LibGuides: Nursing Update: Special issue: Preventing Falls and Harm from Falls, Falls and Delirium

National Standard and Resources

Home page

Safety and Quality Improvement Guide Standard 10: Preventing Falls and Harm from Falls, October 2012
Standard

NSQHS Standards fact sheet (National Safety and Quality Standards and Accreditation) – Standard 10: Preventing falls and harm
Fact sheet

Preventing Falls and Harm From Falls in Older People: Best Practice Guidelines for Australian Hospitals, Residential Aged Care Facilities and Community Care 2009
Guideline

Delirium and dementia issues

Evidence for the safety and quality issues associated with the care of patients with cognitive impairment in acute care settings: a rapid review October 2013 (ACSQHC, Sydney ) Includes delirium, dementia care pathways, delirium in acute care settings)
Review

Delirium Clinical Care Standard

“The Delirium Clinical Care Standard aims to ensure that patients with delirium at the time of presentation to hospital receive optimal treatment to reduce the duration and severity of the condition. It also aims to ensure that patients at risk of delirium during a hospital admission are identified promptly and receive preventive strategies.” July 2016, ACSQHC.
Standard

Falls - Australian Focus

Controlled pre-post, mixed-methods study to determine the effectiveness of a national delirium clinical care standard to improve the diagnosis and care of patients with delirium in Australian hospitals: a protocol, 2018 Mumford, Virginia; Kulh, Mary Ann; Hughes, Clifford; Braithwaite, Jeffrey; Westbrook, Johanna. BMJ Open. 8(1):e019423, 2018 01 24.
Implementation fidelity of a nurse-led falls prevention program in acute hospitals during the 6-PACK trial, 2017 Morello, Renata T; Barker, Anna L; Ayton, Darshini R; Landgren, Fiona; Kamar, Jeannette; Hill, Keith D; Brand, Caroline A; Sherrington, Catherine; Wolfe, Rory; Rifat, Sheral; Stoelwinder, Johannes. BMC Health Services Research. 17(1):383, 2017
Nursing assessment and strategy utilization for falls prevention among medical and orthopedic patients in an acute public hospital setting: A best practice implementation project, 2014 Dench, Brooke; Lucas, Jonaelle ; Perkins, Charlotte; Diver, Glenis. JBI Database of Systematic Reviews and Implementation Reports Issue: Volume 12(10), October 2014, p 267-281.
Risk factors, incidence, consequences and prevention strategies for falls and fall-injury within older indigenous populations: a systematic review, 2016 Lukaszyk, Caroline; Harvey, Lara; Sherrington, Cathie; Keay, Lisa; Tiedemann, Anne; Coombes, Julieann; Clemson, Lindy; Ivers, Rebecca. Australian & New Zealand Journal of Public Health. 40(6):564-568, 2016 Dec.
Why do hospitalized older adults take risks that may lead to falls? 2015 Haines, Terry P; Lee, Den-Ching Angel; O'Connell, Beverly; McDermott, Fiona; Hoffmann, Tammy. Health Expectations. 18(2):233-49, 2015 Apr.
Yarning about fall prevention: community consultation to discuss falls and appropriate approaches to fall prevention with older Aboriginal and Torres Strait Islander people, 2017 Caroline Lukaszyk et al. BMC Public Health. 2018; 18: 77. Published online 2017 Aug 1.

Request an article** - Document Delivery Service, SVHM

Why don't intensive care nurses perform routine delirium assessment? A discussion of the literature, 2012 - Article Request Document delivery Service - SVHM Wells LG. Australian Critical Care. 25(3):157-61, 2012 Aug.
Piloting staff education in Australia to reduce falls in older hospital patients experiencing delirium, 2017 Toye C; Kitchen S; Hill A; Edwards D; Sin M; Maher S. Nursing & Health Sciences. , Vol. 19, Iss. 1, pp.51-58, 2017 Jul 13.

Falls

Falls - General

Inpatient falls in older adults: a cohort study of antihypertensive prescribing pre- and post-fall, 2018 Omer, H M R B; Hodson, J; Pontefract, S K; Martin, U. BMC Geriatrics. 18(1):58, 2018
Exercise for reducing fear of falling in older people living in the community. [Review], 2014 Kendrick, Denise; Kumar, Arun; Carpenter, Hannah; Zijlstra, G A Rixt; Skelton, Dawn A; Cook, Juliette R; Stevens, Zoe; Belcher, Carolyn M; Haworth, Deborah; Gawler, Sheena J; Gage, Heather; Masud, Tahir; Bowling, Ann; Pearl, Mirilee; Morris, Richard W; Iliffe, Steve; Delbaere, Kim. Cochrane Database of Systematic Reviews. (11)CD009848, 2014 Nov 28.
Meanings of Falls and Prevention of Falls According to Rehabilitation Nurses: A Qualitative Descriptive Study, 2016 Meanings of Falls and Prevention of Falls According to Rehabilitation Nurses: A Qualitative Descriptive Study Bok, Amy MSN, RN, CRRN1; Pierce, Linda L. PhD, RN, CNS, CRRN, FAHA, FAAN2; Gies, Cheryl DNP, RN, CNP2; Steiner, Victoria PhD2. Rehabilitation Nursing Journal Issue: Volume 41(1), January/February 2016, p 45-53
How can policy change guide nursing practice to reduce in-patient falls? 2017 Nursing, Issue: Volume 47(12), December 2017, p 63-67.

Falls Delirium - Screening & Diagnosis

Screening in delirium: A pilot study of two screening tools, the Simple Query for Easy Evaluation of Consciousness and Simple Question in Delirium, 2015 Lin HS; Eeles E; Pandy S; Pinsker D; Brasch C; Yerkovich S. Australasian Journal on Ageing. 34(4):259-64, 2015 Dec.
Effectiveness of a Multifaceted Delirium Screening, Prevention, and Treatment Initiative on the Rate of Delirium Falls in the Acute Care Setting, 2018 Ferguson, Alice; Uldall, Karina; Dunn, Jessica; Blackmore, Christopher Craig; Williams, Barbara. Journal of Nursing Care Quality. Issue: Volume 33(3), July/September 2018, p 213–220.

Scales and tools

Tools to detect delirium superimposed on dementia: a systematic review, 2012 Review][Erratum appears in J Am Geriatr Soc. 2013 Jan;61(1):174 Note: Ely, Wesley E [corrected to Ely, E Wesley]] Journal of the American Geriatrics Society. 60(11):2005-13, 2012 Nov.
Implementation of an Intensive Care Unit Delirium Protocol: An Interdisciplinary Quality Improvement Project Marino, Jessica; Bucher, Donald; Beach, Michael; Yegneswaran, Balaji; Cooper, Brad. Dimensions of Critical Care Nursing Issue: Volume 34(5), September/October 2015, p 273–284.

Epidemiology, risk factors

Adverse Outcomes After Hospitalization and Delirium in Persons With Alzheimer Disease, 2012 T.G. Fong, R.N. Jones, E.R. Marcantonio, D. Tommet, A.L. Gross, D. Habtemariam, E. Schmitt, L. Yap, S.K. Inouye. Annals of Internal Medicine. Issue: Volume 156(12), 19 June 2012, pp 848-856
Delirium and Dementia in the Intensive Care Unit: Increasing Awareness for Decreasing Risk, Improving Outcomes, and Family Engagement, 2015 Volland J; Fisher A; Drexler D. DCCN - Dimensions of Critical Care Nursing. Vol. 34(5):259-64, 2015 Sep-Oct. Dimensions of Critical Care Nursing Issue: Volume 34(5), September/October 2015, p 259–264
Factors Associated With Delirium Severity Among Older Persons With Dementia, 2011 Voyer, Philippe; Richard, Sylvie; Doucet, Lise; Carmichael, Pierre-Hugues. Journal of Neuroscience Nursing Issue: Volume 43(2), April 2011, pp 62-69
A hospital-wide evaluation of delirium prevalence and outcomes in acute care patients - a cohort study, 2018 Schubert, Maria, et al. BMC Health Services Research. 18(1):550, 2018 07 13.

Falls - Delirium, Prevention & Management

Delirium in palliative care: Detection, documentation and management in three settings, 2015 Hey J; Hosker C; Ward J; Kite S; Speechley H. Palliative & Supportive Care. Vol. 13(6):1541-5, 2015 Dec. Proquest.
Should This Patient Receive Prophylactic Medication to Prevent Delirium?, 2018 Anjala V. Tess; Melissa L.P. Mattison; Joshua R. Leo, ; Eileen E. Reynolds, Annals of Internal Medicine Issue: Volume 168(7), 3 April 2018, pp. 498-505
The Search for Effective Delirium Treatment for Persons with Dementia, in the Postacute-Care Setting, 2016 Tamara G. Fong, Asha Albuquerque. Sharon K. Inouye. Journal of the American Geriatrics Society, Volume 64, Issue 12 December 2016, Pages 2421-2423. Tamara G. Fong MD, PhD , Asha Albuquerque BA , Sharon K. Inouye MD, MPH
Effectiveness of Multicomponent Nonpharmacological Delirium Interventions, 2015 Tammy T. Hshieh; Jirong Yue; Esther Oh; et al. JAMA Intern Med. 2015;175(4):512-520
Effectiveness of patient-centered interventions on falls in the acute care setting: a quantitative systematic review protocol Avanecean, Donna; Calliste, Dawn; Contreras, Teresita; Lim, Yeogyeong; Fitzpatrick, Aileen. JBI Database of Systematic Reviews and Implementation Reports. Issue: Volume 15(1), January 2017, p 55–65.
Falls and delirium in an acute care setting: A retrospective chart review before and after an organisation-wide interprofessional education, 2018 Babine, Rhonda L et al. Journal of Clinical Nursing Issue: Volume 27(7-8), April 2018, p e1429–e1441.
The Johns Hopkins Fall Risk Assessment Tool: A Study of Reliability and Validity, 2018 Poe, Stephanie S; Dawson, Patricia B.; Cvach, Maria; Burnett, Margaret; Kumble, Sowmya ; Lewis, Maureen; Thompson, Carol B; Hill, Elizabeth E. Journal of Nursing Care Quality. Issue: Volume 33(1), January/March 2018, p 10–19.
Promoting Safety in the Cardiac Intensive Care Unit: The Role of the Geriatric Resource Nurse in Early Identification of Patient Risk for Falls and Delirium, 2011 Mullin, Susan G.; Chrostowski, Wioletta; Waszynski, Christine. Dimensions of Critical Care Nursing Issue: Volume 30(3), May/June 2011, pp. 150-159.
HELP© prevent falls by preventing delirium Babine, Rhonda L. MS, APRN, ACNS-BC; Farrington, Stacey MS, ANP-C; Wierman, Heidi R. Nursing2013: May 2013 - Volume 43 - Issue 5 - p 18–21.

Postoperative Period

Preoperative Cognitive Performance and Postoperative Delirium Are Independently Associated With Future Dementia in Older People Who Have Undergone Cardiac Surgery: A Longitudinal Cohort Study* , 2017 Lingehall, Helena Claesson , et al. Critical Care Medicine. Issue: Volume 45(8), August 2017, p 1295–1303
Outcomes associated with postoperative delirium after cardiac surgery, 2015 Mangusan RF; Hooper V; Denslow SA; Travis L. American Journal of Critical Care. 24(2):156-63, 2015 Mar.
A Preoperative, Nurse-Led Intervention Program Reduces Acute Postoperative Delirium, 2016 Guo Y; Fan Y. Journal of Neuroscience Nursing. 48(4):229-35, 2016 Jul-Aug.

Resources

Care of Confused Hospitalised Older Persons (CHOPS), 2018 Confusion and Cognitive Impairment Agency for Clinical Innovation (ACI) (2016) Innovation, NSW Ministry of Health, Sydney.
Cognitive Screening tools –CHOPs Cognitive Decline Partnership Centre, 2018 (Australia, NSW) NSW government, Cognitive Decline Partnership Centre, ACI: Agency for Clinical Innovation.

Delirium and Falls - Falls in the community Julia Poole, Northern Sydney Health, CNC Aged Care, RNSH

Falls in Older Adults. Dynamed. EBSCO Information Services. DynaMed. Falls in Older Adults. EBSCO Information Services.https://www.dynamed.com/condition/falls-in-older-adults
MERCK Manuals - Overview of Delirium and Dementia, 2018 Juebin Huang, MD, PhD, Assistant Professor, Department of Neurology, Memory Impairment and Neurodegenerative Dementia (MIND) Center, University of Mississippi Medical Center

Topic Bulletins

Topic specific Bulletins can be requested to high-light an area of research or to learn more in a particular field of interest.

All nursing related topics are supported.

October issue: Special issue: Preventing Falls and Harm from Falls, Falls and Delirium No. 10 October 2018