{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T15:18:51Z","timestamp":1772896731400,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T00:00:00Z","timestamp":1448928000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To describe the nature of falls in an inpatient traumatic brain injury rehabilitation setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Falls are the most frequently recorded patient safety incident in the inpatient context. However, higher rates of falls are reported in rehabilitation settings compared to acute care settings. In the rehabilitation setting, patients with a traumatic brain injury have been identified as at a high risk of falling. However to date, research into the nature of falls involving this patient population is limited.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Five\u2010year retrospective cohort study design.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Falls data from an inpatient traumatic brain injury rehabilitation unit were retrieved from the <jats:styled-content style=\"fixed-case\">NSW<\/jats:styled-content> Ministry of Health Incident Information Management System and patient clinical notes; nursing shift data were retrieved from the local rostering system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The fall rate was 5\u00b718 per 1000 patient bed days. Over a 24\u2010hour period falls (<jats:italic>n\u00a0<\/jats:italic>=<jats:italic>\u00a0<\/jats:italic>103) occurred in a trimodal pattern. The median fall free period after admission was 14\u00a0days and 22% of traumatic brain injury patients had at least one fall. 53% of falls occurred in the patient's bedroom and 57% were attributed to loss of balance. At time of fall, 93% of fallers had impaired mobility and 85% required assistance for transfers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Falls within inpatient traumatic brain injury rehabilitation are a significant and complex clinical issue. While many patients continued to be at risk of falling several months after admission, a repeat faller's first fall occurred earlier in their admission than a single faller's.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Generic falls prevention measures are insufficient for preventing falls in the brain injury rehabilitation population. Falls prevention initiatives should target times of high patient activity and situations where there is decreased nursing capacity to observe patients. Rehabilitation clinicians need to be mindful that a patient's risk of falling is not static and in fact, may increase over time.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.13087","type":"journal-article","created":{"date-parts":[[2015,12,1]],"date-time":"2015-12-01T06:07:14Z","timestamp":1448950034000},"page":"213-222","source":"Crossref","is-referenced-by-count":19,"title":["The characteristics of falls in an inpatient traumatic brain injury rehabilitation setting"],"prefix":"10.1111","volume":"25","author":[{"given":"Duncan","family":"McKechnie","sequence":"first","affiliation":[{"name":"Sydney Nursing School The University of Sydney Sydney NSW Australia"},{"name":"Brain Injury Unit Royal Rehab Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Murray J","family":"Fisher","sequence":"additional","affiliation":[{"name":"Sydney Nursing School The University of Sydney Sydney NSW Australia"},{"name":"Nursing Research &amp; Development Royal Rehab Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Pryor","sequence":"additional","affiliation":[{"name":"Sydney Nursing School The University of Sydney Sydney NSW Australia"},{"name":"Nursing Research &amp; Development Royal Rehab Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,12]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/01952307.1994.11735934"},{"key":"e_1_2_11_3_1","volume-title":"Preventing Falls and Harm from Falls in Older People Best Practice Guidelines for Australian Hospitals","author":"Australian Commission on Safety and Quality in Health Care","year":"2009"},{"key":"e_1_2_11_4_1","volume-title":"An Analysis of Research on Preventing Falls and Falls Injury in Older People: Community, Residential Care and Hospital Settings","author":"Australian National Ageing and Research Institute","year":"2004"},{"key":"e_1_2_11_5_1","volume-title":"Clinical Focus Report \u2013 Falls","author":"Clinical Excellence Commission","year":"2013"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.1987.tb01010.x"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/RNJ.00010"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.2010.tb00039.x"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.1993.18121895.x"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.1987.tb00560.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(01)00406-1"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/qshc.2007.024695"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2010.02856.x"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.40171.x"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/RNJ.00004"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0193945906290323"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e31816ddc01"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2014.1002578"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2048-7940.1989.tb00667.x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/geront\/27.4.516"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/rnj.89"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3180340e77"},{"key":"e_1_2_11_23_1","unstructured":"NSW Department of Health and the Clinical Excellence Commission(2006)Patient Safety Clinical Incident Management in NSW 2005\u20132006. 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