Changes in falls prevention policies in hospital in England and Wales.

Abstract:

BACKGROUND:in 2007, the National Patient Safety Agency (NPSA) published 'Slips trips and falls in hospital' and 'Using bedrails safely and effectively'. OBJECTIVES:this observational study aimed to identify changes in local policies in hospitals in England and Wales following these publications. METHOD:policies in place during 2006 and 2009 were requested from 50 randomly selected acute hospital trusts and their content was categorised by a single reviewer using defined criteria. RESULTS:thirty-seven trusts responded. Trusts with an inpatient falls prevention policy increased from 65 to 100%, the use of unreferenced numerical falls risk assessments reduced from 50 to 19%, and trusts with a bedrail policy increased from 49 to 89%. It was concerning to find that by 2009 advice on clinical checks after a fall was available in only 51% of trusts, and only 46% of trust policies included specific guidance on avoiding bedrail entrapment gaps. CONCLUSIONS:the observed changes in policy content were likely to have been influenced not only by the NPSA publications but also by contemporaneous publications from the Royal College of Physicians' National Audit of Falls and Bone Health, and the Medicines and Healthcare products Regulatory Agency. Most areas of local policy indicated substantial improvement, but further improvements are required.

journal_name

Age Ageing

journal_title

Age and ageing

authors

Healey F,Treml J

doi

10.1093/ageing/afs063

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

106-9

issue

1

eissn

0002-0729

issn

1468-2834

pii

afs063

journal_volume

42

pub_type

杂志文章
  • A population-based study of sensorimotor factors affecting gait in older people.

    abstract:BACKGROUND:the study of factors associated with age-related gait decline may assist in developing methods to preserve mobility in older people. OBJECTIVE:to examine the associations between sensorimotor factors relevant to ageing and gait in the general older population. DESIGN:cross-sectional population-based study....

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afp017

    authors: Callisaya ML,Blizzard L,Schmidt MD,McGinley JL,Lord SR,Srikanth VK

    更新日期:2009-05-01 00:00:00

  • Joint geriatric and psychiatric wards: a review of the literature.

    abstract::Joint geriatric/psychiatric wards are a potential solution to improving care of older patients with both psychiatric and medical illnesses in acute hospitals. A literature search using Medline, PsycINFO, Embase and CINAHL between 1980 and 2010 was carried out for information about joint wards for older people. Thirtee...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/afr080

    authors: George J,Adamson J,Woodford H

    更新日期:2011-09-01 00:00:00

  • Hospital use, institutionalisation and mortality associated with delirium.

    abstract:BACKGROUND:Delirium is a disorder affecting consciousness, which gives rise to core clinical features and associated symptoms. Older patients are particularly prone, owing to higher rates of pre-existing cognitive impairment, frailty, co-morbidity and polypharmacy. OBJECTIVES:The aim of this study was to investigate t...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afq052

    authors: Eeles EM,Hubbard RE,White SV,O'Mahony MS,Savva GM,Bayer AJ

    更新日期:2010-07-01 00:00:00

  • General practitioner conduct of clinical services representing comprehensive geriatric assessment is associated with lower risk of mortality in older Australians receiving home care packages.

    abstract:OBJECTIVES:The purpose of this paper is to investigate the utilisation of general practice Medicare Benefit Schedule (MBS) services aligned to Comprehensive Geriatric Assessment (CGA) within 6 months of an aged care eligibility assessment and its effects on mortality and transition to permanent residential aged care (P...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa272

    authors: Visvanathan R,Amare AT,Wesselingh S,Inacio MC

    更新日期:2020-12-23 00:00:00

  • Does admission to hospital improve the outcome for stroke patients?

    abstract:OBJECTIVES:to identify the factors associated with hospital admission and the differences in management and outcome of stroke patients between hospital and home. DESIGN:a prospective community stroke register (1995-8) with multiple notification sources. SETTING:an inner city multi-ethnic population of 234 533 in Sout...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.3.197

    authors: Bhalla A,Dundas R,Rudd AG,Wolfe CD

    更新日期:2001-05-01 00:00:00

  • Total anticholinergic burden and risk of mortality and cardiovascular disease over 10 years in 21,636 middle-aged and older men and women of EPIC-Norfolk prospective population study.

