Translation of falls prevention knowledge into action in hospitals: what should be translated and how should it be done?

J Safety Res. 2011 Dec;42(6):431-42. doi: 10.1016/j.jsr.2011.10.003. Epub 2011 Nov 3.

Translation of falls prevention knowledge into action in hospitals: what should be translated and how should it be done?

Haines TP1, Waldron NG.

Abstract

INTRODUCTION:

Falls prevention evidence has changed and evolved over time with positive and negative studies revealing that a "one-size fits all" approach is not the solution. Care must be taken to critically appraise the evidence and the potential applicability of that evidence to the specific hospital setting.

METHOD:

A narrative account of the evolution of research evidence in this field is first presented. How this evidence should be applied in clinical practice is challenging, with a lack of translational evidence for the hospital setting we draw on broader theory of translating knowledge to action.

CONCLUSIONS:

The journey should begin with formation of a management and engagement committee. A review of existing practices and the difference between existing practice and evidence-based practice should be undertaken to identify the "evidence-practice gap." Engagement with staff is recommended to inform a plan for practice change. Plans for resourcing, targeting, and evaluating these strategies should also be undertaken.

IMPACT ON INDUSTRY:

This paper will assist hospitals to identify and implement evidence based falls prevention strategies leading to an improvement in patient safety.

PMID: 22152261 DOI: 10.1016/j.jsr.2011.10.003

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https://www.ncbi.nlm.nih.gov/pubmed/22152261

http://www.sciencedirect.com/science/article/pii/S0022437511001137