The 6-PACK programme to decrease fall-related injuries in acute hospitals: protocol for a cluster randomised controlled trial

Barker, Anna, Brand, Caroline, Haines, Terry, Hill, Keith, Brauer, Sandy, Jolley, Damien, Botti, Mari, Cumming, Robert, Livingston, Patricia M, Sherrington, Cathie, Zavarsek, Silva, Morello, Renata and Kamar, Jeannette 2011, The 6-PACK programme to decrease fall-related injuries in acute hospitals: protocol for a cluster randomised controlled trial, Injury prevention, vol. 17, no. 4, pp. 1-6, doi: 10.1136/injuryprev-2011-040074.

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Title The 6-PACK programme to decrease fall-related injuries in acute hospitals: protocol for a cluster randomised controlled trial
Author(s) Barker, Anna
Brand, Caroline
Haines, Terry
Hill, Keith
Brauer, Sandy
Jolley, Damien
Botti, MariORCID iD for Botti, Mari
Cumming, Robert
Livingston, Patricia MORCID iD for Livingston, Patricia M
Sherrington, Cathie
Zavarsek, Silva
Morello, Renata
Kamar, Jeannette
Journal name Injury prevention
Volume number 17
Issue number 4
Start page 1
End page 6
Total pages 6
Publisher B M J Group
Place of publication London, England
Publication date 2011-06
ISSN 1353-8047
Keyword(s) fall-related injuries
acute hospitals
Summary Background and aims In-hospital fall-related injuries are a source of personal harm, preventable hospitalisation costs, and access block through increased length of stay. Despite increased fall prevention awareness and activity over the last decade, rates of reported fall-related fractures in hospitals appear not to have decreased. This cluster randomised controlled trial (RCT) aims to determine the efficacy of the 6-PACK programme for preventing fall-related injuries, and its generalisability to other acute hospitals.

Methods 24 acute medical and surgical wards from six to eight hospitals throughout Australia will be recruited for the study. Wards will be matched by type and fall-related injury rates, then randomly allocated to the 6-PACK intervention (12 wards) or usual care control group (12 wards). The 6-PACK programme includes a nine-item fall risk assessment and six nursing interventions: ‘falls alert’ sign; supervision of patients in the bathroom; ensuring patient’s walking aids are within reach; establishment of a toileting regime; use of a low-low bed; and use of bed/chair alarm. Intervention wards will be supported by a structured implementation strategy. The primary outcomes are fall and fall-related injury rates 12 months following 6-PACK implementation.

Discussion This study will involve approximately 16 000 patients, and as such is planned to be the largest hospital fall prevention RCT to be undertaken and the first to be powered for the important outcome of fall-related injuries. If effective, there is potential to implement the programme widely as part of daily patient care in acute hospital wards where fall-related injuries are a problem.
Language eng
DOI 10.1136/injuryprev-2011-040074
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2011, B M J Group
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Created: Tue, 14 Jun 2011, 12:14:12 EST by Jane Moschetti

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