Around the World in 16 Ways: Searching Internationally for Fall Prevention Strategies


  • Caitlyn Allen Patient Safety Authority
  • Susan C. Wallace Patient Safety Authority



falls, fall prevention, international, inpatient falls


Pennsylvania fall rates have remained relatively steady over the past six years, ranging from 3.09–3.33 falls per 1,000 patient days. Other studies estimate that hospital falls occur at a rate of 3.56 per 1,000 patient days and 700,000 to 1 million patients fall each year.

Falls in Pennsylvania continue to be one of the biggest contributors to patient harm and the fourth most frequently reported adverse event. Looking more broadly, falls are also a frequent cause of patient harm across the United States and globally. A review of international fall prevention strategies revealed that while no single country has been able to eradicate patient falls, several had implemented measures showing moderate levels of success. Those struggling with a high incidence of falls may benefit from reviewing and adopting one or more of these innovative techniques.

Author Biographies

Caitlyn Allen, Patient Safety Authority

Caitlyn Allen ( is director of Engagement for the Patient Safety Authority and managing editor for Patient Safety, the PSA’s peer-reviewed journal. Before joining the PSA, she was the project manager for Patient Safety at Jefferson Health, where she also was the only nonphysician elected to serve on the House Staff Quality and Safety Leadership Council. Previously, Allen also was a project manager and patient safety officer for Wills Eye Hospital.

Susan C. Wallace, Patient Safety Authority

Susan C. Wallace is a senior patient safety liaison with the Patient Safety Authority for the South Central region of Pennsylvania, as well as a Core Team Lead for the PSA’s Center of Excellence for Improving Diagnosis. Prior to her current role, Wallace was a data analyst at the PSA, and she has worked as a director of risk management, patient safety officer, and safety analyst.


Bouldin ED, Andresen EM, Dunton NE, et al. Falls Among Adult Patients Hospitalized in the United States: Prevalence and Trends. J Patient Saf. 2013 Mar; 9(1): 13-17.

Preventing Falls in Hospitals. Content last reviewed July 2018. Agency for Healthcare Research and Quality, Rockville, MD.



Patient Safety Authority. Annual report 2018 [online]. 2019 May 22 [cited 2019 Jun 6]. Available online:

Wallace S, Allen C. Faces of Falls. Pat Saf. DOI: 10.33940/falls/2019.12.6

Anonymous. Conversation with: Patient Safety Authority. 2018 Aug 23.

Moyer VA U.S. Preventative Services Task Force. Prevention of Falls in Community-Dwelling Older Adults; U.S. Preventative Services Task Force Recommendation Statement. Ann Intern Med. 2012;157:197-204.

Mohammed RA, Hour-Eldein H, Abdel-Halim AW, et al. Effect of a Fall Prevention Program for Elderly Persons Attending a Rural Family Medicine Center, Egypt. J Public Health. 2019 Jun; 27(3): 301-8.

Comino-Sanz IM, Sanchez-Pablo C, Albornos-Munoz L, et al. Falls Prevention Strategies for Patients Pver 65 Years in a Neurology Ward: A Best Practice Implementation Project. The Joanna Briggs Institute Database of Systemic Reviews and Implementation Reports. 2018 Jul; 16(7): 1582-89.

Ali UM, Judge A, Foster C, et al. Do Portable Nursing Stations Within Bays of Hospital Wards Reduce the Rate of Inpatient Falls? An Interrupted Time-Series Analysis. Age and Ageing 2018 Nov; 47(6): 818-24.

J. Windsor. Conversation with authors. 2018 August 15.

Singh I, Okeke J. Reducing Inpatient Falls in a 100% Single Room Elderly Care Environment: Evaluation of the Impact of a Systematic Nurse Training Programme on Falls Risk Assessment. BMJ Qual Improv Rep. 2016 Jul; 5(1): 1-9.

Kuwaiti AA, Subbarayalu AV. Reducing Patients’ Falls Rate in an Academic Medical Center Using Six Sigma “DMAIC” Approach. Int J of Health Care Qual Assur. 2017; 30(4): 373-84.

Jung Y, Lee K, Shin S, et al. Effects of a Multifactorial Fall Prevention Program on Balance, Gait, and Fear of Falling in Past-Stroke Inpatients. J Phys Ther Sci. 2015 Jun; 27(6): 1866-8.

Choi SD, Guo L, Kang D, et al. Exergame Technology and Interactive Interventions for Elderly Fall Prevention: A Systematic Literature Review. Appl Ergon. 2016 Nov; 65: 570-81.

Nakagami-Yamaguchi E, Fujinaga K, Batard A, et al. The Effect of an Animation Movie for Inpatient Fall Prevention: A Pilot Study in an Acute Hospital. Saf in Health. 2016 Nov; 2(3): 3-10. [Video: ]

Sakamoto Y, Ebihara S, Ebihara T, et al. Fall Prevention Using Olfactory Stimulation With Lavender Odor in Elderly Nursing Home Residents: A Randomized Controlled Trial. J Am Geriatr Soc. 2012 Jun; 60(6): 1005-11.

Gao Q, Leung A, Yang Y, et al. Effects of Tai Chi on Balance and Fall Prevention in Parkinson’s Disease: A Randomized Controlled Trial. Clin Rehabil. 2014 Aug; 28(8) 748-53.

Chan DK, Sherrington C, Naganathan V, et al. Key Issues to Consider and Innovative Ideas on Fall Prevention in the Geriatric Department of a Teaching Hospital. Australia J Ageing. 2018 Jun; 37(2): 140-3.

Health Quality & Safety Commission New Zealand. Addressing Risk Factors in an Individualized Care Plan. 10 Topics. 2017 August. Vol 1.

Maia FOM, Cruz DALMD, Shimoda GT, et al. Falls Prevention Strategies for Adult Inpatients in a University Hospital of Sao Paulo, Brazil: A Best Practice Implementation Project. JBI Database System Rev Implement Rep. 2018 Aug; 16(8): 1720-36.

Cournan M, Fusco-Gessick B, Wright L. Improving Patient Safety Through Video Monitoring. Rehabil Nurs. 2018 Mar/Apr; 43(2): 111-15.;jsessionid=F158FCC01575837DE1109D819E154E96

Vonnes C, Wolf D. Fall Risk and Prevention Agreement: Engaging Patients and Families With a Partnership for Patient Safety. BMJ Open Qual. 2017 Oct; 6(2).

Globe balanced precariously on the edge of a wood table



How to Cite

Allen, C., & Wallace, S. C. . (2020). Around the World in 16 Ways: Searching Internationally for Fall Prevention Strategies. Patient Safety, 2(3), 24–29.



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