Patients are at a higher risk of falling in the hospital than at home because of their acute illness, medications, other treatments, or unfamiliarity with the hospital environment. Despite numerous efforts, inpatient falls remain a leading adverse event in hospitals and other inpatient settings, resulting in loss of function, death, and higher health costs. This article explores the factors in hospital settings that can reduce and prevent inpatient falls.
StevensJA. Falls among older adults-risk factors and prevention strategies. In: Falls Free: Promoting a National Falls Prevention Action Plan (pp. 318). Washington, DC: National Council on Aging; 2004.
2.
PapaioannouAParkinsonWCookRFerkoNCokerEAdachiJD.Prediction of falls using a risk assessment tool in the acute care setting. 2004. Available at: http://www.biomedcentral.com/1741-7015/2/1. Accessed April 30, 2004.
3.
Joint Commission, The. Defining the problem of falls. In: SmithIJ, ed. Reducing the Risk of Falls in Your Health Care Organization. Oakbrook Terrace, IL: The Joint Commission on Accreditation of Healthcare Organizations; 2005:13-27.
4.
RutledgeDDonaldsonNPravikoffD.Update 2003: Fall risk assessment and prevention in hospitalized patients. Online Journal of Clinical Innovations. 2003;6:1-55.
5.
AgostiniJVBakerDIBogardusST. Prevention of falls in hospitalized and institutionalized older people. In: ShojaniaKGDuncanBWMcDonaldKM, eds. Making Health Care Safer: A Critical Analysis of Patient Safety Practices (Evidence report/technology assessment No. 43). Rockville, MD: Agency for Healthcare Research and Quality; 2001:281-299.
6.
NevittMCCummingsSRHudesES. Risk factors for injurious falls: a prospective study. J Gerontol. 1991;46:M164-170.
7.
American Nurses Association. National Database For Nursing Quality Indicators: Guidelines for data collection and submission on quarterly indicators, Version 5.0. Kansas City, MO: Author; 2005.
TideilksaarR. Falls in Older People. Prevention & Management. Baltimore, MD: Health Professions Press; 2002.
10.
AlceeD. The experience of a community hospital in quantifying and reducing patient falls. J Nurs Care Qual. 2000;14:43-53.
11.
OliverDDalyFMartinFCMcMurdoME. Risk factors and risk assessment tools for falls in hospital in-patients: a systematic review. Age Ageing. 2004;33:122-130.
12.
McCarter-BayerABayerFHallK. Preventing falls in acute care: a innovative approach. J Gerontol Nurs. 2005;31:25-33.
13.
HendrichA. Inpatient falls: lessons from the field. Patient Safety & Quality Healthcare. 2006;8:129-139.
14.
AisenMLIversonDSchwalbeCWeaverBAisenPS. Falls on a neurorehabilitation unit: reassessment of a prevention program. J Am Paraplegia Soc. 1994;17:179-182.
15.
AshKLMacLeodPClarkL. A case control study of falls in the hospital setting. J Gerontol Nurs. 1998;24:7-15.
16.
GoodwinMBWestbrookJI. An analysis of patient accidents in hospital. Aust Clin Rev. 1993;13:141-149.
17.
GrovesJELavoriPWRosenbaumJF. Accidental injuries of hospitalized patients: a prospective cohort study. Int J Technol Assess Health Care. 1993;9:139-144.
18.
MayoNEGloutneyLLevyAR. A randomized trial of identification bracelets to prevent falls among patients in a rehabilitation hospital. Arch Phys Med Rehabil. 1994;75:1302-1308.
19.
RazTBaretichMF. Factors affecting the incidence of patient falls in hospitals. Med Care. 1987;25:185-195.
20.
TutuarimaJAvan der MeulenJHde HaanRJvan StratenALimbergM. Risk factors for falls of hospitalized stroke patients. Stroke. 1997;28:297-301.
21.
HeinzeCLahmannNDassenT. Sturzhaufigkeit in deutschen Kliniken. Gesundheitswesen. 2002;64:598-601.
