Hospitalisations due to falls by older people, Australia 2009-10 – AIHW – 4 April 2013

Posted on April 4, 2013. Filed under: Aged Care / Geriatrics | Tags: , |

Hospitalisations due to falls by older people, Australia 2009-10 – AIHW – 4 April 2013

“his report is the sixth in a series on hospitalisations due to falls by Australians aged 65 and over, and focuses on 2009-10. The estimated number of hospitalised injury cases due to falls in older people was 83,800 – more than 5,100 extra cases than in 2008-09 – and about 70% of these falls happened in either the home or an aged care facility. One in every 10 days spent in hospital by a person aged 65 and older in 2009-10 was directly attributable to an injurious fall (1.3 million patient days over the year), and the average total length of stay per fall injury case was estimated to be 15.5 days.”

ISSN 1444-3791; ISBN 978-1-74249-414-2; Cat. no. INJCAT 146; 73pp

Media release: More older Australians hospitalised after a fall, particularly women

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Falls and Fractures Declaration Launched Today – National Osteoporosis Society [UK] – October 2012

Posted on October 18, 2012. Filed under: Patient Safety | Tags: |

Falls and Fractures Declaration Launched Today – National Osteoporosis Society [UK] – October 2012

“The National Osteoporosis Society and Age UK will today launch the Falls and Fractures Declaration, a collaborative response to the changes and reforms within the NHS.”

The Falls and Fractures Alliance

The Falls and Fractures Declaration

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Falls Prevention Resources pack – Royal College of Physicians – 17 July 2012

Posted on July 18, 2012. Filed under: Patient Safety | Tags: , |

Falls Prevention Resources pack – Royal College of Physicians – 17 July 2012

“The FallSafe project involved educating, inspiring and supporting acute, rehabilitation and mental health nurses to deliver multifactorial assessments and interventions through a care bundle approach. The care bundle, the FallSafe project final report, and How to… guides for implementation comprise the Falls Prevention Resource pack, which launches today.

Access the Falls Prevention Resource.

Over 280,000 patient falls are reported from hospitals and mental health units annually, costing approximately £15 million per annum. Most hospital fallers are aged over 75 years and have multiple long term and acute illnesses. Although in purely financial terms the healthcare costs of falls are only a small fraction of a percentage of trust income and expenditure, the costs to a trusts’ reputation, patient and carer confidence, and social care costs can be significant.

The FallSafe project was delivered by the Royal College of Physicians (RCP) as part of the Health Foundation’s Closing the Gap Programme, which aimed to reduce the gap between best practice and routine delivery of care. Although all falls cannot be prevented without unacceptable restrictions to patients’ independence, dignity and privacy, research has shown that falls can be reduced by 20-30% through multifactorial assessments and interventions.

The main mechanism of improvement was supporting a designated nurse – a FallSafe lead – to lead local improvement on their own wards, influencing not only the ward nurses and healthcare support workers but also their physiotherapist, occupational therapist, pharmacist, and medical colleagues.”

… continues on the site

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Hospitalisations due to falls in older people, Australia 2008-09 – AIHW – 1 June 2012

Posted on June 5, 2012. Filed under: Aged Care / Geriatrics | Tags: , |

Hospitalisations due to falls in older people, Australia 2008-09 – AIHW – 1 June 2012

released: 1 Jun 2012 author: Bradley C

This report is the fifth in a series on hospitalisations due to falls by Australians aged 65 and older and focuses on 2008-09. For the first time in this report series, the rate of hospitalised fall injuries involving older females exceeded 3,000 per 100,000 population. The incidence of injury has continued to increase substantially over the decade to June 2009, despite a sustained decrease in the rate of hip fractures due to falls. Of note, falls that resulted in head injuries and those described as an ‘other fall on same level’ increased significantly over the study period.

ISSN 1444-3791; ISBN 978-1-74249-304-6; Cat. no. INJCAT 138; 86pp.

Continuing rise in number of older Australians hospitalised after a fall – media release

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Review of the Evidence on Falls Prevention in Hospitals. Task 4 Final Report – RAND – February 2012

Posted on March 13, 2012. Filed under: Patient Safety, Preventive Healthcare | Tags: , , |

Review of the Evidence on Falls Prevention in Hospitals. Task 4 Final Report – RAND – February 2012

by Susanne Hempel, Sydne Newberry, Zhen Wang, Paul G. Shekelle, Roberta M. Shanman, Breanne Johnsen, Tanja Perry, Debra Saliba, David A. Ganz

“To facilitate the development of a hospital falls prevention resource guide, the authors systematically reviewed and documented the existing evidence base for interventions to prevent falls in hospitals, provided an overview of the performance of existing tools with known measurement properties, and compiled available online resources. The search identified a large number of published fall prevention intervention evaluations. Almost all interventions were multi-component in nature and included fall risk assessments and education for staff and patients and/or families. Intervention complexity and organizational implications varied widely. The review also identified a wide variety of tools for the prevention of falls in hospitals; the majority of the documented tools were fall risk assessment scales. Very few tools, such as the Morse Fall Scale and the STRATIFY scale, have been applied in a number of studies and have generalizable reliability and validity estimates. The documented evidence-based interventions and tools may assist in the development of programs to prevent falls in hospitals. Which tools and interventions are suitable for use in individual hospitals must be evaluated in the context of existing approaches, resources, and individual needs. The identified material will be integrated into the AHRQ toolkit as resources to guide fall prevention approaches for hospitals.”

