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Knowledge Repository

Can flooring and underlay materials reduce hip fractures in older people?

Author(s): Minns, J.
Falls resulting in fracture of the hip in older people are a major health problem worldwide. Flooring that is slippery and unsuitable footwear are other major factors contributing to the onset of fractures in the home. Building design should incorporate measures to minimize the risk of falls.
Key Point Summary

Why the elderly fall in residential care facilities,and suggested remedies

Author(s): Kallin, K., Jensen, J., Olsson, L. L., Nyberg, L., Gustafson, Y.
Falls and their consequences—such as fractures and other injuries, fear of falling, impaired functions, and dependency—are serious health problems in the older population. Older people living in residential care facilities and those receiving long-term institutional care seem particularly prone to falling and fractures caused by falls. Almost half of all patients with hip fractures in Umea, Sweden, during the 1980s and the 1990s lived in residential care facilities, although fewer than 10 percent of the elderly population lived in such accommodations.  Falls among people aged 60 and older have been estimated to account for one-third of the total cost of medical treatment for all injuries in the Swedish population.
Key Point Summary

Effects of Acuity-Adaptable Rooms on Flow of Patients and Delivery of Care

Author(s): Hendrich, A. L., Fay, J., Sorrells, A.
Acuity-adaptable rooms could reduce patient transfer times, decrease costs, and increase patient quality of care and satisfaction. Researchers conducted a pre/post study in an acute care setting to evaluate the impact of moving to acuity-adaptable rooms on patient flow, hospital capacity, patient and staff satisfaction, sentinel events, average length of stay, and nursing productivity.
Key Point Summary

Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials

Author(s): Chang, J.T., Morton, S.C, Rubenstein, L. Z., Mojica, W.A., Maglione, M., Suttorp, M.J., Shekelle, P. G.
Falls are a major health concern for older adults worldwide, not only because of the potential for fractures and head injuries, but also for the emotional toll—the fear and anxiety—that can develop as a result of an injury or close call. While the literature on fall interventions is vast, there is limited understanding about the best methods for preventing falls. The authors conducted an extensive review and analysis of relevant, rigorous research trials to assess the relative effectiveness of different types of fall interventions. Under comparison were falls risk assessment and management programs, exercise programs, environmental modification programs, and educational interventions.
Key Point Summary

Does the type of flooring affect the risk of hip fracture?

Author(s): Simpson, A. H. R. W. , Lamb, S. , Roberts, P. J. , Gardner, T.N. , Grimley, E.J.
Hip fractures are a serious consequence of falls, especially for aging populations. Number of hip fractures occuring worldwide is estimated to reach 6.3 million worldwide, by the year 2050. Conventionally the issue of fractures has been looked at in terms of intrinsic factors related to the patient. Extrinsic factors that could affect the impact, such as the floor (or surface of the impact) have not been investigated in great details. This UK based study seeks to fill this gap in the research. 
Key Point Summary

The use of single patient rooms versus multiple occupancy rooms in acute care environments

Author(s): Chaudhury, H, Mahmood, A , Valente, M

The Use of Single Patient Rooms vs. Multiple Occupancy Rooms in Acute Care Environments

Author(s): Chaudhury, H.

Developing a unit-specific falls reduction program

Author(s): Ward, A., Candela, L., Mahoney, J.

Promoting a safe environment for confused older people at risk from falling in hospital

Author(s): Walker, W.

When do elderly in-hospital patients fall?

Author(s): von Renteln-Kruse, W., Krause, T.