Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/491
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dc.contributor.authorBotti, Mari-
dc.contributor.otherBarker, Anna-
dc.contributor.otherBrand, Caroline-
dc.contributor.otherHaines, Terry-
dc.contributor.otherHill, Keith-
dc.contributor.otherBrauer, Sandra-
dc.contributor.otherJolley, Damien-
dc.contributor.otherCumming, Robert-
dc.contributor.otherLivingston, Patricia-
dc.contributor.otherSherrington, Cathie-
dc.date2011-06-
dc.date.accessioned2015-11-24T05:44:53Z-
dc.date.available2015-11-24T05:44:53Z-
dc.date.issued2011-08-
dc.identifier.citationInj Prev. 2011 Aug;17(4):e5en_US
dc.identifier.issn1353-8047en_US
dc.identifier.issn1475-5785en_US
dc.identifier.urihttp://hdl.handle.net/11434/491-
dc.description.abstractBACKGROUND AND AIMS: In-hospital fall-related injuries are a source of personal harm, preventable hospitalisation costs, and access block through increased length of stay. Despite increased fall prevention awareness and activity over the last decade, rates of reported fall-related fractures in hospitals appear not to have decreased. This cluster randomised controlled trial (RCT) aims to determine the efficacy of the 6-PACK programme for preventing fall-related injuries, and its generalisability to other acute hospitals. METHODS: 24 acute medical and surgical wards from six to eight hospitals throughout Australia will be recruited for the study. Wards will be matched by type and fall-related injury rates, then randomly allocated to the 6-PACK intervention (12 wards) or usual care control group (12 wards). The 6-PACK programme includes a nine-item fall risk assessment and six nursing interventions: 'falls alert' sign; supervision of patients in the bathroom; ensuring patient's walking aids are within reach; establishment of a toileting regime; use of a low-low bed; and use of bed/chair alarm. Intervention wards will be supported by a structured implementation strategy. The primary outcomes are fall and fall-related injury rates 12 months following 6-PACK implementation. DISCUSSION: This study will involve approximately 16,000 patients, and as such is planned to be the largest hospital fall prevention RCT to be undertaken and the first to be powered for the important outcome of fall-related injuries. If effective, there is potential to implement the programme widely as part of daily patient care in acute hospital wards where fall-related injuries are a problem.en_US
dc.publisherBMJen_US
dc.subjectInjury Preventionen_US
dc.subjectAcute Hospitalsen_US
dc.subject6 Pack Programmeen_US
dc.subjectAccidental Fallsen_US
dc.subjectRisk Assessmenten_US
dc.subjectTreatment Outcomeen_US
dc.subjectFall Related Injuriesen_US
dc.subjectFall Related Fracturesen_US
dc.subjectAttitude Of Health Personnelen_US
dc.subjectWounds And Injuriesen_US
dc.subjectPrevention Of Wounds And Injuriesen_US
dc.subjectRisk Assessmenten_US
dc.subjectRandomised Control Trialen_US
dc.subjectRCTen_US
dc.subjectEpworth/Deakin Centre for Clinical Nursing Research, Melbourne, Victoria, Australia.en_US
dc.titleThe 6 pack programme to decrease fall related injuries in acute hospitals: for a cluster randomised controlled trial.en_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1136/injuryprev-2011-040074en_US
dc.identifier.journaltitleInjury Preventionen_US
dc.description.pubmedurihttp://www.ncbi.nlm.nih.gov/pubmed/21653650en_US
dc.description.affiliatesThe Centre for Research Excellence in Patient Safety, Department of Epidemiology and Preventative Medicine, Monash University, Victoria, Australia.en_US
dc.description.affiliatesPhysiotherapy Department, Monash University and Allied Health Research Unit, Southern Health, Monash University, Victoria, Australiaen_US
dc.description.affiliatesFaculty of Health Sciences, La Trobe University and Northern Health, Victoria Australiaen_US
dc.description.affiliatesDivision of Physiotherapy, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australiaen_US
dc.description.affiliatesSchool of Public Health and ANZAC Research Institute, Sydney Medical School, The University of Sydney, New South Wales, Australiaen_US
dc.description.affiliatesThe George Institute for Global Health, The University of Sydney, New South Wales, Australiaen_US
dc.description.affiliatesCentre for Health Economics, Monash University, Victoria, Australiaen_US
dc.description.affiliatesNorthern Health, Melbourne, Victoria, Australiaen_US
dc.type.studyortrialRandomized Controlled Clinical Trial/Controlled Clinical Trialen_US
dc.type.contenttypeTexten_US
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