    abstract:BACKGROUND:Studies have raised concerns that medications with anticholinergic property have potential adverse effects on health outcomes. OBJECTIVES:The objective of this study is to examine the prospective relationships between total anticholinergic burden (ACB) from medications and mortality, and cardiovascular dise...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afu185

    authors: Myint PK,Fox C,Kwok CS,Luben RN,Wareham NJ,Khaw KT

    更新日期:2015-03-01 00:00:00

  • The oldest old in England and Wales: a descriptive analysis based on the MRC Cognitive Function and Ageing Study.

    abstract:OBJECTIVE:to describe the characteristics and survival of the oldest old in England and Wales. DESIGN:retrospective analysis of the oldest old from a population-based cohort study. SETTING:population-based study in England and Wales: two rural and three urban sites. METHODS:two types of analyses were conducted: (i) ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afn061

    authors: Xie J,Matthews FE,Jagger C,Bond J,Brayne C

    更新日期:2008-07-01 00:00:00

  • A double-blind comparison of quinine sulphate and placebo in muscle cramps.

    abstract::Muscle cramps are painful and common in elderly patients but have largely escaped medical investigation. Quinine sulphate is usually the sole drug prescribed, even though firm evidence for its efficacy is not available. The results of the present double-blind cross-over study show that quinine was significantly superi...

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/12.2.155

    authors: Jones K,Castleden CM

    更新日期:1983-05-01 00:00:00

  • Interventions to prevent and reduce excessive alcohol consumption in older people: a systematic review and meta-analysis.

    abstract:Background:harmful alcohol consumption is reported to be increasing in older people. To intervene and reduce associated risks, evidence currently available needs to be identified. Methods:two systematic reviews in older populations (55+ years): (1) Interventions to prevent or reduce excessive alcohol consumption; (2) ...

    journal_title:Age and ageing

    pub_type: 杂志文章,meta分析

    doi:10.1093/ageing/afx132

    authors: Kelly S,Olanrewaju O,Cowan A,Brayne C,Lafortune L

    更新日期:2018-03-01 00:00:00

  • Circumstances and consequences of falls experienced by a community population 70 years and over during a prospective study.

    abstract::A sample of 761 subjects 70 years and over was drawn from general-practice records of a rural township. Each subject was assessed and followed for 1 year to determine the incidence of and factors related to falls. The fall rate (number of falls per 100 person-years) increased from 47 for those aged 70-74 years to 121 ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/19.2.136

    authors: Campbell AJ,Borrie MJ,Spears GF,Jackson SL,Brown JS,Fitzgerald JL

    更新日期:1990-03-01 00:00:00

  • Sex differences in the risk of receiving potentially inappropriate prescriptions among older adults.

    abstract:OBJECTIVES:to measure sex differences in the risk of receiving potentially inappropriate prescription drugs and to examine what are the factors that contribute to these differences. DESIGN:a retrospective cohort study. SETTING:community setting of British Columbia, Canada. PARTICIPANTS:residents of British Columbia ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afw074

    authors: Morgan SG,Weymann D,Pratt B,Smolina K,Gladstone EJ,Raymond C,Mintzes B

    更新日期:2016-07-01 00:00:00

  • Cardiorespiratory fitness and brain volumes in men and women in the FINGER study.

    abstract:Background:high cardiorespiratory fitness (CRF) is associated with larger brain volumes but data on sex differences in the association of CRF with brain volumes are scarce. We investigated whether the association of CRF with total grey matter (GM) and white matter volumes as well as medial temporal lobe and striatum vo...

    journal_title:Age and ageing

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/ageing/afw191

    authors: Pentikäinen H,Ngandu T,Liu Y,Savonen K,Komulainen P,Hallikainen M,Kivipelto M,Rauramaa R,Soininen H

    更新日期:2017-03-01 00:00:00

  • Review: xerostomia: a symptom which acts like a disease.

    abstract::This review considers the changes in salivary glands associated with ageing and concludes that there is no evidence to show that xerostomia is likely to result from the ageing process alone. The four main factors causing xerostomia are presented and it can be seen that the condition is a side-effect of diseases and th...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/25.5.409

    authors: Ettinger RL

    更新日期:1996-09-01 00:00:00

  • The prevalence of faecal incontinence in older people living at home.

