(s): Spoelstra, Sandra L., Given, Barbara A., Given, Charles W.

Abstract: This article summarizes research and draws overall conclusions from the body of literature on fall prevention interventions to provide nurse administrators with a basis for developing evidence-based fall prevention programs in the hospital setting.


 

Title: A personal approach to fight falls.

Citation: Long-Term Living, Feb 2012, vol. 61, no. 2, p. 16., 1940-9958 (February 2012)

Author(s): Walters, Jo

Abstract: Clinically Speaking series. Staff responses to falls in long-term care facilities. The importance of investigating the reasons for the fall, looking at the patient's history of previous falls, and of communication and listening to the patient are stressed. [ORIGINAL] 0 references

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Preventing falls in older people.

Citation: Nursing Standard, Jan 2012, vol. 26, no. 20, p. 59., 0029-6570 (January 18, 2012)

Author(s): Lindus, Loraine

Abstract: Practice Profile series. Reflection on Continuing Professional Development, NS608 on risk assessment and interventions to prevent falls in older people. Lessons learned by a third year student nurse on factors to be considered during falls risk assessments with older hospital patients are discussed. [Original] 1 reference

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: A pilot study testing a fall prevention intervention for older adults: determining the feasibility of a five-sensor motion detection system.

Citation: Journal of Gerontological Nursing, Jan 2012, vol. 38, no. 1, p. 13-16, 0098-9134 (January 2012) Author(s): Ferrari, Marisa, Harrison, Barbara, Rawashdeh, Osamah, Rawashdeh, Muawea, Hammond, Robert, Maddens, Michael

Abstract: The purpose of this pilot study was to test the accuracy and acceptability of a wireless five-sensor motion detection system (5S-MDS) for detecting falls.

Full Text: Available in fulltext at ProQuest


 

Falls

  • Injurious falls
  • Falls in hospital
  • Inpatient falls

 

Title: Systems-based safety intervention: reducing falls with injury and total falls on an orthopaedic ward.

Citation: Journal of Bone & Joint Surgery - American Volume, July 2012, vol./is. 94/13(1217-22), 1535-1386 (2012 Jul 3) Author(s): Lohse GR, Leopold SS, Theiler S, Sayre C, Cizik A, Lee MJ

Abstract: In-hospital falls can result in substantial morbidity and mortality and were declared "never events" by the Centers for Medicare & Medicaid Services in 2008. Interventions that were intended to reduce the incidence of falls based on patient risk factors have not been successful in the acute inpatient setting. The study hypothesized that a systems-based fall-prevention program targeting high-risk situations would result in fewer falls with injury.

Full Text: Available in fulltext at Ovid


 

Title: Fall prediction according to nurses' clinical judgment: differences between medical, surgical, and geriatric wards.

Citation: Journal of the American Geriatrics Society, June 2012, vol./is. 60/6(1115-21), 0002-8614;1532-5415 (2012 Jun) Author(s): Milisen K, Coussement J, Flamaing J, Vlaeyen E, Schwendimann R, Dejaeger E, Surmont K, Boonen S

Abstract: To assess the value of nurses' clinical judgment (NCJ) in predicting hospital inpatient falls.

Full Text: Available in fulltext at EBSCOhost EJS


 

Title: Older individuals with diabetes have an increased risk of recurrent falls: analysis of potential mediating factors: the Longitudinal Ageing Study Amsterdam.

Citation: Age & Ageing, May 2012, vol./is. 41/3(358-65), 0002-0729;1468-2834 (2012 May)

Author(s): Pijpers E, Ferreira I, de Jongh RT, Deeg DJ, Lips P, Stehouwer CD, Nieuwenhuijzen Kruseman AC

Abstract: To compare the incidence of recurrent falls in older people with and without diabetes, and to examine diabetes- and fall-related risk factors explaining the increased risk of recurrent falls associated with diabetes.


 

Title: Resource pack could help prevent falls among inpatients.

Citation: Nursing Older People, 01 September 2012, vol./is. 24/7(4-4), 14720795

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Preventing falls... This practice profile is based on NS608 Jones D, Whitaker T (2011) Preventing falls in older people: assessment and interventions. Nursing Standard. 25, 52, 50-55.

Citation: Nursing Standard, 22 August 2012, vol./is. 26/51(59-59), 00296570

Author(s): Tait, Derrick

Abstract: A learning zone article encouraged Derrick Tait to make changes in his workplace to avoid falls.

Full Text: Available in fulltext at EBSCOhost  Available in fulltext at ProQuest


 

Title: Understanding unassisted falls: effects of nurse staffing level and nursing staff characteristics.

