{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T05:14:16Z","timestamp":1793078056084,"version":"4.5.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2017,11,28]],"date-time":"2017-11-28T00:00:00Z","timestamp":1511827200000},"content-version":"vor","delay-in-days":88,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","award":["UB4HP19057"],"award-info":[{"award-number":["UB4HP19057"]}],"id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background and Objectives<\/jats:title>\n                  <jats:p>Falls are the leading cause of injury-related deaths in older adults. Objectives include describing implementation of the Centers for Disease Control and Prevention\u2019s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) initiative to help primary care providers (PCPs) identify and manage fall risk, and comparing a 12-item and a 3-item fall screening questionnaire.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design and Methods<\/jats:title>\n                  <jats:p>We systematically incorporated STEADI into routine patient care via team training, electronic health record tools, and tailored clinic workflow. A retrospective chart review of patients aged 65 and older who received STEADI measured fall screening rates, provider compliance with STEADI (high-risk patients), results from the 12-item questionnaire (Stay Independent), and comparison with a 3-item subset of this questionnaire (three key questions).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Eighteen of 24 providers (75%) participated, screening 773 (64%) patients over 6 months; 170 (22%) were high-risk. Of these, 109 (64%) received STEADI interventions (gait, vision, and feet assessment, orthostatic blood pressure measurement, vitamin D, and medication review). Providers intervened on 85% with gait impairment, 97% with orthostatic hypotension, 82% with vision impairment, 90% taking inadequate vitamin D, 75% with foot issues, and 22% on high-risk medications. Using three key questions compared to the full Stay Independent questionnaire decreased screening burden, but increased the number of high-risk patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion and Implications<\/jats:title>\n                  <jats:p>We successfully implemented STEADI, screening two-thirds of eligible patients. Most high-risk patients received recommended assessments and interventions, except medication reduction. Falls remain a substantial public health challenge. Systematic implementation of STEADI could help clinical teams reduce older patient fall risks.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geroni\/igx028","type":"journal-article","created":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T20:02:43Z","timestamp":1521662563000},"source":"Crossref","is-referenced-by-count":80,"title":["Implementing STEADI in Academic Primary Care to Address Older Adult Fall Risk"],"prefix":"10.1093","volume":"1","author":[{"given":"Elizabeth","family":"Eckstrom","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin M","family":"Parker","sequence":"first","affiliation":[{"name":"U.S. Public Health Service, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwendolyn H","family":"Lambert","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gray","family":"Winkler","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of General Internal Medicine and Geriatrics, Oregon Health & Science University, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Dowler","sequence":"first","affiliation":[{"name":"Program Design and Evaluation Services, Multnomah County Health Department and Oregon Public Health Division, Portland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen M","family":"Casey","sequence":"first","affiliation":[{"name":"Providence Health & Services, Portland, Oregon"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2017,11,28]]},"reference":[{"key":"2020052715295879600_CIT0001","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.jsr.2016.05.001","article-title":"The direct costs of fatal and non-fatal falls among older adults - United States","volume":"58","author":"Burns","year":"2016","journal-title":"Journal of Safety Research"},{"key":"2020052715295879600_CIT0002","first-page":"787","article-title":"Lessons learned from implementing CDC\u2019s STEADI falls prevention algorithm in primary care","volume":"57","author":"Casey","year":"2017","journal-title":"Gerontologist"},{"key":"2020052715295879600_CIT0003","first-page":"d5153","article-title":"Fall assessment in older people","volume":"343","author":"Close","year":"2011","journal-title":"BMJ (Clinical Research Ed.)"},{"key":"2020052715295879600_CIT0005","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1093\/ageing\/afh106","article-title":"Fear-related avoidance of activities, falls and physical frailty. 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