Table 1.

Compliance with FallSafe care bundle for all patients 2013–2020, %

	Richardson et al 2013⁵	RCP national audit of inpatient falls 2015⁷^a	Local 10-ward data 2017^b	Post-fall review data 2017^c	RCP national audit of inpatient falls 2017⁵	Local 37-ward data 2018^d	Data collected for CQUIN 2019/2020 action CCG7⁸
Bundle for all patients
A history of previous falls and of fear of falling is taken at the time of admission	97		84		82	98
Urinalysis is conducted on admission	81		84	50		54	0
New prescriptions of night sedation are avoided	78		99		100	96	99
A call bell is in reach	85	86, 97	98	98	85	89
Appropriate footwear is available and in use	69		97	95	62	98
There is assessment for and provision of walking aids within 24 hours	84	73, 86	97	95	18	96	87
Bundle for older and more vulnerable patients
A cognitive assessment is conducted in all admissions aged >70 years	99		94	85	91	97
Those at risk are tested for delirium	92		58–69	55	41
An assessment of risk versus benefit for use of a bedrail is conducted	93		89	98		99
Visual assessment is conducted	84	28, 79	94	89	97	96
Lying and standing blood pressure	72	32, 39	82	78	35	70	94
Medication is reviewed with respect to cardiovascular and central nervous system acting medications	55	32, 59	90	92	68	97
Based on observation, toileting arrangements are assessed and planned	92	58, 63			85

↵^a = data for two hospital sites;
↵^b = audit of FallSafe care bundles on 10 wards, May 2016 to March 2017: all patients over 65 years in hospital over 12 hours;
↵^c = post-inpatient-fall audit, 2017, n=99;
↵^d = audit of FallSafe care bundles on 37 wards, Oct 2018 to November 2018: all patients over 65 years in hospital over 12 hours; CQUIN = Commissioning for Quality and Innovation; RCP = Royal College of Physicians.