The recommendations presented in this toolkit are based on a review of the evidence in the scientific literature, consensus recommendations, and expert input. To provide additional guidance for your fall prevention program, we have included references to programs that implemented many of the strategies presented in the toolkit within U.S. acute care hospitals.
For a full evidence review of the literature, see Hempel S, Newberry S, Wang Z, et. al. Review of the evidence on falls prevention in hospitals. RAND Working Paper WR-907-AHRQ. Santa Monica, CA: RAND Corporation; 2012. Available at: www.rand.org/pubs/working_papers/WR907.html .
|Toolkit Section||Studies Implementing Fall Prevention Practices|
|1. Are you ready for this change?|
|2.1. How can you set up the implementation team for success?|
|2.2. What needs to change and how do you need to redesign it?|
|2.3. How should goals and plans for change be developed?|
|3.2. What are universal fall precautions and how should they be implemented?|
|3.3. What is a standardized assessment of risk factors for falls, and how should this assessment be conducted?|
|3.4. How should identified risk factors be used for fall prevention care planning?|
|3.5. How should you assess and manage patients after a fall?|
|4.1. What roles and responsibilities will staff have in preventing falls?|
|4.3. How do you put the new practices into operation?|
|5.1. How do you measure fall rates?|
|5.2. How do you measure fall prevention practices?|
|6. How do you sustain an effective fall prevention program?|