Citation: Journal of Nursing Care Quality, 01 July 2012, vol./is. 27/3(194-199), 10573631

Author(s): Staggs, Vincent S, Knight, Jeff E, Dunton, Nancy

Abstract: Hierarchical Poisson modeling was used to explore hospital and nursing unit characteristics as predictors of the unassisted fall rate.


 

 

 

 

Title: Time of occurrence of in-hospital falls: a systematic mini review.

Citation: Journal of the American Geriatrics Society, June 2012, vol./is. 60/6(1183-4), 0002-8614;1532-5415 (2012 Jun) Author(s): Manfredini R, Fabbian F, Pala M, De Giorgi A, Menegatti AM, Boari B, Salmi R, Gallerani M

Full Text: Available in fulltext at EBSCOhost EJS


 

Title: Patients recovering in the hospital from total knee or hip replacement have increased risk of falls.

Citation: AHRQ Research Activities, 01 June 2012, vol./is. /382(6-6), 15370224

Author(s): D. I. L.

Full Text: Available in fulltext at EBSCOhost


 

Title: Estimating the Cost of Serious Injurious Falls in a Canadian Acute Care Hospital.

Citation: Canadian Journal on Aging, 01 June 2012, vol./is. 31/2(139-147), 07149808

Author(s): Zecevic, Aleksandra A., Chesworth, Bert M., Zaric, Gregory S., Huang, Qing, Salmon, Anneke, McAuslan, Deb, Welch, Randy, Brunton, Douglas

Abstract: The purpose of this study was to estimate the average hospital cost and length of stay (LOS) associated with serious injurious falls in an acute care hospital.


 

Title: Acute care patient falls: evaluation of a revised fall prevention program following comparative analysis of psychiatric and medical patient falls.

Citation: Applied Nursing Research, 01 May 2012, vol./is. 25/2(68-74), 08971897

Author(s): Yates, Kimberly M., Creech Tart, Rebecca

Abstract: This study examined the impact of revised fall prevention interventions on psychiatric and medical patient falls.


 

Title: PREVENTING FALLS AND KEEPING PATIENTS SAFE.

Citation: Kai Tiaki Nursing New Zealand, 01 May 2012, vol./is. 18/4(32-32), 11732032

Author(s): Weston, Kate

Abstract: Falls comprise the majority of serious and sentinel events reported in hospitals. A multidisciplinary effort is needed to address this significant issue.

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Challenges and Conundrums In the Validation of Pediatric Fall Risk Assessment Tools.

Citation: Pediatric Nursing, 01 May 2012, vol./is. 38/3(159-167), 00979805

Author(s): Ryan-Wenger, Nancy A., Kimchi-Woods, Judy, Erbaugh, Melanie A., LaFollette, Lauren, Lathrop, Janet

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: The risk factors for impulsivity-related falls among hospitalized older adults.

Citation: Rehabilitation Nursing, 01 May 2012, vol./is. 37/3(145-150), 02784807

Author(s): Ferrari, Marisa, Harrison, Barbara, Lewis, Doresea

Abstract: The research explored the association between seven fall risk factors and impulsivity related falls in hospitalized older adults in a community hospital.

Full Text: Available in fulltext at ProQuest


 

Title: Falls prevention: assessment and intervention.

Citation: British Journal of Healthcare Assistants, May 2012, vol. 6, no. 5, p. 230-234, 1753-1586 (May 2012) Author(s): Nazarko, Linda

Abstract: Prevention of falls in hospital patients, including falls risk factors and the increased risk with elderly patients. Tools for risk assessment are described and referral to falls clinics is discussed.

Full Text: Available in fulltext at EBSCOhost EJS; Note: Click on link "Available on Publisher's Site:" Available in print at Heartlands Staff Library


Title: Higher staffing levels reduce falls rate.

Citation: Nursing Standard, 14 March 2012, vol./is. 26/28(18-19), 00296570

Author(s): Hurst, Keith

Abstract: The number of untoward patient incidents such as trips, slips and falls and patient harm rates varies between different NHS acute trusts.

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Study finds greater risk of falling in residents taking antidepressants.

Citation: Nursing Older People, 01 March 2012, vol./is. 24/2(4-4), 14720795

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Falls on an inpatient rehabilitation unit: risk assessment and prevention.

Citation: Rehabilitation Nursing Journal, March 2012, vol./is. 37/2(56-61), 0278-4807;0278-4807 (2012 Mar-Apr)

Author(s): Forrest G, Huss S, Patel V, Jeffries J, Myers D, Barber C, Kosier M

Abstract: To determine the relationship between admission diagnosis and admission score on Functional Independence Measure (FIM) to the likelihood that a patient will fall. To measure the effectiveness of a multifactorial program to reduce falls.

Full Text: Available in fulltext at ProQuest


 

Title: Creating a protocol to reduce inpatient falls.

