This is a secondary driver from effective and inclusive communication 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:
- Timely access to the skills of a multidisciplinary team, for example:
- Regular review of food, fluid, and nutrition / dietetic input
- Continence assessments and intervention
- Goal setting from admission with physiotherapy and occupational therapy
- Appropriate footwear / podiatry input
- Vision and hearing support
- Pharmacy review
Team:
- Involvement of falls coordinators in improvement work, where possible
- Inpatient falls and frailty status included in Immediate Discharge Letter
Organisation:
- Referral or signposting to community falls resources and/or fracture liaison service as appropriate
Evidence and resources
- Boot M, Allison J, Maguire J, O’Driscoll G. QI initiative to reduce the number of inpatient falls in an acute hospital trust. BMJ Open Quality. 2023;12(1)
- McLennan C, Sherrington C, Vasi Naganathan, Tilden W, Richards B, McVeigh T, et al. Supported implementation of tailored multicomponent fall prevention interventions in hospital: a feasibility study. BMJ Open Quality. 2025;14(3)
- Stern C, Jayasekara R. Interventions to reduce the incidence of falls in adult patients in Acute Care Hospitals: A Systematic Review. JBI Library of Systematic Reviews [online]. 2009;7(21),942-974
- Turas Learn. Carers and Hospital discharge [online].