None listed
Conditions
Brief summary
Recent evaluation of the FRAT at Peninsula Health identified that use of prompted clinical judgement had higher sensitivity for when to provide falls interventions than the stratification of risk and allocation of score. This led to the development of a new FRAT with just interventions prompts. This stepped wedge cluster randomised control trial seeks to analyse this new method of falls intervention. The design aims to roll out the introduction of the new forms to each cluster over a 9 month period. All inpatient sites and wards of Peninsula Health will be involved in this roll out excluding Women’s Health, Emergency and Paediatrics, due to different documentation requirements. The primary outcome of interest will be falls rates, secondary outcomes will also include rates of change in completions in FRATs, difference in time taken to complete new and old documentation with a potential economic evaluation of the cost of interventions. This research will provide important information about the way in which we both implement falls interventions but also seek to prevent these within the inpatient setting.
Interventions
The traditional Falls Risk Assessment Tool (FRAT) is currently used for all inpatient admissions to rate the falls risk of patients prior to initiating falls prevention interventions. It guides the user to firstly rate the risk of falls through a series of questions 7 questions which asks the user to score on a scale of 1-4 or low, medium or high. This research will remove this tool and therefore remove the rating scores for patients.
The short FRAT will be a template which guides the user to
The traditional Falls Risk Assessment Tool (FRAT) is currently used for all inpatient admissions to rate the falls risk of patients prior to initiating falls prevention interventions. It guides the user to firstly rate the risk of falls through a series of questions 7 questions which asks the user to score on a scale of 1-4 or low, medium or high. This research will remove this tool and therefore remove the rating scores for patients. The short FRAT will be a template which guides the user to falls intervention strategies only, The user will be asked if the person had a recent fall, change in cognition or decline in mobility. A yes to any answer will trigger the use of strategies targeted to the individual need to the patient. Patient focused falls interventions will be documented on a Short FRAT based on observed and personalised need rather then the risk level.
Sponsors
Peninsula Health
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
All patients who are admitted to intervention wards at Peninsula Health
Exclusion criteria
Non inclusion of paediatric and maternity wards.
Outcome results
None listed