Citation: Nursing Times, March 2012, vol./is. 108/12(16-8), 0954-7762;0954-7762 (2012 Mar 20-26) Author(s): Heaton C

Abstract: This article describes how an acute trust in the North West of England improved its service through staff education and implementing a policy across the trust. The protocol included a falls risk assessment, bedrails risk/benefit assessment and preprinted falls risk assessment care plans.

Full Text: Available in fulltext at ProQuest


 

Title: Impact of early mobilization protocol on the medical-surgical inpatient population: an integrated review of literature.

Citation: Clinical Nurse Specialist, Mar 2012, vol. 26, no. 2, p. 87-94, 0887-6274 (Mar-Apr 2012) Author(s): Pashikanti, Lavanya, Von, Diane

Abstract: The purpose of this review article was to examine the efficacy of an early mobilization protocol in a hospitalised medical-surgical inpatient population.


 

Title: Psychiatric patients are at increased risk of falling and choking.

Citation: Journal of the American Psychiatric Nurses Association, March 2012, vol./is. 18/2(91-5), 1078-3903;1532-5725 (2012 Mar-Apr) Author(s): Allen DE, de Nesnera A, Robinson DA

Abstract: This article will provide a brief review of the literature related to risk factors for falls and choking and interventions to prevent falls and choking. Increased education for nursing students and staff employed at inpatient psychiatric units has the potential to reduce both incidence and injuries related to falls and choking.


 

Title: Evidence for practice. Association of patient falls with nurse staffing and hospital magnet status.

Citation: AORN Journal, 01 February 2012, vol./is. 95/2(297-298), 00012092

Full Text: Available in fulltext at ProQuest


 

Title: Falls E-learning program.

Citation: Australian Nursing Journal, 01 February 2012, vol./is. 19/7(37-37), 13203185

Author(s): Johnson, Maree, Kelly, Linda, Siric, Katica, Overs, Bronwyn

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Outcomes and challenges in implementing hourly rounds to reduce falls in orthopedic units.

Citation: Worldviews on Evidence-Based Nursing, February 2012, vol./is. 9/1(18-29), 1545-102X;1741-6787 (2012 Feb)

Author(s): Tucker SJ, Bieber PL, Attlesey-Pries JM, Olson ME, Dierkhising RA

Abstract: The purpose of this study was to evaluate the feasibility of adapting and translating a SNRI to reduce the risk and incidence of patient falls on two orthopedic inpatient units. It was hypothesized that SNRI would reduce fall rates up to 1-year post-intervention and that patient risk factors and documented SNRI activities would predict falls.


 

Title: Mining geriatric assessment data for in-patient fall prediction models and high-risk subgroups.

Citation: BMC Medical Informatics & Decision Making, 2012, vol./is. 12/(19), 1472-6947;1472-6947 (2012) Author(s): Marschollek M, Govercin M, Rust S, Gietzelt M, Schulze M, Wolf KH, Steinhagen-Thiessen E

Abstract: Our objectives are to derive comprehensible fall risk classification models from a large data set of geriatric in-patients' assessment data and to evaluate their predictive performance (aim#1), and to identify high-risk subgroups from the data (aim#2).

Full Text: Available in fulltext at EBSCOhost Available in fulltext at BioMedCentral

Available in fulltext at National Library of Medicine Available in fulltext at ProQuest


 

Title: The contribution of staff call light response time to fall and injurious fall rates: an exploratory study in four US hospitals using archived hospital data.

Citation: BMC Health Services Research, 2012, vol./is. 12/(84), 1472-6963;1472-6963 (2012) Author(s): Tzeng HM, Titler MG, Ronis DL, Yin CY

Abstract: This exploratory multi-hospital study examined the unique contribution of call light response time to predicting total fall rates and injurious fall rates in inpatient acute care settings. The conceptual model was based on Donabedian's framework of structure, process, and health-care outcomes.

Full Text: Available in fulltext at EBSCOhost Available in fulltext at BioMedCentral

Available in fulltext at National Library of Medicine Available in fulltext at ProQuest


 

Title: Preventing falls in older people.

Citation: Nursing Standard, Jan 2012, vol. 26, no. 20, p. 59., 0029-6570 (January 18, 2012)

Author(s): Lindus, Loraine

Abstract: Practice Profile series. Reflection on Continuing Professional Development, NS608 on risk assessment and interventions to prevent falls in older people. Lessons learned by a third year student nurse on factors to be considered during falls risk assessments with older hospital patients are discussed. [Original] 1 reference

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Ground-level falls: 9-year cumulative experience in a regionalized trauma system.

Citation: Baylor University Medical Center Proceedings, 01 January 2012, vol./is. 25/1(6-12), 08998280 Author(s): Cook, Alan, Cade, Angela, King, Brad, Berne, John, Fernandez, Luis, Norwood, Scott

Abstract: We hypothesized that risk-adjusted mortality would not vary between levels of trauma centre verification if regional triage functioned appropriately. Full Text: Available in fulltext at National Library of Medicine


 

Title: Hourly Rounding: A Replication Study.