    abstract:BACKGROUND:faecal incontinence affects quality of life and causes caregiver strain. Patients are often reluctant to seek help because of embarrassment and perceived lack of effective treatment. Persisting faecal soiling may lead to unwanted and premature institutionalization. OBJECTIVE:to ascertain the prevalence of f...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/30.6.503

    authors: Edwards NI,Jones D

    更新日期:2001-11-01 00:00:00

  • Medical therapy for the overactive bladder in the elderly.

    abstract::The overactive bladder is the commonest underlying bladder disorder causing urinary incontinence in elderly people. Management of the condition relies upon a holistic assessment of the problem, lifestyle adjustment, behavioural management and drug therapy. The majority of currently available drugs rely on their anti-m...

    journal_title:Age and ageing

    pub_type: 杂志文章,评审

    doi:10.1093/ageing/31.4.241

    authors: Wagg A,Cohen M

    更新日期:2002-07-01 00:00:00

  • Rectus sheath haematoma in elderly patients: a diagnostic challenge.

    abstract:CASE REPORTS:We report three cases of rectus sheath haematoma in elderly women. This condition is commonly misdiagnosed at any age but is an even more elusive diagnosis in elderly patients. CONCLUSION:It is important to consider rectus sheath haematoma in older patients with an abdominal or pelvic mass or spontaneous ...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/27.4.512

    authors: Bene J,Lassman D,Solomon SA

    更新日期:1998-07-01 00:00:00

  • Frequency, intensity and localization of pain as risk factors for frailty in older adults.

    abstract:Background:the association between pain characteristics and frailty risk is uncertain. Objective:to investigate the separate impact of the frequency, intensity and location of pain on frailty risk and its possible mechanisms. Methods:prospective cohort of 1505 individuals ≥63 years followed between 2012 and 2015 in S...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afy163

    authors: Rodríguez-Sánchez I,García-Esquinas E,Mesas AE,Martín-Moreno JM,Rodríguez-Mañas L,Rodríguez-Artalejo F

    更新日期:2019-01-01 00:00:00

  • The effects of discontinuing long-term diuretic therapy in the elderly.

    abstract::The effects of discontinuing long-term diuretic therapy were investigated by means of a double-blind randomized controlled trial. A total of 141 elderly patients in the long-stay wards of six hospitals were found to be taking maintenance diuretics, and for 33 of these the drugs were judged to be mandatory. Of the rema...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/6.1.38

    authors: Burr ML,King S,Davies HE,Pathy MS

    更新日期:1977-02-01 00:00:00

  • Hypothesis: charges to patients impair the quality of dental care for elderly people.

    abstract::Data on National Health Service (NHS) dental care utilization by the elderly are analysed to consider the distribution of dental care according to the charge status of the patient. Considerable and significant differences are observed in the type and amount of dental care provided to elderly patients exempt and not ex...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/18.2.136

    authors: Birch S

    更新日期:1989-03-01 00:00:00

  • Occupational therapy compared with social work assessment for older people. An economic evaluation alongside the CAMELOT randomised controlled trial.

    abstract:OBJECTIVES:To compare costs and outcome of occupational therapy-led assessment with social worker-led assessment of older people, in terms of their independence and quality of life. DESIGN:Cost-effectiveness analysis alongside a randomised controlled trial. The analysis took viewpoints of health services and patients....

    journal_title:Age and ageing

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1093/ageing/afh232

    authors: Flood C,Mugford M,Stewart S,Harvey I,Poland F,Lloyd-Smith W

    更新日期:2005-01-01 00:00:00

  • Patterns of emergency department attendance among older people in the last three months of life and factors associated with frequent attendance: a mortality follow-back survey.

    abstract:BACKGROUND:frequent emergency department (ED) attendance at the end of life disrupts care continuity and contradicts most patients' preference for home-based care. OBJECTIVE:to examine factors associated with frequent (≥3) end of life ED attendances among older people to identify opportunities to improve care. METHOD...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afz043

    authors: Bone AE,Evans CJ,Henson LA,Gao W,Higginson IJ,BUILDCARE study.

