June 2022 | Issue 3
Welcome to our newsletter
NSW Fall Prevention and Healthy Ageing Network Annual Falls Forum
Thank you to everyone who joined us at our annual falls forum. The day was attended by about 250 people in-person and 100 people online. The recordings will be available on our website in early July.
Falls are a significant problem, for individuals, families and our health system. To support greater action on falls prevention the ANZFPS is launching a joint campaign with the Centre of Research Excellence in the Prevention of Falls Injuries and the NSW Fall Prevention and Healthy Ageing Network.
Falls are everybody’s business. A fall can happen to anyone. And the consequences can be devastating. As health professionals and health policy experts, we believe more needs to be done to reduce the risk of falls.
Injury in Australia
Australian Institute of Health and Welfare (2022)
This report aims to count and describe injury incidents that result in hospital admission/s and/or death.
Injuries are a major health care issue in Australia. In the latest years for which data was available, injuries accounted for:
In 2019–20, falls were the most common cause of both injury hospitalisations and injury deaths. The next most common causes for hospitalisations were contact with objects (including blunt or sharp objects) and transport accidents. For deaths, the next most common causes were suicide, accidental poisoning and transport accidents.
The age-standardised rate of hospitalisations due to falls in 2019–20 was 4.4% lower than the previous year. This decrease appears at least in part to have been driven by COVID-19 related events.
Over the period from 2009–10 to 2016–17 there was an average annual increase of 2.0% for the age-standardised rate of hospitalisations. There is a break in the time series for hospitalisations between 2016–17 and 2017–18, due to a change in data collection methods.
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Other NSW Health speakers
Amanda Larkin, Chief Executive, Mid North Coast Local Health District
Harvey Lander, Director, Systems Improvement, Clinical Excellence Commission (CEC)
Jean-Frédéric Levesque, Chief Executive, NSW Agency for Clinical Innovation
Jim Mackie, Acting Chief Executive, CEC
Karen Patterson, Director, Capability and Culture, CEC
Felicity Gallimore, Medical Clinical Lead, Maternal Safety Intelligence Register, CEC
Michael Nicholl, Senior Obstetric Advisor, NSW Health, Senior Staff Specialist Obstetrician/Gynaecologist Royal North Shore, incoming Chief Executive, CEC
Shannon Nott, Western NSW Local Health District
Steve Bowden, Principal Clinical Lead, Safety Intelligence, CEC
Trish Bradd, Director, Patient Safety, CEC
Whether you are new to QI or are an improvement leader and looking to pass your knowledge onto the team, you will find plenty of practical tips and support at the International Forum to help you achieve your goals.
Early Bird Registration Deadline:
20 July 2022
Plenary Speakers Include:
- Prof Matthew Costa PhD, FRCS (Tr&Orth) Professor of Orthopaedic Trauma Surgery at the University of Oxford and Honorary Consultant Trauma Surgeon at the John Radcliffe Hospital, Oxford.
Dr Sandra Luliano, Senior Research Fellow, Department of medicine, University of Melbourne.
- Prof Peter Ebeling, Head of the Department of Medicine, School of Clinical Sciences at Monash Health, Faculty of Medicine, Nursing and Health Sciences, Monash University.
- Plus many more!
HIP FEST 2022
Date: Wednesday 19 October 2022
Time: 8.30am – 5.00pm + 5pm onwards- optional networking event
Venue: Clarendon Auditorium, Melbourne Convention and Exhibition Centre, 1 Convention Centre Place, South Wharf, Victoria 3006
In partnership with the Fragility Fracture Network, the ANZHFR invites you to Hip Fest 2022; Joined at the Hip.
The ANZHFR is a bi-national audit of hip fracture care and secondary fracture prevention in Australia and New Zealand. Its objective is to use data to improve hip fracture care across both countries.
The Festival will offer a forum to explore multidisciplinary teamwork in hip fracture care and highlight examples of best practice. Learn about the Registry and the My Hip/ My Voice consumer project. We are also excited to announce the winners of the Golden Hip Award.
Join us after the Hip Fest for networking drinks and canapes. Please indicate if you will attend this optional event in the registration form.
Hybrid Conference, 27th - 30th November 2022
The Adelaide Convention Centre, Adelaide
Safety 2022 aims to bring together the global injury prevention community to continue the successful world conferences highlighting the important research, work and advocacy in injury prevention and safety promotion.
Registrations are now open for Safety 2022. Register at the earlybird rate to save and ensure your place to attend.
Earlybird Speaker registrations will close at 11:59pm AEST, Friday 8 July 2022
Interventions to reduce falls in hospitals: a systematic review and meta-analysis
Meg E Morris, Kate Webster, Cathy Jones, Anne-Marie Hill, Terry Haines, Steven McPhail, Debra Kiegaldie, Susan Slade, Dana Jazayeri, Hazel Heng, Ronald Shorr, Leeanne Carey, Anna Barker, Ian Cameron
Age and Ageing, Volume 51, Issue 5, May 2022, afac077, https://doi.org/10.1093/ageing/afac077
Falls remain a common and debilitating problem in hospitals worldwide. The aim of this study was to investigate the effects of falls prevention interventions on falls rates and the risk of falling in hospital.
Systematic review and meta-analysis.
Prevention methods included staff and patient education, environmental modifications, assistive devices, policies and systems, rehabilitation, medication management and management of cognitive impairment. We evaluated single and multi-factorial approaches.
Falls rate ratios (rate ratio: RaR) and falls risk, as defined by the odds of being a faller in the intervention compared to control group (odds ratio: OR).
There were 43 studies that satisfied the systematic review criteria and 23 were included in meta-analyses. There was marked heterogeneity in intervention methods and study designs. The only intervention that yielded a significant result in the meta-analysis was education, with a reduction in falls rates (RaR = 0.70 [0.51–0.96], P = 0.03) and the odds of falling (OR = 0.62 [0.47–0.83], P = 0.001). The patient and staff education studies in the meta-analysis were of high quality on the GRADE tool. Individual trials in the systematic review showed evidence for clinician education, some multi-factorial interventions, select rehabilitation therapies, and systems, with low to moderate risk of bias.
Patient and staff education can reduce hospital falls. Multi-factorial interventions had a tendency towards producing a positive impact. Chair alarms, bed alarms, wearable sensors and use of scored risk assessment tools were not associated with significant fall reductions.
Our vision is to lead the way in fall prevention and other healthy ageing initiatives by harnessing expert knowledge and being collaborative in all we do.
We work closely with researchers, policy makers, health practitioners and community service providers in the development and promotion of healthy ageing services and programs with a focus on preventing falls and fall-related injury.
Our purpose is to support practitioners to improve the lives of older Australians through healthy ageing initiatives with a focus on preventing falls and fall-related injuries.
Do you have any news on Falls Prevention or healthy ageing that you want to share with others on the network, or report on a project that is happening in your area. We also welcome suggestions for articles and information you would like to see in this newsletter. Send your news and suggestions to: firstname.lastname@example.org
Telephone +61 2 9399 1063
Our mailing address is:
NSW Falls Prevention Network
Neuroscience Research Australia
PO Box 1165
Randwick NSW 2031
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