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Designing a Falls Prevention Strategy That Works

Ireland, Sandra PhD, RN; Lazar, Terry BHScN, RN; Mavrak, Caroline BScN, RN; Morgan, Beverly BScN, RN; Pizzacalla, Anne MSc, RN; Reis, Cathy MSc, RN; Fram, Nancy MEd, RN

doi: 10.1097/NCQ.0b013e3181d5c176

In implementing an evidence-based falls prevention strategy in acute care, planners are frequently pressed to meet organizational targets while allowing staff flexibility to match interventions with patient population needs and clinical realities. We describe the process of how one hospital creatively used evidence, systems change, staff engagement, expert consultation, policy and protocols, staff and patient education, marketing, and celebration to design and implement a falls prevention strategy on 60 clinical units that reduced annual fall rates by 20%.

Hamilton Health Sciences, Hamilton, Ontario, Canada.

Corresponding Author: Sandra Ireland, PhD, RN, Hamilton Health Sciences, General Site, Room 722, 7 N, 237 Barton St E, Hamilton, Ontario, Canada L8N 2×2 (

The study was funded by the Registered Nurses' Association of Ontario and the Ontario Ministry of Health and Long-Term Care.

© 2010 Lippincott Williams & Wilkins, Inc.