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The Fallssafe project – using a care bundle to reduce falls in hospital

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The FallSafe Project: a quality improvement programme that uses specially trained nurses to introduce an evidence based care bundle to reduce inpatient falls. It is run by the Royal College of Physicians Clinical Effectiveness and Evaluation Unit in partnership with the Royal College of Nursing, the National Patient Safety Association, the Association for Victims of Medical Accidents and South Central Regional Health Authority. It is funded by The Health Foundation, an independent charity funded by the insurance industry, which specialises in Quality Improvement projects.

All hospital staff, from Chief Executive to Care Assistant, express a wish to make their patients’ stay in hospital safer, and to reduce the risk of adverse events such as inpatient falls. Despite these sentiments, effective change has been the exception. The FallSafe project was designed to overcome this stalemate, taking the elements of care found in successful Random Control Trials (RCT) of inpatient falls reduction from the review by Oliver et al1, and putting them together in a care bundle. The care bundle is evidence based in that individual elements have been used in successful studies of multifactorial interventions to reduce inpatient falls (but not in the sense that the whole bundle has been subjected to an RCT).

To find out more about the care bundle, visit the British Geriatrics Society Falls and Bone Health Section Resource Centre.


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