Home care worker-supported exercise program to address falls: a feasibility study.

Background: Falls are a major concern for community-dwelling older adults. The Otago Exercise Program (OEP) is an evidence-based home program that reduces risk of falls. Exercise participation and program adherence can be challenging.

A codesigned fit-for-purpose implementation framework for aged care.

Rationale, Aims And Objectives: The field of implementation science is critical for embedding research evidence into healthcare practice, benefiting individuals, organizations, governments, and the broader community. Implementation science is messy and complex, underpinned by many theories and frameworks. Efficacious interventions for older people with multiple comorbidities exist, yet many lack effectiveness evaluation relevant to pragmatic implementation within aged care practice.

Local adaptation and evaluation of a falls risk prevention approach in acute hospitals.

Objective: To determine whether locally adapting a falls risk factor assessment tool results in an instrument with clinimetric properties sufficient to support an acute hospital's falls prevention program.

Design: Prospective cohort study of predictive validity and observational investigation of intra- and inter-rater reliability.

Setting: Acute wards in two large hospitals in Melbourne, Australia.

Falls in the acute hospital setting--impact on resource utilisation.

Objective: To determine the resource utilisation of patients who fall within an acute metropolitan hospital.

Design: Retrospective observational study, part of a larger falls prevention project in a 323-bed acute care, tertiary teaching hospital in Melbourne, Australia. A review of falls incidents was undertaken for all patient admissions for 18 months from January 2002, excluding the Day Procedure Unit, Intensive Care Unit, Coronary Care Unit and the Emergency Department.

Design-related bias in hospital fall risk screening tool predictive accuracy evaluations: systematic review and meta-analysis.

Introduction: Fall risk screening tools are frequently used as a part of falls prevention programs in hospitals. Design-related bias in evaluations of tool predictive accuracy could lead to overoptimistic results, which would then contribute to program failure in practice.

Methods: A systematic review was undertaken.