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. 2013 Mar 25;61(4):483–494. doi: 10.1111/jgs.12169

Table 3.

Evidence Table of Included Studies Reporting Fall Incidence Rate Ratios

Implementation Strategies Intervention Components Comparator; Existing Strategies in Control Group Adherence Strategies Fall Rate Log Scale Fall Incidence Rate Ratio (95% Confidence Interval)





Study Setting Staff Education Team, Task Force Pilot Intervention Leadership Support Continuous Quality Improvement, Spread Techniques Other None Specified Fall Risk Assessment Alert Signs Education Rounds Bed-Exit Alarms Postfall Evaluation Bed Side Rails Low Beds Identification Band Nonskid Footwear Clutter-Free Environment Medication Review Sitters High-Risk Near Nurses Other Components Risk Assessment Other Strategies No Information Monitoring Data on Falls Care Audit/ Feedback Other Strategies None Specified Before or Control After or Intervention
Concurrent control
Dykes, 122 8 units in 4 urban hospitals X X X X X X X X X X 4.64 3.48a 0.75a (0.55–1.02)
Hunderfund, 204 Neurology unit and 6 medical units in tertiary care hospital X X X X X X X X X X X 2.99 5.69 4.12 1.38 a (1.05–1.82) 0.72 (0.54–0.98)
Krauss, 136 4 general medicine floors in urban, 1,300-bed tertiary care academic hospital X X X X X X X X X X X X X X X X 6.85 5.09 a 0.74 a (0.53–1.05)
Padula, 20118 3 medical–surgical units in teaching hospital X X X X X 2.80 3.20 a 1.14a(0.54–2.42)
Spetz, 200710 Postneurosurgery unit in acute care hospital X X X X X X 6.12 2.79a 0.46a (0.10–1.99)
Before-after study design
Barker, 1413 2 psychiatric units in acute care hospital X X X X X X X X X X X X 6.84 5.10 0.75 (0.59–0.94)
Dacenko-Grawe, 1521 325-bed teaching hospital X X X X X X X X X X X X X X 4.04 2.77 0.69 (0.56–0.84)
Geffre, 1923 6 medical units (medical, oncology, surgical, telemetry, transitional care, rehabilitation) X X X X X 2.04 1.52 0.75 (0.50. 1.12)
Lane, 2137 Medical–surgical and critical care units in metropolitan community hospital X X X X X 2.27 3.89 1.71 (1.49–1.97)
Peterson, 1846 Medical, surgical, neurology, and gynecology services of urban 720-bed tertiary care hospital X X X X 6.40 2.80 0.44 (0.27–0.70)
Rainville, 1748 Medical surgical units in 248-bed facility X X X X X X X X X X X X X 7.76 7.74 1.00 (0.58–1.71)
Weinberg, 1657 714-bed tertiary care teaching hospital X X X X X X X X X X X X X X X X 3.60 1.94 0.54 (0.43–0.68)

Note: References in this table are found in the online supporting information.

a

Compared with a concurrent control group.