Evidence map›Paper›PMID 38275097›Full record

Trial reportAge and ageing2024

Preventing hospital falls: feasibility of care workforce redesign to optimise patient falls education.

Meg E Morris, Claire Thwaites, Rosalie Lui, Steven M McPhail, Terry Haines, Debra Kiegaldie, Hazel Heng, Louise Shaw, Susan Hammond, Jonathan P McKercher and 5 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Age and ageing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 4 pooled it
17.3field-weighted citation impact, top 1% 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

17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 25 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

15 authors at 8 institutions in 2 countries.

Meg E MorrisAcademic and Research Collaborative in Health (ARCH), and Care Economy Research Institute (CERI), La Trobe University, Melbourne, VIC, Australia.
Claire ThwaitesAcademic and Research Collaborative in Health (ARCH), and Care Economy Research Institute (CERI), La Trobe University, Melbourne, VIC, Australia.
Rosalie LuiVictorian Rehabilitation Centre, Healthscope, Glen Waverley, Melbourne, VIC, Australia.
Steven M McPhailAustralian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.
Terry HainesSchool of Primary and Allied Health Care, Monash University, Melbourne, VIC, Australia.
Debra KiegaldieFaculty of Health Sciences & Community Studies, Holmesglen Institute, Melbourne, VIC, Australia.
Hazel HengNorthern Health Academic and Research Collaborative in Health (ARCH), La Trobe University, Melbourne, VIC, Australia.
Louise ShawAcademic and Research Collaborative in Health (ARCH), and Care Economy Research Institute (CERI), La Trobe University, Melbourne, VIC, Australia.
Susan HammondVictorian Rehabilitation Centre, Healthscope, Glen Waverley, Melbourne, VIC, Australia.
Jonathan P McKercherAcademic and Research Collaborative in Health (ARCH), and Care Economy Research Institute (CERI), La Trobe University, Melbourne, VIC, Australia.ORCID 0000-0002-8839-8353
Matthew KnightVictorian Rehabilitation Centre, Healthscope, Glen Waverley, Melbourne, VIC, Australia.
Leeanne M CareyOccupational Therapy, Department of Community and Clinical Health, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC, Australia.
Richard GraySchool of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia.
Ron ShorrDepartment of Epidemiology, University of Florida, Gainesville, FL, USA.
Anne-Marie HillSchool of Allied Health, Western Australian Centre for Health & Ageing, The University of Western Australia, Perth, WA, Australia.
La Trobe University · AUEastern Health · AUMater Health Services · AUMonash University · AUNorthern Health · AUThe University of Melbourne · AUThe University of Western Australia · AUUniversity of Florida · US

Funding

Healthscope and La Trobe UniversityNational Health and Medical Research Council Partnership GNT1152853Royal Perth Hospital Research Foundation
6 · The paper itself

Abstract

objectiveTo examine the feasibility of using allied health assistants to deliver patient falls prevention education within 48 h after hospital admission. DESIGN AND

settingFeasibility study with hospital patients randomly allocated to usual care or usual care plus additional patient falls prevention education delivered by supervised allied health assistants using an evidence-based scripted conversation and educational pamphlet.

participants(i) allied health assistants and (ii) patients admitted to participating hospital wards over a 20-week period. OUTCOMES: (i) feasibility of allied health assistant delivery of patient education; (ii) hospital falls per 1,000 bed days; (iii) injurious falls; (iv) number of falls requiring transfer to an acute medical facility.

results541 patients participated (median age 81 years); 270 control group and 271 experimental group. Allied health assistants (n = 12) delivered scripted education sessions to 254 patients in the experimental group, 97% within 24 h after admission. There were 32 falls in the control group and 22 in the experimental group. The falls rate was 8.07 falls per 1,000 bed days in the control group and 5.69 falls per 1,000 bed days for the experimental group (incidence rate ratio = 0.66 (95% CI 0.32, 1.36; P = 0.26)). There were 2.02 injurious falls per 1,000 bed days for the control group and 1.03 for the experimental group. Nine falls (7 control, 2 experimental) required transfer to an acute facility. No adverse events were attributable to the experimental group intervention.

conclusionsIt is feasible and of benefit to supplement usual care with patient education delivered by allied health assistants.

Indexed as

HospitalizationHospitalsAged, 80 and overFeasibility StudiesHumansWorkforcecare economycare workforcefallshospitalinjurious fallsolder peoplepublic involvementqualitysafety

Identifiers

PMID38275097
PMCPMC10811524
OpenAlexW4391263773

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.