This is a secondary driver from a people-led approach to the planning and delivery of safe care within the Falls driver diagram
Change ideas
The examples below show how this secondary driver can be implemented in practice. Additional change ideas can be found in the Falls driver diagram
Practitioner:
- Individualised prescribed mobility plans with visual exercise prompts
Team:
- Regular assessment of unmet needs eg stress or distress
Organisation:
- Use of Clinical Frailty Scoring (CFS) for early identification of frailty on admission
- Use the 4AT for early identification of delirium
Evidence and resources
- Bowen ME, Cacchione P. Changes in Motor Behavior Predict Falls and Identify Acute Events. Western Journal of Nursing Research. 2021;44(12),1100-1107
- Healthcare Improvement Scotland. Reducing stress and distress improvement resources [online]. 2026
- Maclullich A, Ryan T, Cash H. 4AT – Rapid Clinical Test For Delirium [online]. 2026
- Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, et al. A global clinical measure of fitness and frailty in elderly people. Canadian Medical Association Journal. 2005;173(5),489-95
- Rogers SE, Mulvey J, Roniela Turingan, Coco LM, Hubbard CC, Binford S, et al. Mobility Loss in Hospitalized Adults Predicts Poor Clinical Outcomes. Journal of Nursing Care Quality. 2025;40(2),32-33
