Introduction

According to the Agency for Healthcare Research & Quality, 700,000 to 1 million patients fall in hospitals each year. National organizations, such as The Joint Commission and the Department of Veterans Affairs, report high prevalence of sentinel event and root cause analysis reports on fall-related injuries, making fall prevention a high priority for hospitals. The Centers for Disease Control states one in five falls does not result in an injury, but when an injury occurs, the subsequent pain, cost, delay in discharge, delay in recovery, and increased risk of mortality negatively impact patients and caregivers alike. The Tennessee Center for Patient Safety supports hospital efforts to reduce falls and fall-related injuries through provision of evidence-based fall-prevention strategies, focused education programs, and opportunities for peer-to-peer sharing of practice.


Resources

Institute for Healthcare Improvement (IHI) Resources:

 IHI Injurious Fall Data Collection Tool
 Institute for Healthcare Improvement "Transforming Care at the Bedside How-to Guide: Reducing Patient Injuries from Falls"

Agency for Healthcare Quality & Research (AHRQ) Resources

AHRQ Bundle of Interventions Targeting High-Risk Patients Reduces Falls and Fall-Related Injuries on Medical-Surgical Units
Agency for Healthcare Research and Quality (AHRQ) “Falls Free: Promoting a National Falls Prevention Action Plan” 


United States Department of Veterans Affairs Resources

United States Department of Veterans Affairs Fall Prevention and Management Toolkit

Additional Resources

Patient Safety & Quality Healthcare (PSQH) “A Team Approach to Fall Prevention" 
Centers for Disease Control and Prevention (CDC) STEADI (Stopping Elderly Accidents, Deaths & Injuries) Tool Kit for Health Care Providers
Annals of Internal Medicine “Inpatient Fall Prevention Programs as a Patient Safety Strategy: A Systematic Review”


HRET Resources

HRET Falls Change Package
HRET Falls Top Ten Checklist
HRET Falls Webinars