title: Insights obtained from an evaluation of a falls prevention program set in a rural hospital.
abstract: An evaluation of a Falls Prevention Program that took place in a 29-bed rural hospital in New South Wales is described. The aim of the project was to ascertain the overall effectiveness of the Program and to explore the usefulness of the assessment criteria in predicting falls. The sample consisted of 111 participants, representing all patients 65 years and over who were admitted to the general ward of the hospital between January and December 1997. The Falls Prevention Program had reduced the incidence of falls and was found to be effective for those patients requiring minimal assistance with walking. However, it was less effective for those using pick-up frames or forearm support frames. The patients who fell were more likely to be in the high risk category and it was concluded that while the assessment criteria was useful in predicting falls, the Falls Prevention Program could only limit the number of falls but not prevent them altogether. Age, mental status and mobility of patients in combination with time and location of falls suggested a pattern that was possibly peculiar to this rural hospital, which has implications for funding and staffing.
authors.affiliation: Northern Rivers Area Health Service, Campbell Hospital, Coraki, Australia.
authors.forename: J
authors.initials: J
authors.lastname: Hathaway
authors.forename: J
authors.initials: J
authors.lastname: Walsh
authors.forename: C
authors.initials: C
authors.lastname: Lacey
authors.forename: H
authors.initials: H
authors.lastname: Saenger
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control* / Q000706:statistics & numerical data; D000203:Activities of Daily Living; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002183:Canes; D005260:Female; D015577:Geriatric Assessment; D006780:Hospitals, Rural / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D015994:Incidence; D008297:Male; D016743:Mental Competency; D009517:New South Wales; D009730:Nursing Assessment / Q000379:methods*; D011237:Predictive Value of Tests; D015397:Program Evaluation; D018570:Risk Assessment; D012307:Risk Factors; D017751:Safety Management / Q000379:methods*; D013997:Time Factors; D017749:Total Quality Management / Q000458:organization & administration*; D014853:Walkers; D016138:Walking