The 6-PACK programme to decrease falls and fall-related injuries in acute hospitals : protocol for an economic evaluation alongside a cluster randomised controlled trial

Morello, Renata, Barker, Anna, Zavarsek, Silva, Watts, Jennifer J., Haines, Terry, Hill, Keith, Sherrington, Cathie, Jolley, Damien and Stoelwinder, Just 2012, The 6-PACK programme to decrease falls and fall-related injuries in acute hospitals : protocol for an economic evaluation alongside a cluster randomised controlled trial, Injury prevention, vol. 18, no. 2, pp. 1-6.

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Title The 6-PACK programme to decrease falls and fall-related injuries in acute hospitals : protocol for an economic evaluation alongside a cluster randomised controlled trial
Author(s) Morello, Renata
Barker, Anna
Zavarsek, Silva
Watts, Jennifer J.
Haines, Terry
Hill, Keith
Sherrington, Cathie
Jolley, Damien
Stoelwinder, Just
Journal name Injury prevention
Volume number 18
Issue number 2
Start page 1
End page 6
Total pages 6
Publisher BMJ Group
Place of publication London, England
Publication date 2012-04
ISSN 1353-8047
1475-5785
Keyword(s) falls
fall related injuries
acute hospital wards
Summary Background Falls are a common hospital occurrence complicating the care of patients. From an economic perspective, the impact of in-hospital falls and related injuries is substantial. However, few studies have examined the economic implications of falls prevention interventions in an acute care setting. The 6-PACK programme is a targeted nurse delivered falls prevention programme designed specifically for acute hospital wards. It includes a risk assessment tool and six simple strategies that nurses apply to patients classified as high-risk by the tool.
Objective To examine the incremental cost-effectiveness of the 6-PACK programme for the prevention of falls and fall-related injuries, compared with usual care practice, from an acute hospital perspective.
Methods and design The 6-PACK project is a multicentre cluster randomised controlled trial (RCT) that includes 24 acute medical and surgical wards from six hospitals in Australia to investigate the efficacy of the 6-PACK programme. This economic evaluation will be conducted alongside the 6-PACK cluster RCT. Outcome and hospitalisation cost data will be prospectively collected on approximately 16 000 patients admitted to the participating wards during the 12-month trial period. The results of the economic evaluation will be expressed as ‘cost or saving per fall prevented’ and ‘cost or saving per fall-related injury prevented’ calculated from differences in mean costs and effects in the intervention and control groups, to generate an incremental cost-effectiveness ratio (ICER).
Discussion This economic evaluation will provide an opportunity to explore the cost-effectiveness of a targeted nurse delivered falls prevention programme for reducing in-hospital falls and fall-related injuries. This protocol provides a detailed statement of a planned economic evaluation conducted alongside a cluster RCT to investigate the efficacy of the 6-PACK programme to prevent falls and fall-related injuries.
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2012, BMJ Publishing Group
Persistent URL http://hdl.handle.net/10536/DRO/DU:30054600

Document type: Journal Article
Collection: School of Health and Social Development
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