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• W2912953662 abstract "Falls are a common occurrence and the most effective quality improvement (QI) strategies remain unclear. We conducted a systematic review and network meta-analysis (NMA) to elucidate effective quality improvement (QI) strategies for falls prevention. Multiple databases were searched (inception−April 2017). We included randomised controlled trials (RCTs) of falls prevention QI strategies for participants aged ≥65 years. Two investigators screened titles and abstracts, full-text articles, conducted data abstraction and appraised risk of bias independently. A total of 126 RCTs including 84,307 participants were included after screening 10,650 titles and abstracts and 1210 full-text articles. NMA including 29 RCTs and 26,326 patients found that team changes was statistically superior in reducing the risk of injurious falls relative to usual care (odds ratio [OR] 0.57 [0.33 to 0.99]; absolute risk difference [ARD] −0.11 [95% CI, −0.18 to −0.002]). NMA for the outcome of number of fallers including 61 RCTs and 40 128 patients found that combined case management, patient reminders and staff education (OR 0.18 [0.07 to 0.47]; ARD −0.27 [95% CI, −0.33 to −0.15]) and combined case management and patient reminders (OR, 0.36 [0.13 to 0.97]; ARD −0.19 [95% CI, −0.30 to −0.01]) were both statistically superior compared to usual care. Team changes may reduce risk of injurious falls and a combination of case management, patient reminders, and staff education, as well as case management and patient reminders may reduce risk of falls. Our results can be tailored to decision-maker preferences and availability of resources. PROSPERO (CRD42013004151)" @default.
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• W2912953662 date "2019-02-05" @default.
• W2912953662 modified "2023-10-18" @default.
• W2912953662 title "Quality improvement strategies to prevent falls in older adults: a systematic review and network meta-analysis" @default.
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• W2912953662 doi "https://doi.org/10.1093/ageing/afy219" @default.
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