NICE (2017) Falls in older people. This updated quality standard covers assessment after a fall and preventing further falls (secondary prevention) in older people living in the community and during a hospital stay.
NICE (2107) Falls in older people pathway.This pathway covers the assessment and prevention of falls in older people both in the community and during a hospital stay.
NICE (2013) Falls in older people. Assessing risk and prevention.This guideline covers assessment of fall risk and interventions to prevent falls in in people aged 65 and over. It aims to reduce the risk and incidence of falls and the associated distress, pain, injury, loss of confidence, loss of independence and mortality.
NHS Improvement. Patient Safety Collaboratives – Making care safer for all. Supporting trusts to reduce falls is a priority for NHS Improvement. Case study – Safety huddles reduce falls by as much as 60 per cent (page 10)
Public Health England. Falls prevention: cost-effective commissioning. The return on investment tool pulls together evidence on the effectiveness and associated costs for interventions aimed at preventing falls in older people living in the community.
Public Health England. Falls and fractures: consensus statement. This document outlines approaches to interventions and activities helping prevent falls and fractures to improve health outcomes for older people. The RCN is a member organisation of the National Falls Prevention Coordination Group.
Royal College of Physicians (2017) Bedside vision check for falls prevention: assessment tool. The National Audit of Inpatient Falls (NAIF) has collaborated with partners to produce a new vision assessment tool which enables ward staff to quickly assess a patient’s eyesight in order to help prevent them falling or tripping while in hospital.
Royal College of Physicians (2017) National Audit of Inpatient Falls Audit report 2017. Although prevention of inpatient falls across hospitals in England and Wales has improved slightly many patients are not receiving the required assessments which can help prevent falls in hospitals.
Royal College of Physicians (2016) Falls Prevention in Hospital: a Guide for Patients, their Families and Carers
. This guide is designed to help prevent serious injury and unnecessary cost to the NHS caused by older people tripping or falling when they are in hospital.
Royal College of Physicians (2015) FallSafe resources. FallSafe was a quality improvement project that helped frontline staff to deliver evidence-based falls prevention.
Royal Society for the Prevention of Accidents (RoSPA) and the Royal College of Emergency Medicine (RCEM) Action to prevent falls. Reducing pressures on A&E and promoting healthy ageing by preventing falls among older people.
Scottish Government (2014) The Prevention and Management of Falls in the Community: A Framework for Action for Scotland 2014/15. This framework aims to support a more consistent approach to falls prevention and management and in doing so improve experiences and outcomes for older people, their families and carers; and to accelerate the pace of implementing integrated falls and fragility fracture pathways.
Scottish Patient Safety Programme (SPSP). Acute Adult - Falls. SPSP aims to support National Health and Wellbeing Outcome 7: People using health and social care services are safe from harm. The Acute Adult aim continues to be to reduce harm and mortality in hospitals. One of the workstreams covers falls.
Ageing Well In Wales. Falls prevention. The work of the Falls Prevention network aims to help older people to maintain their health and wellbeing, live longer in their own homes and remain active in their communities.
Public Health Wales. Steady on… Stay SAFE. Public Health Wales is encouraging people aged 50 plus to ‘Steady on.. and stay safe’ to reduce their risk of falling.
Public Health Wales (2012) The burden of injury in Wales
. Falls are the leading cause of both deaths and hospital admissions due to injury, accounting for approximately a quarter of deaths and half of all injury related admissions in Wales.
Non UK resources
Centre of Research Excellence in Patient Safety. 6-PACK falls prevention project (Australian). The 6-PACK program is a targeted, nurse delivered, falls prevention program, designed specifically for acute hospital wards. It consists of a nurse assessment of a patient's risk, using a nine-item risk assessment tool and the delivery of one or more of the six 6-PACK interventions (including the use of low-low beds) applied to patients classified as high-risk by the tool.
Hospitals in Pursuit of Excellence. Preventing patient falls (American). This guide describes the types of risks that lead to patient falls, the root causes for those risks and the solutions designed to reduce them. Several case studies in the guide highlight individual hospitals and their experiences preventing falls.
RAND Corporation (2016) Evaluation of an intervention to prevent falls (American). This report evaluates the effectiveness of an intervention designed to prevent falls in the elderly, with a particular focus on fall-related injuries and on health care costs.