This is a secondary driver from promote safer mobility through safe, clinical and care processes 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:
- Bed rail assessment to inform plan of care and appropriate use of adjustable height beds
- Easy access to fluids
Team:
- Workstation positions for close observation of people at risk of falls
- Use of ‘call don’t fall’ initiatives where appropriate
- Seats placed around the ward for patients to rest
Organisation:
- Appropriate use of technology enabled care in line with local policy, for example, use of bed sensors to establish patterns of activity
Evidence and resources
- Ali UM, Judge A, Foster C, Brooke A, James K, Marriott T, et al. Do portable nursing stations within bays of hospital wards reduce the rate of inpatient falls? An interrupted time-series analysis. Age and Ageing. 2018;47(6),818–824
- Hooper L, Parkinson E, Abdelhamid A, Deng K, Edozie O, Fenner C, et al. Prevalence low-intake dehydration is common in hospitalised older adults: Systematic review and meta-analysis. BMJ Public Health. 2026;4(2)
- McLennan C, Dyer SM, Kwok WS, Suen J, Marin TS, Haley M, et al. How effective are interventions to reduce falls in older people in hospitals. Cochrane Database of Systematic Reviews. 2026;(5)
- NHS Highland. Falls prevention [online]. 2022
- NHS Inform. How to eat well to help prevent falls [online]. 2024
- Public Health Scotland. Technology enabled care. Support provided or funded by local authorities in Scotland 2023/24 [online]. 2025
- Randell R, McVey L, Wright J, Zaman H, Cheong V. Practices of falls risk assessment and prevention in acute hospital settings: a realist investigation. Health and Social Care Delivery Research. 2026;12(5)
- Our Place. The Place Standard tool is a way of assessing places [online]. 2026
- UK Government. Bed rails: management and safe use [online]. 2020