22.
TackKAUlrichBKehrC. Patient falls: profile for prevention. J Neurosci Nurs. 1987;19:83-89.
23.
VlahovDMyersAHal-IbrahimMS. Epidemiology of falls among patients in a rehabilitation hospital. Arch Phys Med Rehabil. 1990;71:8-12.
24.
von_RentelinKruseWK, T. Sturzereignisse stationarer geriatrischer Patienten. Z Gerontol Geriatr. 2004, 37:9-14.
25.
BerrymanEGaskinDJonesATolleyFMacMullenJ. Point by point: predicting elder’s falls. Geriatr Nurs. 1989;10:199-201.
26.
CatchenU. Repeaters: inpatient accidents among the hospitalized elderly. Gerontologist. 1983;23:273-276.
27.
HalfonPEggliYVan_MelleGVagnairA. Risk of falls for hospitalized patients: a predictive model based on routinely available data. J Clin Epidemiol. 2001;54:1258-1266.
28.
MorseJMMorseRM. Calculating fall rates: methodological concerns. QRB Qual Rev Bull. 1988;14:3369-3371.
29.
NybergLGustafsonYJansonASandmanPOErikssonS. Incidence of falls in three different types of geriatric care. A Swedish prospective study. Scand J Soc Med. 1997;25:8-13.
30.
RohdeJMMyersAHVlahovD. Variation in risk for falls by clinical department: implications for prevention. Infect Control Hosp Epidemiol. 1990;11:521-524.
31.
SchwendimannR. Frequency and circumstances of falls in acute care hospitals: a pilot study. Pflege. 1998;11:335-341.
32.
SuttonJCStandenPJWallaceWA. Patient accidents in hospital: incidence, documentation and significance. Br J Clin Pract. 1994;48:63-66.
33.
SehestedPSeverin_NeilsenT. Falls by hospitalized elderly patients: causes, prevention. Geriatrics. 1977;32:101-108.
34.
MorganVRMathisonJHRiceJCClemmerDI. Hospital falls: a persistent problem. Am J Public Health. 1985;75:775-777.
35.
VassalloMAzeemTPirwaniMFSharmaJCAllenSC. An epidemiological study of falls on integrated general medical wards. Int J Clin Pract. 2000;54:654-657.
36.
HitchoEBKraussMJBirgeS. Characteristics and circumstances of falls in a hospital setting: a prospective study. J Gen intern Med. 2004;19:732-739.
37.
HowlandJPetersonE. Fear of falling among the community-dwelling elderly. J Aging Health. 1993;5:229-243.
38.
GagnonNFlintA. Fear of falling in the elderly. Geriatr Aging. 2003;6:15-17.
39.
BallingerCPayneS. The construction of the risk of falling among and by older people. Ageing Soc. 2002;22:305-324.
40.
KongKLeeFMackenzieALeeD. Psychosocial consequences of falling: the perspective of older Hong Kong Chinese who had experienced recent falls. J Adv Nurs. 2002;37:234-242.
41.
WrightBAizensteinSVoglerGRoweMMillerC. Freguent fallers: leading groups to identify psychological factors. J Gerontol Nurs. 1990;16:15-19.
42.
YardleyLSmithH. Prospective study of the relationship between feared consequences of falling and avoidance of activity in community living older adults. Gerontologist. 2002;42:17-23.
43.
MakiBE. Gait changes in older adults: predictors of falls or indicators of fear. J Am Geriatr Soc. 1997;45:313-320.
44.
AdkinAFrankJCarpenterMPeysarG. Fear of falling modifies anticipatory postural control. Exp Brain Res. 2002;143:160-170.
45.
DelbaereKCrombezGVanderstraetenGWillemsTCambierD. Fear-related avoidance of activities, falls and physical frailty: a prospective community-based cohort study. Age Ageing. 2004;33:368-371.
46.
VellasBJWayneSJRomeroLJBaumgartnerRNGarryP. Fear of falling and restriction of mobility in elderly fallers. Age Ageing.1997;26:189-193.
