Trial reportJoint Commission journal on quality and patient safety2012
Is it possible to identify risks for injurious falls in hospitalized patients?
Trial report in Joint Commission journal on quality and patient safety, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 77 citations in OpenAlex.
- Preventing hospital falls: feasibility of care workforce redesign to optimise patient falls education.Age and ageing · 2024Trial
- Observational
- Sex differences in fall circumstances and injury biomechanics among older adults: A narrative review.Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine · 2026Review
- Individual Pharmacotherapy Management (IPM-II) for Patient and Drug Safety in Polypharmacy via Clinical Electronic Health Record Is Associated with Significant Fall Prevention.Pharmaceuticals (Basel, Switzerland) · 2024Article
- Implementing falls prevention patient education in hospitals - older people's views on barriers and enablers.BMC nursing · 2024Article
- Revealing the tension: The relationship between high fall risk categorization and low patient mobility.Journal of the American Geriatrics Society · 2023Article
- Risk stratification for early and late falls in acute care settings.Journal of clinical nursing · 2023Article
- Association between fall-related serious injury and activity during fall in an acute care hospital.PloS one · 2023Article
- Using human factors and ergonomics principles to prevent inpatient falls.BMJ open quality · 2022Article
- Examining the Relationship Between Environmental Factors and Inpatient Hospital Falls: Protocol for a Mixed Methods Study.JMIR research protocols · 2021Article
- Risk Factors for Fall-Related Serious Injury among Korean Adults: A Cross-Sectional Retrospective Analysis.International journal of environmental research and public health · 2021Article
- Association Between Characteristics of Injurious Falls and Fall Preventive Interventions in Acute Medical and Surgical Units.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020Article
- Developing a Scoring Model to Predict the Risk of Injurious Falls in Elderly Patients: A Retrospective Case-Control Study in Multicenter Acute Hospitals.Clinical interventions in aging · 2020Article
- Patient and system factors associated with unassisted and injurious falls in hospitals: an observational study.BMC geriatrics · 2019Observational
- Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital.Einstein (Sao Paulo, Brazil) · 2019Article
- In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units in Four Hospitals in the United States.Joint Commission journal on quality and patient safety · 2019Article
- One-Year Mortality Rates Before and After Implementing Quality-Improvement Initiatives to Prevent Inpatient Falls (2012⁻2016).Geriatrics (Basel, Switzerland) · 2018Article
- Identifying protective and risk factors for injurious falls in patients hospitalized for acute care: a retrospective case-control study.BMC geriatrics · 2017Article
- Fall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions.Sensors (Basel, Switzerland) · 2017Review
- Transcultural adaptation of the Johns Hopkins Fall Risk Assessment Tool.Revista latino-americana de enfermagem · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundPatient falls are among the most commonly reported adverse hospital events with more than one million occurring annually in the United States; approximately 10% result in serious injury. A retrospective study was conducted to determine predictors and outcomes of fall injuries among a cohort of adult hospitalized patients.
methodsData were obtained regarding patients who sustained an initial fall in hospital during a 26-month period from 16 adult general medical and surgical units in an urban university-affiliated community hospital. Data on intrinsic (individual) factors, extrinsic (environmental) factors, and situational activities were collected via nurse and patient interviews, patient examinations, and audits of incident reports and electronic health records. Fall injuries were classified as none/any for analyses. Unadjusted odds ratios [ORs] and 95% confidence intervals [CIs] for each of the variables of interest with fall injury were generated using logistic regressions.
resultsThe 784 patients had a median age of 63.5 years (range, 20 to > 90 years), 390 (50%) were women, and 526 (67%) were black. Some 228 (29%) fallers sustained injury; patients who were white (OR: 2.23; 95% CI: 1.62, 3.08), or were administered a selective serotonin reuptake inhibitor (OR: 1.04; 95% CI: 1.04, 2.67), two antipsychotic agents (OR: 3.26; 95% CI: 1.20, 8.90), an opiate (OR: 1.59; 95%; CI: 1.14, 2.20), or a diuretic non-antihypertensive agent (OR: 1.53; 95% CI: 1.03, 2.26) were more likely to sustain an injury. Home-based wheelchair use was protective of fall injury (OR: 0.20; 95% CI: 0.05, 0.84). Seventy-nine percent of the patients had been designated as "high" fall risk within 24 hours before the fall.
conclusionsFew variables were able to distinguish patients who sustained injury after a hospital fall, further challenging clinicians' efforts to minimize hospital-related fall injury.
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