SynthesisBMJ open quality2024
Implementation strategies of fall prevention interventions in hospitals: a systematic review.
Synthesis in BMJ open quality, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Nursing-Led Interventions for Preventing Falls in Hospitalized Patients: A Systematic Literature Review.Nursing reports (Pavia, Italy) · 2026Review
- Selecting and tailoring implementation strategies for deimplementing fall prevention alarms in US hospitals: a group concept mapping study.BMJ quality & safety · 2026Article
- Fall Prevention and Geriatric Nursing.Healthcare (Basel, Switzerland) · 2026Article
- Exploring influencing factors on fall prevention intentions among nursing assistants: a qualitative study.Frontiers in public health · 2026Article
- Exploring barriers and facilitators to fall prevention among older adults in Saudi Arabia: a qualitative study.BMC geriatrics · 2025Article
- Rethinking falls prevention in older adults: a critical appraisal of the 2022 world falls guidelines.European geriatric medicine · 2025Article
- A pre-post intervention study to improve fall risk assessment in older hospitalised adults: the STROLL study.BMC geriatrics · 2025Observational
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe effectiveness of implementing fall prevention interventions (FPI) among hospitalised adults exhibits variability. Our review explored implementation strategies for FPIs, how these strategies are operationalised and their impact on fall rates and adherence.
methodsDatabases were searched up to October 2024 for studies reporting the implementation of FPIs in hospitalised adults. Studies were eligible if they reported at least one implementation strategy, reported a fall rate per 1000 patient days and had a control group. Implementation strategies were classified using the Expert Recommendations for Implementing Change (ERIC) taxonomy, and operationalised based on the prerequisites of Proctor.
resultsThe implementation strategies from the 48 included studies could all be categorised in the existing ERIC strategies. Almost all studies (96%) used at least one implementation strategy from the 'train and educate stakeholders' domain. The second-most used domain was 'develop stakeholder relationships'. The median number of implementation strategies per study was 6 (IQR 4-9). None of the studies reported all prerequisites per individual strategy, we found a median number of prerequisites per strategy of 2 (IQR 1-3). The action was discerned for all implementation strategies, since this was how we identified the implementation strategies. The actor was identified in 47% of the strategies, while all other prerequisites were reported less frequently. After the implementation of FPIs, the median decline in fall rate was 0.9 (IQR -1.8-.3) per 1000 patient days. Across the 17 studies that measured adherence, the median adherence rate to the FPIs was 65% (IQR 29-87).
conclusionThis review emphasises that the documented strategies for implementing FPIs do not provide adequate details in their reporting. This, in turn, hinders clinicians and researchers from optimally guiding their quality improvement projects. PROSPERO REGISTRATION NUMBER: CRD42018091173.
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