Evidence map›Paper›PMID 31208427›Full record

ArticleBMC health services research2019

Factors influencing fall prevention for patients with spinal cord injury from the perspectives of administrators in Canadian rehabilitation hospitals.

H Singh, B C Craven, H M Flett, C Kerry, S B Jaglal, M P Silver, K E Musselman

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 22 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

H SinghSCI Mobility Lab, Toronto Rehabilitation Institute - University Health Network, 520 Sutherland Dr, Toronto, ON, M4G 3V9, Canada.
B C CravenSCI Mobility Lab, Toronto Rehabilitation Institute - University Health Network, 520 Sutherland Dr, Toronto, ON, M4G 3V9, Canada.
H M FlettSCI Mobility Lab, Toronto Rehabilitation Institute - University Health Network, 520 Sutherland Dr, Toronto, ON, M4G 3V9, Canada.
C KerrySCI Mobility Lab, Toronto Rehabilitation Institute - University Health Network, 520 Sutherland Dr, Toronto, ON, M4G 3V9, Canada.
S B JaglalSCI Mobility Lab, Toronto Rehabilitation Institute - University Health Network, 520 Sutherland Dr, Toronto, ON, M4G 3V9, Canada.
M P SilverSCI Mobility Lab, Toronto Rehabilitation Institute - University Health Network, 520 Sutherland Dr, Toronto, ON, M4G 3V9, Canada.
K E MusselmanSCI Mobility Lab, Toronto Rehabilitation Institute - University Health Network, 520 Sutherland Dr, Toronto, ON, M4G 3V9, Canada. Kristin.Musselman@uhn.ca.
University Health Network · CAToronto Rehabilitation Institute · CAUniversity of Toronto · CA

Funding

Craig H. Neilsen Foundation 440070
6 · The paper itself

Abstract

backgroundFall prevention is a priority in Canadian tertiary rehabilitation hospitals. We aimed to understand the perspectives of hospital administrators on the challenges experienced when implementing fall prevention policies/procedures for patients with spinal cord injury (SCI) in tertiary rehabilitation hospitals.

methodsSemi-structured interviews were conducted with 10 administrators employed in six Canadian tertiary rehabilitation hospitals. Guided by an interpretive description framework, interviews were analyzed using a constant comparison approach.

resultsChallenges with fall prevention experienced by administrators fell into the three categories: 1) fall prevention policy and procedural challenges (e.g. fall prevention policy not SCI-specific, expectation of zero falls, determining contributing factors, learning from falls, and overall effectiveness of the fall prevention policy), 2) clinician-related challenges (e.g. variable staff adherence with the organizations' fall prevention procedures, inconsistent delivery of fall prevention education, and integrating individualized fall risks to guide clinical practice), and 3) patient-related challenges (e.g. balancing risk vs independence and rehabilitation progress, responsibility for fall prevention, and non-preventable falls).

conclusionsFall prevention policies/procedures required by the hospitals were insufficient for clinical practice in SCI rehabilitation.

Indexed as

Hospital AdministratorsHospitals, RehabilitationAccidental FallsCanadaData CollectionHealth BehaviorHealth Services ResearchHumansPractice Guidelines as TopicRisk FactorsSpinal Cord InjuriesAdministratorsFall preventionHealth policyInterpretive descriptionRehabilitation hospitalSpinal cord injury

Identifiers

PMID31208427
PMCPMC6580568
OpenAlexW2950258570

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.