{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T11:48:25Z","timestamp":1792496905478,"version":"4.5.0"},"reference-count":43,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T00:00:00Z","timestamp":1752969600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,7,20]],"date-time":"2025-07-20T00:00:00Z","timestamp":1752969600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Alzheimer\u2019s Disease"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Falls and fall-related injuries are common among older adults, adversely affecting their functional independence and quality of life. By 2043, one in three Canadians falls each year, resulting in 85% of hospitalizations, which cost $2 billion annually.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to reduce inpatient falls among older adults with cognitive impairment in a rural Ontario hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A fall reduction project was implemented at the hospital to improve clinical care since January 2024. The project included fall risk screening, ensuring a fall bundle was in place, and monthly meetings with hospital staff and patient representatives to identify potential barriers and facilitators to the project. The project involved two components: 1) nurses evaluating fall risk using validated tools and 2) implementing a fall prevention bundle. Data was retrieved from the hospital's electronic medical records. The outcome of interest was the fall rate before and after the intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The initiative has reduced the inpatient fall rate from 16.25 falls per 1000 bed days in 2023 to 11.33 falls per 1000 bed days in 2024. Almost 57% of people who fell were cognitively impaired.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The project reduced the inpatient fall rate by 30% within a year. The involvement of patients and their families in the initiative has made the project meaningful to the community. However, no change was observed in the 30-day readmission rate, prompting the research team to conclude that inpatient interventions are insufficient. Further research on collaborative care involving the pharmacy department and community partners is recommended.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13872877251360031","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T05:13:17Z","timestamp":1753074797000},"page":"86-91","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Reducing falls in inpatient older adults: Quality improvement initiative"],"prefix":"10.1177","volume":"107","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3696-4122","authenticated-orcid":false,"given":"Munira","family":"Sultana","sequence":"first","affiliation":[{"name":"Office of Research, Erie Shores HealthCare, W. Leamington, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Taylor","sequence":"additional","affiliation":[{"name":"Office of Research, Erie Shores HealthCare, W. Leamington, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danica","family":"McPhee","sequence":"additional","affiliation":[{"name":"Office of Research, Erie Shores HealthCare, W. Leamington, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoinette","family":"Chandler","sequence":"additional","affiliation":[{"name":"Office of Research, Erie Shores HealthCare, W. 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