Fall Prevention for Seniors in Institutional Healthcare Settings
In the fall of 2012, Newfoundland and Labradors Department of Health and Community Services (DHCS) and its four Regional Health Authorities (RHAs) formally asked the Contextualized Health Research Synthesis Program (CHRSP) to identify and evaluate the best available research-based evidence on fall prevention for older adults in institutional healthcare settings, such as hospitals and residential care facilities. Though this research topic was initially suggested by authorities at Western Health, consultations with the provinces other RHAs and with the DHCS revealed that the experience of older adults in institutional settings was a high-priority issue for them as well. CHRSP personnel then assembled a project team that included officials from three of the four RHAs, a faculty member from Memorial Universitys School of Human Kinetics and Recreation, and the Executive Director of the Seniors Resource Centre of Newfoundland and Labrador. Dr. Vicky Scott, Clinical Associate Professor in the School of Population and Public Health at the University of British Columbia and Senior Advisor on Fall and Injury Prevention for the British Columbia Ministry of Health Services, agreed to serve as Academic Team Leader for the project, and Dr. Susan Gillam, Western Healths Chief Executive Officer, agreed to serve as Health System Leader. In their initial description of the topic, Western Health officials framed the issue as follows: According to the Canadian Institute for Health Information, falls were the cause of 57% of all injury related hospitalizations, and more than three quarters of all in-hospital deaths in those admitted for an injury. Accreditation Canada has identified a fall prevention strategy as a Required Organizational Practice with the goal to reduce the risk of injuries resulting from falls. Western Health has committed significant resources to the continued spread of a fall prevention program to reduce the number of falls as well as the severity of injuries resulting from falls. Quality and Risk Management leadership would use the results of this research to improve client/client outcomes and to enhance program delivery. At an initial project meeting, team members confirmed that the requested synthesis should focus exclusively on fall prevention for older adults in institutional as opposed to community settings. The synthesis ultimately included reviews of studies conducted in a range of institutional healthcare settings, including long-term, residential, intermediate, acute and sub-acute care facilities.
30 Nov -0001
Strategic Research Theme
Well-being, Health and Biomedical Discovery