Trial reportInternational journal of nursing studies2026
Investigating the effectiveness of mobilisation alarms to prevent hospital falls using disinvestment: A randomised clinical trial.
Trial report in International journal of nursing studies, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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
2 citing papers in PubMed.
- Systematic Review and Meta-Analyses of Mobilization Alarms for Prevention of Falls in Hospital.Journal of the American Geriatrics Society · 2026Review
- Hospital Fall Prevention Practices and Implementation Strategies: A Multisite Observational Study.Journal of patient safety · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
22 authors.
Funding
Abstract
backgroundMobilisation alarms are commonly used in hospitals to prevent falls in patients who are at high risk for falls, yet the evidence for their effectiveness is uncertain.
objectiveTo investigate the effectiveness of mobilisation alarms to prevent falls in hospitals.
designThis was a 3-group, concurrent, non-inferiority, stepped wedge, clinical trial with an embedded parallel, cluster randomised design that adopted a disinvestment approach. Disinvestment from the intervention was carried out from 1st April 2023 to 31st January 2024. SETTING(S): This study was conducted in one private health service and four public health services in Metropolitan Melbourne, Australia.
participantsAcute and sub-acute hospital wards with at least a 3 % rate of use of mobilisation alarms. Twenty-two wards were screened and found eligible for the trial, 18 wards were recruited and randomised. A random subsample of patients in the recruited wards completed questionnaires.
methodsTwo conditions were evaluated against the "current" condition of high alarm use (>3 %), a "reduced" rate of use of mobilisation alarms (<3 % but >0 %) and "eliminated" use of alarms (0 %). Rate of falls was the primary clinical outcome; data for a range of other measures were collected for secondary clinical and intervention outcomes.
resultsThere were 11 acute wards and 7 sub-acute wards with 157,037 occupied bed days observed; 1319 individual patients completed questionnaires. Non-inferiority of the "reduced" condition compared to the "current" condition was demonstrated [95 %, one-tailed, non-inferiority confidence limit of 2.00 falls/1000 occupied bed days (OBDs) increase] but not for the "eliminated" condition (3.68 falls/1000 OBDs increase). Superiority of any intervention condition was not demonstrated over another ["current" vs "reduced": 0.22 falls/1000 OBDs (two-tailed, 95 % CI: -1.89 to 2.34), "current" vs "eliminated": 0.90 (-2.41 to 4.21), "reduced" vs "eliminated": 0.67 (-2.12 to 3.47)]. Patients' frequency of sleep disturbance due to alarms was reduced in the "eliminated" condition [ordered logistic coefficient 0.47 (0.08 to 0.87)].
conclusionsReduction in use of mobilisation alarms was not inferior to usual care, but complete elimination was uncertain. REGISTRATION: The trial was registered with the Australian New Zealand Clinical Trials Registry, trial ID: ACTRN12621000823875p (https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12621000823875p). Registered on 28/06/2021, first enrolment on 26/10/2022.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.