FIPC Research: Falls Tools Project - Queensland Stay On Your Feet®
During 2010/11, Queensland’s Falls Injury Prevention Program conducted a controlled clinical trial called the Falls Tools Trial (HREC/10/QPCH/89). The aim of this research was to develop, trial and evaluate the clinical value of an evidence-based Falls Assessment and Management Plan and a Post Fall Clinical Pathway across a variety of wards and services in hospitals, residential aged care and community settings.
These tools were designed using current evidence-based scientific literature, Australian Commission Falls Prevention Best Practice Guidelines and National Safety and Quality Health Service Standards. In addition, there was an extensive state-wide consultation process with clinicians.
The trial involved a three-four month intervention period from end 2010 to early 2011 with pre- and post- assessment via a randomised clinical chart audit (n = 821 charts). Feedback on the usability of tools was also collected from staff and clients using pre- and post- implementation surveys.
Key results from the trial included:
- increased identification of key falls risk factors
- a statistically significant increase in documentation of initial interventions and actions, falls prevention interventions, frequency of initial post-fall observations, neuro observations for suspected head injuries and/or unwitnessed falls, and
- improvements in time taken to notify medical staff of a fall and overall documentation.
The tools have been approved by the Falls Injury Prevention Collaborative, the Tools Trial Project Management Group and finalised with Statewide Clinical Forms.
Please find the tools tailored for respective settings below:
Residential aged care