The cost of treating fall injuries in hospitals in the UK is estimated at £630 million per year[ii]. Most falls do not result in injury, although patients can have psychological problems if the fall is not correctly and quickly managed.
Patients do not always realise their risk of falling whilst in hospital even though people over the age of 65 years and those 50 years or older with two or more co-morbidities are at high risk. A Cochrane review published in 2018 found little robust evidence in support of hospital falls mitigation interventions and concluded that ‘multifactorial interventions may reduce the rate of falls, although this is more likely in a rehabilitation or geriatric ward setting.’
Different intrinsic and extrinsic factors have been identified to be contributing to falls in hospital such as the patient’s clinical condition, medication, as well as extrinsic factors such as lack of proper maintenance and design of medical equipment, failures in communication, education, and team working.