Citation: MEDSURG Nursing, 01 January 2012, vol./is. 21/1(23-36), 10920811

Author(s): Olrich, Todd, Kalman, Melanie, Nigolian, Cindy

Abstract: Preventing falls in hospitalized patients, increasing patient satisfaction, and decreasing call light usage are constant challenges nurses face every day. This quasi-experimental study replicates Meade, Bursell, and Ketelsen's (2006) study on a rounding protocol, demonstrating improvements in the above variables.

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: The Epidemiology of Falls In Hospitalized Children.

Citation: Pediatric Nursing, 01 January 2012, vol./is. 38/1(31-35), 00979805

Author(s): Razmus, Ivy, Davis, Donna

Full Text: Available in fulltext at EBSCOhost Available in fulltext at ProQuest


 

Title: Comparison of fallers and nonfallers at an inpatient rehabilitation facility: a retrospective review.

Citation: Rehabilitation Nursing Journal, January 2012, vol./is. 37/1(30-6), 0278-4807;0278-4807 (2012 Jan-Feb) Author(s): Kwan F, Kaplan S, Hudson-McKinney M, Redman-Bentley D, Rosario ER

Abstract: The purpose of this study was to retrospectively examine differences between 35 patients who fell and 35 who did not during their IRF stay .

Full Text: Available in fulltext at ProQuest


 

Falls – effects

  • Syncope
  • Postural hypotension
  • Disequilibrium

 

Title: Falling down and following up.

Citation: Lancet, 08 September 2012, vol./is. 380/9845(948-948), 01406736 Author(s): Wang C, Cai WP, Tucker JD, Li LH, Hu FY

Full Text: Available from Elsevier in Lancet, The; Note: You will need to register (free of charge) with Science Direct the first time you use it.


 

Title: Efficacy of whole body vibration exercise in older people: a systematic review.

Citation: Disability & Rehabilitation, 15 June 2012, vol./is. 34/11(883-893), 09638288

Author(s): Sitjà-Rabert, Merc, Rigau, David, Fort Vanmeerghaeghe, Azahara, Romero-Rodríguez, Daniel, Bonastre Subirana, Maria, Bonfill, Xavier

Abstract: The aim of this study was to perform a systematic review of the literature on whole body vibration programs in older population and a meta-analysis of randomized controlled clinical trials.


 

 

Title: Diastolic blood pressure drop after standing as a clinical sign for increased mortality in older falls clinic patients.

Citation: Journal of Hypertension, 01 June 2012, vol./is. 30/6(1195-1202), 02636352 Author(s): Lagro J, Laurenssen NC, Schalk BW, Schoon Y, Claassen JA, Rikkert MG

Abstract: In a retrospective cohort study of 313 consecutive patients visiting the falls outpatient clinic, the authors examined the clustering of orthostatic hypotension, postprandial hypotension, and carotid sinus hypersensitivity in the same patients, which might reflect a shared similar pathophysiology. The value of hypotensive syndrome presence and the degree of blood pressure decline as prognostic indicators for mortality were assessed using Cox proportional hazards analyses.

 


 

New Books on Falls added to the HEFT Libraries

 

New books on Falls or Falls prevention have not been added to the HEFT Libraries collection in 2012. But if you would like to recommend any resources –books/journals/DVDs on Falls and Falls prevention, please email [email protected] or call x47836.

 

Further information

The following sources have been scanned on a monthly basis to collate the bulletin – British Geriatrics Society, Age UK, NPSA, Cochrane Library, NICE, Royal College of Physicians, NHS Institute for Innovation and Improvement, Chartered Society of Physiotherapists, Age and Ageing, Nursing Older People, Nursing Times, Nursing Standard, Journal of the American Geriatrics Society, BMC Geriatrics, Reviews in Clinical Gerontology and Annual Review of Gerontology and Geriatrics. Also, searches on healthcare databases such as BNI/CINHAL/MEDLINE where possible have been performed.

For a detailed list of sources that have been scanned, please contact [email protected] or ext 47836 (Good Hope Hospital)

Please login with your Athens ID on www.evidence.nhs.uk ‘before’ clicking on any of the journal full text links in this bulletin for seamless access.

From 1st November 2012, we are introducing a new system for requesting journal articles, leading to a faster and more efficient service.  Register now at http://www.basedoc.co.uk/  Use this site to request articles where there is no full text link in the bulletin.

For more information on how to register for Athens, access the Athens Registration leaflet via HEFT Library website www.heftlibrary.nhs.uk under the ‘Publications’ menu.