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, 17 4: e5-1-e5-6. doi:10.1136/injuryprev-2011-040074


Author 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
Kamar, Jeannette
Title The 6-PACK programme to decrease fall-related injuries in acute hospitals: Protocol for a cluster randomised controlled trial
Journal name Injury Prevention   Check publisher's open access policy
ISSN 1353-8047
1475-5785
Publication date 2011-08
Sub-type Article (original research)
DOI 10.1136/injuryprev-2011-040074
Volume 17
Issue 4
Start page e5-1
End page e5-6
Total pages 6
Place of publication Tavistock Sq, London, U.K.
Publisher BMJ Group
Collection year 2012
Language eng
Formatted abstract
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.

Trial registration: The protocol for this study is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12611000332921).
Keyword Acute-care hospitals
Prevention program
Risk
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Health and Rehabilitation Sciences Publications
 
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