47.
MakiBEHollidayPJTopperAK. Fear of falling and postural performance in the elderly. J Gerontol. 1991;46:M123-M131.
48.
LawrenceRTennstedtSKastenLShihJHowlandJJetteAM.Intensity and correlates of fear of falling and hurting oneself in the next year: baseline findings from a Royal Center fear of falling intervention. J Aging Health. 1998;10:267-286.
49.
CampbellAJReinkenJAllanBC. Falls in old age: a study of frequency and related clinical factors. Age Ageing. 1981;10:264-270.
50.
PrudhamDEvansJG.Factors associated with falls in the elderly: a community study. Age Ageing. 1981;10:141-146.
51.
CampbellAJBorrieMJSpearsGF. Risk factors for falls in a community-based prospective study of people 70 years and older. J. Gerontol. 1989;44:M112-117.
52.
NevittMCCummingsSRKiddS. Risk factors for recurrent nonsyncopal falls: a prospective study. JAMA. 1989;261:2663-2668.
53.
O’LoughlinJ.L.RobitailleY.BoivinJ.F.., “Incidence of and risk factors for falls and injurious falls among community-dwelling.” Am J Epidemiol. 1993;137:342-354.
54.
PerryBC. Falls among the elderly living in high-rise apartments. J Fam Pract. 1982;14:1069-1073.
55.
TinettiMEWilliamsTFMayewskiR. Fall risk index for elderly patients based on number of chronic disabilities. Am J Med. 1986;80:429-434.
56.
TinettiMESpeechleyMGinterSF. Risk factors for falls among elderly persons living in the community. N Engl J Med. 1988;319:1701-1707.
57.
BuchnerDMLarsonEB. Falls and fractures in patients with Alzheimer-type dementia. JAMA. 1987;257:1492-1495.
58.
SchwarzAVKelseyJLSidneyS. Characteristics of falls and risk of hip fractures in elderly men. Osteoporos Int. 1998;8:240-246.
59.
RobbinsASRubensteinLZJosephsonKR. Predictors of falls among elderly people. Results of two population-based studies. Arch. Intern Med. 1989;149:1628-1633.
60.
IversRQCummingsRGMichellP. Visual impairment and falls in older adults: the Blue Mountain Eye Study. J. Am.Geriatr. Soc. 1998;46:58-64.
61.
GlynnRJSeddonMDKrugJH. Falls in elderly patients with glaucoma. Arch. Ophthalmol. 1991;109:205-210.
62.
KleinBEKKleinRLeeKE. Performance-based and self-assessed measures of visual function as related to history of falls, hip fractures, and measured gait time. The Beaver Dam Eye Study. Ophthalmol. 1998;105:160-164.
63.
OverstallP.W.Exton-SmithA.N.ImmsF.J.. Falls in the elderly related to postural imbalance. Br Med J. 1977;1:261-264.
64.
MorrisJCRubinEH. Senile dementia of Alzheimer’s type: an important risk factor for serious falls. J. Gerontol. 1987;42:412-417.
65.
MahoneyJEPaltaMJohnsonJ. Temporal association between hospitalization and rate of falls after discharge. Arch. Intern. Med. 2000;160:2788-2795.
66.
ThobabenM. Home health nurses can help clients reduce risk factors associated with falling. Home Health Care Manage Pract. 2006;19:66-68.
67.
EvansDHodgkinsonBLambertLWoodJ. Falls risk factors in the hospital setting: a systematic review. Int J Nurs Pract. 2001;7:38-45.
68.
HendrichA. Falls, Immobility and Restraints: A Resource Manual. St. Louis, MO: Mosby;1992.
69.
HendrichABenderPSNyhuisA. Validation of the Hendrich fall risk model: a large concurrent case/control study of hospitalized patients. Appl Nurs Res. 2003;16:9-21.
70.
BeasleyBPatatanianE. Development and implementation of a pharmacy fall prevention program. Hospital Pharmacy. 2009;44:1095-1102.