Haines 2010.
Methods | Cluster randomised trial. 18 wards matched into pairs on the basis of their pre‐intervention fall rates. Randomised with a coin toss. No blinding. 1 ward ceased using the intervention after 3 of the intended 6 months. Data were included from the one ward that ceased using the intervention and that of its matched pair ward for the same time period in the intention to treat analysis. |
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Participants | Setting: 18 publicly funded hospital wards in Queensland, Australia with no previous access to the intervention. N: admissions (occupied bed days) 22,036 (131,805) Inclusion criteria: all admissions. Exclusion criteria: nil. |
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Interventions | One "low‐low" (28.5‐64cm height) bed for every 12 regular beds per ward. Control group received standard care. |
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Outcomes | Falls were recorded by staff as incident reports.
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Notes | No significant difference in outcomes demonstrated. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Coin tossing. |
Allocation concealment (selection bias) | Low risk | Central allocation. |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Missing outcome data balanced in intervention and control group and unlikely to be introducing bias. |
Selective reporting (reporting bias) | Unclear risk | The study protocol was not available. |
Other bias | Low risk | The study appears to be free of other sources of bias. |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Staff were not blinded to ward allocation; participants were not blinded to the intervention. |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Staff who recorded falls were not blinded to the ward allocation status. |