Evidence map›Paper›PMID 41856599›Full record

Trial reportBMJ open2026

Supported implementation of tailored hospital fall prevention interventions: a protocol for the PROTECT stepped wedge type I hybrid effectiveness-implementation trial.

Charlotte McLennan, Leanne Hassett, Wendy Tilden, Vasi Naganathan, Abby Haynes, Matthew Jennings, Danielle Ni Chroinin, Bethan Richards, Andrew Hallahan, Raaj Kishore Biswas and 13 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

23 authors.

Charlotte McLennanInstitute for Musculoskeletal Health, Sydney Local Health District, Camperdown, New South Wales, Australia charlotte.mclennan@sydney.edu.au.ORCID http://orcid.org/0009-0009-1238-0382
Leanne HassettSchool of Public Health, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Wendy TildenSydney Local Health District, Camperdown, New South Wales, Australia.
Vasi NaganathanConcord Clinical School, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-7243-0796
Abby HaynesInstitute for Musculoskeletal Health, Sydney Local Health District, Camperdown, New South Wales, Australia.ORCID http://orcid.org/0000-0001-5703-5683
Matthew JenningsPhysiotherapy, South Western Sydney Local Health District, Liverpool, New South Wales, Australia.
Danielle Ni ChroininAged Care, Liverpool Hospital, Liverpool, New South Wales, Australia.
Bethan RichardsInstitute for Musculoskeletal Health, Sydney School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.
Andrew HallahanSydney Local Health District, Camperdown, New South Wales, Australia.
Raaj Kishore BiswasSchool of Health Sciences, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Wing KwokInstitute for Musculoskeletal Health, Sydney Local Health District, Camperdown, New South Wales, Australia.
Tamsin McVeighSydney Local Health District, Camperdown, New South Wales, Australia.
Erica HepplestonSydney Local Health District, Camperdown, New South Wales, Australia.
Debra JacksonSusan Wakil School of Nursing and Midwifery, The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia.
Veethika NayakInstitute for Musculoskeletal Health, Sydney Local Health District, Camperdown, New South Wales, Australia.
Sally DelaneySydney Local Health District, Camperdown, New South Wales, Australia.
Kirsten HowardSchool of Public Health, University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-0918-7540
Marina PinheiroInstitute for Musculoskeletal Health, Sydney Local Health District, Camperdown, New South Wales, Australia.
Amanda MacphersonSouth Western Sydney Local Health District, Liverpool, New South Wales, Australia.
Jenny RaynerConsumer Investigator, Sydney, New South Wales, Australia.
Anne-Marie HillSchool of Allied Health, The University of Western Australia, Perth, Western Australia, Australia.ORCID http://orcid.org/0000-0003-1411-6752
Terry HainesMonash University School of Primary and Allied Health Care, Frankston, Victoria, Australia.
Catherine SherringtonInstitute for Musculoskeletal Health, Sydney Local Health District, Camperdown, New South Wales, Australia.ORCID http://orcid.org/0000-0001-8934-4368

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPatient falls in hospitals lead to patient harm, staff distress and economic burden on health systems. There are few strategies with robust evidence demonstrating benefit for the prevention of falls, especially in acute hospital settings. Education and multicomponent fall prevention approaches are promising. Rigorous systematic measurement of implementation has been lacking in most hospital fall prevention trials. This paper describes the protocol for a trial that will evaluate the impact of supported implementation of tailored multicomponent fall prevention interventions on patient falls in hospital. METHODS AND ANALYSIS: A stepped-wedge hybrid type I effectiveness implementation cluster randomised trial will be conducted. Twelve inpatient wards across four metropolitan hospitals will be enrolled in the trial, clustered into groups of four and randomised to commence the intervention at one of three time periods. Patients and ward staff will be recruited to complete pre-implementation surveys, which, combined with analysis of routinely collected local falls data and staff brainstorming, will inform tailored multicomponent fall prevention interventions for each ward. Wards will receive quality improvement training, clinical facilitation and staff education for at least 4 months to support implementation of their fall prevention interventions. The primary outcome-rate of falls-will be measured using routinely collected hospital falls data from the incident management system and medical records. Pre-implementation and post-implementation patient and staff surveys, qualitative interviews and bedside audits will measure secondary effectiveness and implementation outcomes. Healthcare utilisation from hospital data will inform the cost-effectiveness analysis. ETHICS AND DISSEMINATION: The Sydney Local Health District Human Research Ethics Committee (RPAH Zone) approved this trial (protocol number X24-0087 and 2024/ETH00583). The trial is registered with the Australian and New Zealand Clinical Trials Registry (ACTRN12624000896572). Data collection commenced in October 2024, due for completion in May 2026. Results will be published in reputable international journals and presented at relevant conferences. TRIAL REGISTRATION NUMBER: Australian and New Zealand Clinical Trials Registry (ACTRN12624000896572).

Indexed as

Accidental FallsHumansInpatientsQuality ImprovementResearch DesignClinical TrialGERIATRIC MEDICINEHealth ServicesHospitals

Identifiers

PMID41856599
PMCPMC13007140

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.