title: Are we falling at the first hurdle? Estimating under-recording of falls in Accident and Emergency.
abstract: BACKGROUND
  Accident and Emergency (A and E) is the first port of call for most people who have experienced an injurious fall. This provides the potential for identifying patients who may benefit from preventative interventions. This study aims to estimate the percentage of falls attendances that are not recorded on computerised A and E records.
  
  
  METHODS
  A retrospective cohort study design was used to study patients attending A and E with falls related injuries.
  
  
  RESULTS
  The survey revealed poor recording of falls with 38 per cent (95 per cent CI +/- 8.82 per cent) of patient reported falls not recorded on computerised A and E records. More than half of those reporting a fall as the reason for attendance at A and E, reported previous falls, with 21 per cent reporting subsequent falls.
  
  
  CONCLUSIONS
  A and E could play an important role in secondary falls prevention. Improving recording of falls in A and E is an essential prerequisite.
authors.affiliation: Department of Public Health Medicine, Walsall Teaching Primary Care Trust, Lichfield House, 27-31 Lichfield Street, Walsall WS1 1TE, UK. jyoti.atri@walsall.nhs.uk
authors.forename: Jyoti
authors.initials: J
authors.lastname: Atri
authors.forename: R Nicholas
authors.initials: RN
authors.lastname: Pugh
authors.forename: David
authors.initials: D
authors.lastname: Bowden
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data*; D000368:Aged; D015331:Cohort Studies; D004282:Documentation / Q000706:statistics & numerical data; D004630:Emergencies / Q000453:epidemiology; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005568:Forms and Records Control; D006801:Humans; D016347:Medical Records Systems, Computerized; D008875:Middle Aged; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D006113:United Kingdom / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology*