Fall Prevention in Healthcare: The Best Practices

Fall Prevention in Healthcare: The Best Practices

Falls are a common phenomenon amongst the elderly. In most cases, fall victims end up dying, immobilized, or institutionalized in a clinical facility. Therefore, key players in the health care sector have to come up with ways of preventing this occurrence. This paper is a literature review on the best practices related to fall prevention. The paper will also highlight the importance of implementing preventive policies coupled with giving suggestions on how the implementation process can be accomplished successfully.

Don't use plagiarized sources. Get Your Custom Essay on
Fall Prevention in Healthcare: The Best Practices
Just from $13/Page
Order Essay


According to Dykes et al. (2010), anyone can be a victim of falls, but the risk is high amongst the elderly population. Hospitalization also increases the risks of a patient falling, which necessitates the need to come up with preventive mechanisms. Dykes et al. (2010) hold that the use of health information technology (HIT) plays a critical role in preventing falls as it “improves communication and facilitates information access and decision support” (p. 1915). Therefore, healthcare institutions should come up with fall prevention tool kits (FPTK), which incorporate HIT in a bid to improve communication and decision-making on the prevention of falls. Unfortunately, information on the effectiveness of HIT in preventing falls is scarcely documented. However, a study by Dyekes et al. (2010) shows that HIT plays a critical role in preventing falls in clinical setups.

In another study, Rubenstein (2006) notes that considerable evidence “documents that the most effective (and cost-effective) fall reduction programs have involved systematic fall risk assessment and targeted interventions, exercise programs and environmental-inspection, and hazard-reduction programs” (p. 37). Apparently, the majority of falls can be linked to known risk factors like general body weakness, psychotropic medications, muddiness, and unsteady pace. Therefore, prevention measures should be tailored around these risk factors in a bid to counter the problem before it happens. According to Rubenstein (2006), the available research findings indicate that dealing with the risk factors reduces the problem significantly. Other “evidence-based fall reduction methods include systematic exercise programs and environmental inspection and improvement programs” (Rubenstein, 2006, p. 40). In addition, clinical guidelines for approaching the risks associated with falls are critical in the quest to prevent the problem.

According to a study by Spoelstra, Given, and Given (2012), hospitals can reduce falls by “using multifactorial fall prevention programs via evidence-based interventions to reduce falls and injuries” (p. 92). Spoelstra, Given, and Given (2012) support Rubenstein’s (2006) claims that dealing with the risk factors is one of the most critical steps of preventing falls in hospital settings. Some of the single interventions used in this approach include avoiding the administration of psychotropic drugs coupled with introducing exercise programs for hospitalized elderly individuals. The multifactorial approach includes “post-fall review, patient education, staff education, footwear advice, and toileting” (p. 97). In addition, hospitals should adopt universal fall safeguards and inform patients on the same upon admission. Moreover, after admission to a hospital, caregivers should carryout a risk assessment to establish the patients predisposed to falls. After this assessment, each patient should have a customized intervention plan as a way of optimizing prevention and response efficiency. Fall Prevention in Healthcare: The Best Practices

Response from my clinical facility

The policies in my clinical facility correspond to the majority of the best practices highlighted above. We have incorporated international clinical guidelines on the prevention of falls in hospitals. In addition, we carry out an assessment after admitting any patient prone to falls in a bid to establish the potential predisposing factors. We then tailor the prevention measures based on the patient’s risk factors. However, even though we have a functional communication system, I think we need to incorporate HIT and FPTK. This move will ensure proper and timely communication and accurate decision-making in a bid to avoid and prevent falls.

Importance of implementing preventive policies

As aforementioned, falls lead to immobilization, prolonged hospitalization, or even death in some cases. According to the available literature, 4 out of every 1,000 patients are victims of falls in hospitals across the United States (Bouldin et al., 2013). This prevalence rate is high, and thus it underscores the importance of implementing falls’ preventive policies in hospitals. In addition, falls lengthen the time that an individual spends in a hospital, which increases the cost of healthcare services. Moreover, relatives of falls patients have to take care of them for longer periods, and this aspect interferes with normal living and the execution of duties. Therefore, implementing falls preventive policies will reduce the associated risks, hence the prevalence. This aspect will ensure that patients do not incur extra costs and prolonged stay in hospitals due to falls.


In a bid to accomplish a successful implementation of preventive policies, hospitals should consider the following recommendations:

  • Hospitals should implement HIT and develop FPTK in a bid to improve communication and the decision-making process. This move will allow timely response to fall cases or in combating risk factors.
  • Healthcare facilities should adopt detailed fall risk assessment for every patient in a bid to come up with customized prevention measures.
  • Hospitals should adopt both single and multifactorial intervention strategies in a bid to prevent falls from happening.
  • Finally, healthcare institutions should adopt universal intervention strategies by following the set clinical procedures for falls prevention.


Bouldin, E., Andresen, E., Dunton, N., Simon, M., Waters, T., Liu, M.,… Shorr, R. (2013). Falls among adult patients hospitalized in the United States: prevalence and trends. Journal of Patient Safety, 9(1), 13-17.

Dykes, P., Carroll, D., Hurley, A., Lipsitz, S., Benoit, A., Chang, F.,…Middleton, B. (2010). Fall Prevention in Acute Care Hospitals: A Randomized Trial. JAMA, 304(17), 1912-18.

Rubenstein, L. (2006). Falls in older people: epidemiology, risk factors and strategies for Prevention. Age and Ageing, 35(2), 37-41.

Spoelstra, L., Given, B., & Given, C. (2012). Fall prevention in hospitals: an integrative review. Clinical Nursing Research, 21(1), 92-112.

What Will You Get?

We provide professional writing services to help you score straight A’s by submitting custom written assignments that mirror your guidelines.

Premium Quality

Get result-oriented writing and never worry about grades anymore. We follow the highest quality standards to make sure that you get perfect assignments.

Experienced Writers

Our writers have experience in dealing with papers of every educational level. You can surely rely on the expertise of our qualified professionals.

On-Time Delivery

Your deadline is our threshold for success and we take it very seriously. We make sure you receive your papers before your predefined time.

24/7 Customer Support

Someone from our customer support team is always here to respond to your questions. So, hit us up if you have got any ambiguity or concern.

Complete Confidentiality

Sit back and relax while we help you out with writing your papers. We have an ultimate policy for keeping your personal and order-related details a secret.

Authentic Sources

We assure you that your document will be thoroughly checked for plagiarism and grammatical errors as we use highly authentic and licit sources.

Moneyback Guarantee

Still reluctant about placing an order? Our 100% Moneyback Guarantee backs you up on rare occasions where you aren’t satisfied with the writing.

Order Tracking

You don’t have to wait for an update for hours; you can track the progress of your order any time you want. We share the status after each step.


Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.


Trusted Partner of 9650+ Students for Writing

From brainstorming your paper's outline to perfecting its grammar, we perform every step carefully to make your paper worthy of A grade.

Preferred Writer

Hire your preferred writer anytime. Simply specify if you want your preferred expert to write your paper and we’ll make that happen.

Grammar Check Report

Get an elaborate and authentic grammar check report with your work to have the grammar goodness sealed in your document.

One Page Summary

You can purchase this feature if you want our writers to sum up your paper in the form of a concise and well-articulated summary.

Plagiarism Report

You don’t have to worry about plagiarism anymore. Get a plagiarism report to certify the uniqueness of your work.

Free Features $66FREE

  • Most Qualified Writer $10FREE
  • Plagiarism Scan Report $10FREE
  • Unlimited Revisions $08FREE
  • Paper Formatting $05FREE
  • Cover Page $05FREE
  • Referencing & Bibliography $10FREE
  • Dedicated User Area $08FREE
  • 24/7 Order Tracking $05FREE
  • Periodic Email Alerts $05FREE

Our Services

Join us for the best experience while seeking writing assistance in your college life. A good grade is all you need to boost up your academic excellence and we are all about it.

  • On-time Delivery
  • 24/7 Order Tracking
  • Access to Authentic Sources
Academic Writing

We create perfect papers according to the guidelines.

Professional Editing

We seamlessly edit out errors from your papers.

Thorough Proofreading

We thoroughly read your final draft to identify errors.


Delegate Your Challenging Writing Tasks to Experienced Professionals

Work with ultimate peace of mind because we ensure that your academic work is our responsibility and your grades are a top concern for us!

Check Out Our Sample Work

Dedication. Quality. Commitment. Punctuality

It May Not Be Much, but It’s Honest Work!

Here is what we have achieved so far. These numbers are evidence that we go the extra mile to make your college journey successful.


Happy Clients


Words Written This Week


Ongoing Orders


Customer Satisfaction Rate

Process as Fine as Brewed Coffee

We have the most intuitive and minimalistic process so that you can easily place an order. Just follow a few steps to unlock success.

See How We Helped 9000+ Students Achieve Success


We Analyze Your Problem and Offer Customized Writing

We understand your guidelines first before delivering any writing service. You can discuss your writing needs and we will have them evaluated by our dedicated team.

  • Clear elicitation of your requirements.
  • Customized writing as per your needs.

We Mirror Your Guidelines to Deliver Quality Services

We write your papers in a standardized way. We complete your work in such a way that it turns out to be a perfect description of your guidelines.

  • Proactive analysis of your writing.
  • Active communication to understand requirements.

We Handle Your Writing Tasks to Ensure Excellent Grades

We promise you excellent grades and academic excellence that you always longed for. Our writers stay in touch with you via email.

  • Thorough research and analysis for every order.
  • Deliverance of reliable writing service to improve your grades.
Place an Order Start Chat Now

Open chat
WhatsApp chat +1 563-600-3041
Dr.Nursing Papers
We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work.