6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial
Anna L Barker, Renata T Morello, Rory Wolfe, Caroline A Brand, Terry P Haines, Keith D Hill, Sandra G Brauer, Mari Botti, Robert G Cumming, Patricia M Livingston, Catherine Sherrington, Silva Zavarsek, Richard I Lindley, Jeannette Kamar
BMJ-BRITISH MEDICAL JOURNAL | BMJ PUBLISHING GROUP | Published : 2016
OBJECTIVE: To evaluate the effect of the 6-PACK programme on falls and fall injuries in acute wards. DESIGN: Cluster randomised controlled trial. SETTING: Six Australian hospitals. PARTICIPANTS: All patients admitted to 24 acute wards during the trial period. INTERVENTIONS: Participating wards were randomly assigned to receive either the nurse led 6-PACK programme or usual care over 12 months. The 6-PACK programme included a fall risk tool and individualised use of one or more of six interventions: "falls alert" sign, supervision of patients in the bathroom, ensuring patients' walking aids are within reach, a toileting regimen, use of a low-low bed, and use of a bed/chair alarm. MAIN OUTCOME..View full abstract
Awarded by National Health and Medical Research Council (NHMRC), Australia
This project was funded by the National Health and Medical Research Council (NHMRC), Australia (APP1007627). ALB's salary was funded by a career development fellowship from the NHMRC (APP1067236). RTM's salary was supported by a postgraduate scholarship from the NHMRC (APP1055604). TPH's salary was funded by a career development fellowship from the NHMRC (APP1069758). CS's salary was funded by a career development fellowship from the NHMRC (APP632929). The funders of the study had no role in study design, data collection, data analysis, data interpretation, or writing of the manuscript. ALB, RTM, and RW had full access to all the data in the study, and the corresponding author had final responsibility for the decision to submit for publication.