AHRQ = US Agency for Healthcare Research & Quality

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Breaking Through: Building Better Falls and Fracture Services in England – Report to the Minister of State for Care Services by Age UK and the National Osteoporosis Society – February 2012

Posted on February 29, 2012. Filed under: Aged Care / Geriatrics | Tags: , |

Breaking Through: Building Better Falls and Fracture Services in England – Report to the Minister of State for Care Services by Age UK and the National Osteoporosis Society  – February 2012

“Executive summary

Falls and fractures in older people are a costly and often preventable public health concern. Government has taken steps to try to mitigate their impact. The National Institute for Health and Clinical Excellence (NICE) has published clinical guidance on the assessment and prevention of falls; the primary and secondary prevention of osteoporotic fractures in post-menopausal women; and the management of patients with hip fracture. NICE is also developing a clinical guideline on the identification of people at risk of osteoporosis or fractures. The Government has published a Prevention Package for Older People: this contains template care pathways and health economic models to help Primary Care Trusts (PCTs) commission falls and fracture prevention services. Osteoporosis has been included in the Quality and Outcomes Framework (QOF). Fracture prevention is included in the 2011/12 NHS Operating Framework and fracture rehabilitation indicators have been incorporated in the 2012/13 NHS Outcomes Framework.

Yet evidence from national audits of falls and bone health show that the fundamental assessment and treatment of patients recommended by NICE is too frequently not delivered – in a way which would be intolerable in equally common and costly conditions such as heart disease or stroke.”

… continues on the site

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National Audit of Falls and Bone Health in Older People – Royal College of Physicians – May 2011

Posted on May 23, 2011. Filed under: Aged Care / Geriatrics, Orthopaedics | Tags: , |

National Audit of Falls and Bone Health in Older People – Royal College of Physicians – May 2011

“The audit shows that there is unacceptable variation in the quality of NHS services for care and prevention of falls and fractures. In many areas, there is a major gap between what NHS organisations state what they provide, in terms of commissioning, protocols or structure; and what clinical audit reveals in terms of actual care provided. The audit shows that older patients with fractures do not routinely receive key aspects of care for falls prevention or bone health, needlessly exposing them to a greater risk of further falls and fractures.

The audit was commissioned by the Healthcare Quality Improvement Partnership (HQIP) and carried out by the Royal College of Physicians’ Clinical Effectiveness and Evaluation Unit (CEEU). Information on nearly 10,000 patients came from all NHS Acute Trusts, or equivalent, in England, Wales and Northern Ireland, as well as Primary Care Organisations, Mental Health Trusts and a sample of care homes.”

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Falls in seniors – Ontario Trauma Registry 2009 Report: Major Injury in Ontario – November 2010

Posted on January 10, 2011. Filed under: Aged Care / Geriatrics | Tags: , |

Falls the leading cause of severe injury for Ontario seniors

“What: Ontario Trauma Registry 2009 Report: Major Injury in Ontario
Advisory – November 9, 2010 – Falls are by far the most common cause of major injury hospitalization for Ontario seniors, responsible for more than 850 hospital admissions to specialized trauma facilities in 2008, or about one-fifth (20%) of all severe injury admissions to trauma facilities across all age groups in the province. According to new data from the Canadian Institute for Health Information (CIHI) the number of admissions to trauma facilities for severe injuries from falls in seniors increased by 20% over the five-year period from 2004.” … continues on the site

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Falls Prevention Services good but problems remain – Royal College of Physicians – 24 February 2010

Posted on March 8, 2010. Filed under: Aged Care / Geriatrics | Tags: , |

Falls Prevention Services good but problems remain – Royal College of Physicians – 24 February 2010

In a new survey of over 1,000 patients from the Royal College of Physicians, three-quarters (76% – 767 of 1,028 total respondents) felt that their experience of falls prevention services had been positive. 

However, among the 24% of respondents reporting a less than positive experience, the majority of issues were related to communication between patients and healthcare professionals, and many of the physical exercise programmes described in the results were not evidence-based, which limits their effectiveness. 

Participants also felt that the exercise programmes they were offered did not continue for long enough, were not sufficiently frequent and that the location was not always convenient enough to be really beneficial. 

The postal survey, commissioned by the Healthcare Quality Improvement Partnership (HQIP), carried out by the RCP’s Clinical Effectiveness and Evaluation Unit (CEEU) and supported by Age Concern and Help the Aged, showed that the majority of people were positive about their experiences of local falls prevention services. “

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Fracture prevention services: An economic evaluation – UK Department of Health – November 2009

Posted on December 22, 2009. Filed under: Health Economics, Orthopaedics | Tags: , |

Fracture prevention services – An economic evaluation – UK Department of Health – November 2009

“This economic evaluation assesses the costs and benefits of services to reduce fractures among older people. Local communities can use this to develop their own proposals.

There is strong evidence about the impact and cost benefit arguments for fracture prevention interventions, based on systematic implementation of national guidance on secondary prevention of osteoporotic fractures and other interventions for a targeted at-risk population.

The following is a summary of the main findings of an economic model for the impact of a fracture liaison service, as described in the guide Falls and fractures: effective interventions in health and social care1.

In this model, over a 5 year period £290,708 is saved in NHS acute and community services and local authority social care costs, against an additional £234,181 revenue costs (falling both in year 1 and covering drug therapy for five years spent by the NHS on this patient cohort). This is for an annual patient cohort of 797 hip, humerus, spine and forearm fractures, anticipated from a 320,000 population.

At a national level, this equates to approximately £8.5 million saving over 5 years.”  … continues

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Hospitalisations due to falls by older people, Australia 2005-06 – 4 March 2009

Posted on April 16, 2009. Filed under: Aged Care / Geriatrics | Tags: , |

Hospitalisations due to falls by older people, Australia 2005-06

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