The Falls Workstream has been contracted since 2015 to deliver the first National Audit of Inpatient Falls (NAIF), a clinically led, web-based audit of inpatient falls prevention care in acute hospitals in England and Wales. NAIF aims to improve inpatient falls prevention through audit and quality improvement.
What we are doing
Round 1 of the National Audit of Inpatient Falls took place in 2015. The first report showed data on nearly 5,000 patients aged 65 years or older across 170 hospitals, and reviewed how well hospital trusts and local health boards prevent inpatient falls in England and Wales, which are set against the NICE guideline (CG161) on falls assessment and prevention.
- The results of round 1 were also used to develop Falls Prevention in Hospital: a Guide for Patients, their Families and Carers and a set of summary reports aimed at CCGs in England.
- Round 2 of the audit took place in May 2017. As of November 2017 the audit report was published.
Quality improvement resources
In order to help sites use their audit results for quality improvement we ran two quality improvement events and the presentations are available to download. We have also collated other resources to help with quality improvement, including:
- an Excel document template to help sites re-audit
- PowerPoint slides for audit results dissemination
- information about the FallSafe falls prevention resources and CareFall e-learning tools
- case studies focusing on the prevention of falls on hospital wards.
Following Round 1 of the National Audit of Inpatient Falls the advisory group and partners worked together to developed two tools to help to standardise fall prevention in hospitals:
The audit is funded through the Healthcare Quality Improvement Partnership (HQIP) and is carried out by the Clinical Effectiveness and Evaluation Unit (CEEU) of the Royal College of Physicians.
The audit criteria are be based on NICE guidance on falls assessment and prevention (2013) and delirium (2010) and National Patient Safety Agency(NPSA) guidance on the prevention and management of inpatient falls. Participation in this audit and results will be communicated to HQIP and will also be shared with other statutory bodies, including the Department of Health.