Documentation of in-hospital falls on incident reports: Qualitative investigation of an imperfect process

Haines, Terry P., Cornwell, Petrea, Fleming, Jennifer, Varghese, Paul and Gray, Len (2008) Documentation of in-hospital falls on incident reports: Qualitative investigation of an imperfect process. BMC Health Services Research, 8 Art. No. 254: 1-8. doi:10.1186/1472-6963-8-254

Author Haines, Terry P.
Cornwell, Petrea
Fleming, Jennifer
Varghese, Paul
Gray, Len
Title Documentation of in-hospital falls on incident reports: Qualitative investigation of an imperfect process
Journal name BMC Health Services Research   Check publisher's open access policy
ISSN 1472-6963
Publication date 2008
Sub-type Article (original research)
DOI 10.1186/1472-6963-8-254
Open Access Status DOI
Volume 8
Issue Art. No. 254
Start page 1
End page 8
Total pages 8
Editor M. Norton
Place of publication United Kingdom
Publisher BioMed Central
Collection year 2009
Language eng
Subject C1
920502 Health Related to Ageing
110308 Geriatrics and Gerontology
Formatted abstract
Incident reporting is the prevailing approach to gathering data on accidental falls in hospitals for both research and quality assurance purposes, though is of questionable quality as staff time pressures, perception of blame and other factors are thought to contribute to under-reporting.


This research aimed to identify contextual factors influencing recording of in-hospital falls on incident reports. A qualitative multi-centre investigation using an open written response questionnaire was undertaken. Participants were asked to describe any factors that made them feel more or less likely to record a fall on an incident report. 212 hospital staff from 30 wards in 7 hospitals in Queensland, Australia provided a response. A framework approach was employed to identify and understand inter-relationships between emergent categories.

Three main categories were developed. The first, determinants of reporting, describes a hierarchical structure of primary (principle of reporting), secondary (patient injury), and tertiary determinants that influenced the likelihood that an in-hospital fall would be recorded on an incident report. The tertiary determinants frequently had an inconsistent effect. The second and third main categories described environmental/cultural facilitators and barriers respectively which form a background upon which the determinants of reporting exists.

A distinctive framework with clear differences to recording of other types of adverse events on incident reports was apparent. Providing information to hospital staff regarding the purpose of incident reporting and the usefulness of incident reporting for preventing future falls may improve incident reporting practices
Keyword Randomized Controlled-trial
Q-Index Code C1
Q-Index Status Confirmed Code

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2009 Higher Education Research Data Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 15 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 18 times in Scopus Article | Citations
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Created: Mon, 16 Mar 2009, 12:04:55 EST by Denise Wilson on behalf of School of Medicine