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Title: The 6 pack programme to decrease fall related injuries in acute hospitals: for a cluster randomised controlled trial.
Epworth Authors: Botti, Mari
Other Authors: Barker, Anna
Brand, Caroline
Haines, Terry
Hill, Keith
Brauer, Sandra
Jolley, Damien
Cumming, Robert
Livingston, Patricia
Sherrington, Cathie
Keywords: Injury Prevention
Acute Hospitals
6 Pack Programme
Accidental Falls
Risk Assessment
Treatment Outcome
Fall Related Injuries
Fall Related Fractures
Attitude Of Health Personnel
Wounds And Injuries
Prevention Of Wounds And Injuries
Risk Assessment
Randomised Control Trial
Epworth/Deakin Centre for Clinical Nursing Research, Melbourne, Victoria, Australia.
Issue Date: Aug-2011
Publisher: BMJ
Citation: Inj Prev. 2011 Aug;17(4):e5
Abstract: 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 activity over the last decade, rates of reported fall-related fractures in hospitals appear not to have decreased. This cluster randomised controlled trial (RCT) aims to determine the efficacy of the 6-PACK programme for preventing fall-related injuries, and its generalisability to other acute hospitals. METHODS: 24 acute medical and surgical wards from six to eight hospitals throughout Australia will be recruited for the study. Wards will be matched by type and fall-related injury rates, then randomly allocated to the 6-PACK intervention (12 wards) or usual care control group (12 wards). The 6-PACK programme includes a nine-item fall risk assessment and six nursing interventions: 'falls alert' sign; supervision of patients in the bathroom; ensuring patient's walking aids are within reach; establishment of a toileting regime; use of a low-low bed; and use of bed/chair alarm. Intervention wards will be supported by a structured implementation strategy. The primary outcomes are fall and fall-related injury rates 12 months following 6-PACK implementation. DISCUSSION: This study will involve approximately 16,000 patients, and as such is planned to be the largest hospital fall prevention RCT to be undertaken and the first to be powered for the important outcome of fall-related injuries. If effective, there is potential to implement the programme widely as part of daily patient care in acute hospital wards where fall-related injuries are a problem.
DOI: 10.1136/injuryprev-2011-040074
PubMed URL:
ISSN: 1353-8047
Journal Title: Injury Prevention
Type: Journal Article
Affiliated Organisations: The Centre for Research Excellence in Patient Safety, Department of Epidemiology and Preventative Medicine, Monash University, Victoria, Australia.
Physiotherapy Department, Monash University and Allied Health Research Unit, Southern Health, Monash University, Victoria, Australia
Faculty of Health Sciences, La Trobe University and Northern Health, Victoria Australia
Division of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia
School of Public Health and ANZAC Research Institute, Sydney Medical School, The University of Sydney, New South Wales, Australia
The George Institute for Global Health, The University of Sydney, New South Wales, Australia
Centre for Health Economics, Monash University, Victoria, Australia
Northern Health, Melbourne, Victoria, Australia
Type of Clinical Study or Trial: Randomized Controlled Clinical Trial/Controlled Clinical Trial
Appears in Collections:Health Administration

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