Evidence map›Paper›PMID 40623855›Full record

ArticleBMJ open quality2025

Supported implementation of tailored multicomponent fall prevention interventions in hospital: a feasibility study.

Charlotte McLennan, Catherine Sherrington, Vasi Naganathan, Wendy Tilden, Bethan Richards, Tamsin McVeigh, Andrew Hallahan, Veethika Nayak, Matthew Jennings, Leanne Hassett and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Charlotte McLennanSchool of Public Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia charlotte.mclennan@sydney.edu.au.ORCID 0009-0009-1238-0382
Catherine SherringtonSchool of Public Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Vasi NaganathanCentre for Education and Research on Ageing, Concord Hospital, The University of Sydney, Sydney, New South Wales, Australia.
Wendy TildenSydney Local Health District, Camperdown, New South Wales, Australia.
Bethan RichardsSchool of Public Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Tamsin McVeighSydney Local Health District, Camperdown, New South Wales, Australia.
Andrew HallahanSydney Local Health District, Camperdown, New South Wales, Australia.
Veethika NayakSchool of Public Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.ORCID 0009-0009-8880-8322
Matthew JenningsSouth Western Sydney Local Health District, Liverpool, New South Wales, Australia.
Leanne HassettSchool of Public Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Abby HaynesSchool of Public Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls in hospital remain a complex patient safety issue for health systems. Multicomponent fall prevention interventions can reduce patient falls in hospitals; however, the implementation of these approaches in routine practice can be challenging and inconsistent. Quality improvement (QI) education and clinical facilitation may support the implementation of hospital fall prevention interventions. We conducted a mixed-method implementation feasibility study with a primary aim of evaluating the acceptability of QI education and clinical facilitation to support implementation of tailored, multicomponent fall prevention interventions. Secondary aims were to describe preliminary implementation impacts, and barriers and facilitators to the intervention and its implementation, to inform study feasibility.

methodsAcute hospital wards (n=4) established a local team (2-4 staff members) to lead the implementation of multicomponent fall prevention interventions, informed by local incident data, on their ward. Education about QI (online or face-to-face) and clinical facilitation (12 weeks of weekly onsite support from a nurse manager experienced in QI) was provided to support the teams. Ward staff were invited to complete preimplementation and postimplementation surveys and postimplementation interviews. Descriptive statistics were used to analyse quantitative data. Qualitative data were analysed using inductive and deductive content analysis.

resultsAcceptability: staff satisfaction with the strategies used to support the implementation of local fall prevention interventions had a mean score of 7.4/10 (SD=1.9, n=38). Reach: 28/38 (74%) survey respondents were aware of the multicomponent fall prevention interventions on their ward, with 24 (86%) reporting a positive impact on clinical practice post implementation. Adoption: delivery of multicomponent hospital fall prevention interventions increased 1.1/10 points between preimplementation (n=61) postimplementation (n=38) surveys. Survey (n=99) and interview (n=12) data indicated barriers and facilitators relevant to the intervention, implementation strategies, recipients and context. Examples of barriers included lack of accountability, competing priorities and staffing challenges. Examples of facilitators included local integration, empowered decision-making and dependable leadership.

conclusionQI education and clinical facilitation appeared to be acceptable and feasible strategies to support the implementation of tailored hospital fall prevention interventions. The impact of these implementation strategies when adapted to address local barriers and support enablers warrants further evaluation.

Indexed as

Accidental FallsHospitalsFeasibility StudiesFemaleHumansMaleQualitative ResearchQuality ImprovementSurveys and QuestionnairesHealthcare quality improvementHealth services researchImplementation sciencePatient safety

Identifiers

PMID40623855
PMCPMC12258376

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.