    更新日期:2019-09-01 00:00:00

  • New horizons in deprescribing for older people.

    abstract::Deprescribing has gained interest recently, driven by an ageing population seeing an increasing number living with multiple long-term conditions. This, coupled with disease-specific guidelines derived from clinical trials in younger people, has led to an increase in exposure to polypharmacy and the associated therapeu...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afz109

    authors: Woodford HJ,Fisher J

    更新日期:2019-11-01 00:00:00

  • Adrenal function after upper femoral fracture in elderly people: persistence of stimulation and the roles of adrenocorticotrophic hormone and immobility.

    abstract::Previous work has shown persistent elevations in plasma cortisol concentration following upper femur fracture in elderly people. To investigate this phenomenon further, we measured plasma cortisol and adrenocorticotrophin (ACTH) and performed overnight dexamethasone suppression tests in carefully characterized patient...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/19.5.304

    authors: Roberts NA,Barton RN,Horan MA,White A

    更新日期:1990-09-01 00:00:00

  • An investigation of colonic function in the elderly.

    abstract::A straight abdominal radiograph can be used in the elderly to indicate a loaded colon. Two groups of patients were identified using radiology, one with faeces-filled caeca and the other with gas-filled caeca. Gastro-intestinal transit time measurements and breath methane analysis, an indicator of colonic bacterial act...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/12.2.105

    authors: McKay LF,Smith RG,Eastwood MA,Walsh SD,Cruikshank JG

    更新日期:1983-05-01 00:00:00

  • Predictors of depressive symptoms in older people--a survey of two general practice populations.

    abstract:BACKGROUND:Studies have shown strong associations between disability, social support and depressive symptoms in older people; but socio-economic effects are less clear and little is known about the role of health locus of control. OBJECTIVE:To examine the roles of physical health, disability, social support, socio-eco...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afg087

    authors: Harris T,Cook DG,Victor C,Rink E,Mann AH,Shah S,DeWilde S,Beighton C

    更新日期:2003-09-01 00:00:00

  • Electrocardiographic abnormalities in the sick elderly.

    abstract::From a study of routine electrocardiography on 300 ill elderly patients in an acute geriatric unit, it is evident that the incidence of atrial fibrillation, ventricular extrasystoles, myocardial ischaemia and myocardial infarction is much higher than in the general population of similar age group. In females, the inci...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/6.3.163

    authors: Patel KP

    更新日期:1977-08-01 00:00:00

  • A dose response relationship between accelerometer assessed daily steps and depressive symptoms in older adults: a two-year cohort study.

    abstract:OBJECTIVES:this study investigated the prospective associations of accelerometer assessed daily steps with subsequent depressive symptoms in older adults. METHODS:a 2-year prospective study was performed in the community. A total of 285 older adults ≥65 years (mean age = 74.5) attended the baseline assessment in 2012....

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afaa162

    authors: Hsueh MC,Stubbs B,Lai YJ,Sun CK,Chen LJ,Ku PW

    更新日期:2020-09-25 00:00:00

  • Chronic diseases in elderly men: underreporting and underdiagnosis.

    abstract:OBJECTIVE:prevalence estimates for chronic diseases and associated risk factors are needed for priority setting and disease prevention strategies. The aim of this cross-sectional study was to estimate the self-reported and clinical prevalence of common chronic disorders in elderly men. STUDY DESIGN AND SETTING:a quest...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afr153

    authors: Frost M,Wraae K,Gudex C,Nielsen T,Brixen K,Hagen C,Andersen M

    更新日期:2012-03-01 00:00:00

  • Public knowledge and understanding of dementia-evidence from a national survey in Ireland.

    abstract:Background:there is growing consensus around the importance of population level approaches which seek to improve public knowledge and awareness of dementia. Aim:to assess knowledge of the relationship between dementia and ageing, and of the risk and protective factors associated with it, among the general public in Ir...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afx082

    authors: Glynn RW,Shelley E,Lawlor BA

    更新日期:2017-09-01 00:00:00

  • Linking early life risk factors to frailty in old age: evidence from the China Health and Retirement Longitudinal Study.

    abstract:BACKGROUND:exposures in childhood and adolescence may impact the development of diseases and symptoms in late life. However, evidence from low- and middle-income countries is scarce. In this cross-sectional study, we examined the association of early life risk factors with frailty amongst older adults using a large, na...

    journal_title:Age and ageing

    pub_type: 杂志文章

    doi:10.1093/ageing/afz160

    authors: Li Y,Xue QL,Odden MC,Chen X,Wu C

    更新日期:2020-02-27 00:00:00