Post-fall reporting in aged acute inpatient mental health units: an 18-month observational cohort study

Journal article


Furness, Trentham, Mnatzaganian, George, Garlick, Robyn, Ireland, Susan, McKenna, Brian and Hill, Keith. (2017) Post-fall reporting in aged acute inpatient mental health units: an 18-month observational cohort study. International Psychogeriatrics. 29(12), pp. 2007 - 2016. https://doi.org/10.1017/S1041610217001648
AuthorsFurness, Trentham, Mnatzaganian, George, Garlick, Robyn, Ireland, Susan, McKenna, Brian and Hill, Keith
Abstract

Background: Despite the high risk of falling for people with severe mental illness, there is limited falls research in mental health settings. Therefore, the objective of this observational cohort study was to conduct a focused post-fall review of fall episodes within aged acute inpatient mental health units at one of Australia’s largest publicly funded mental health organizations. Methods: A post-fall reporting tool was developed to collect intrinsic and extrinsic fall risk factors among three aged acute mental health inpatient units over an 18-month period. Descriptive and inferential analyses were conducted to describe fall risk factors and predictors of fall risk. Results: There were a total of 115 falls, of which the tool was used for 93 (80.9%) episodes. Falls occurred most often in consumer’s bedroom/bathroom and were unwitnessed. Intrinsic risk factors were most often attributed to postural drop and losing balance during walking. However, that was in contrast to consumer’s who self-reported feeling dizzy as the reason of the fall. Conclusions: Based on the cohort, future falls could be reduced by targeting those aged above 82 years, or with a diagnosis of dementia. Recurrent falls during admission could be reduced by targeting those with psychotic illness and males with a diagnosis of dementia. A clearer dialogue among consumers and clinical staff reporting about fall episodes may support future remedial interventions and inform programs to reduce fall risk and assist the challenge of describing unwitnessed falls in aged acute inpatient mental health setting

Year2017
JournalInternational Psychogeriatrics
Journal citation29 (12), pp. 2007 - 2016
PublisherCambridge University Press
ISSN1741-203X
Digital Object Identifier (DOI)https://doi.org/10.1017/S1041610217001648
Page range2007 - 2016
Research GroupSchool of Nursing, Midwifery and Paramedicine
Place of publicationUnited Kingdom
EditorsD. V. Jeste
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A systematic review of literature relating to Problem-Solving Youth Courts
Madell, Dominic, Thom, Katey and McKenna, Brian. (2013) A systematic review of literature relating to Problem-Solving Youth Courts. Psychiatry Psychology and Law. https://doi.org/10.1080/13218719.2012.699790
Smoking and primary total hip or knee replacement due to osteoarthritis in 54,288 elderly men and women
Mnatzaganian, George, Ryan, Philip, Reid, Christopher M., Davidson, David and Hiller, Janet E.. (2013) Smoking and primary total hip or knee replacement due to osteoarthritis in 54,288 elderly men and women. BMC Musculoskeletal Disorders. 14(262), pp. 262 - 272. https://doi.org/10.1186/1471-2474-14-262
Total joint replacement in men : Old age, obesity and in-hospital complications
Mnatzaganian, George, Ryan, Philip, Norman, Paul, Davidson, David and Hiller, Janet. (2013) Total joint replacement in men : Old age, obesity and in-hospital complications. ANZ Journal of Surgery. https://doi.org/10.1111/j.1445-2197.2012.06227.x
Whole-body vibration as a mode of dyspnoea free physical activity: a community-based proof-of-concept trial
Furness, Trentham, Joseph, Corey, Welsh, Liam, Naughton, Geraldine and Lorenzen, Christian. (2013) Whole-body vibration as a mode of dyspnoea free physical activity: a community-based proof-of-concept trial. BMC Research Notes. 6(452), pp. 1 - 4. https://doi.org/10.1186/1756-0500-6-452
The care manager's dilemma : Balancing human rights with risk management under the intellectual Disability (Compulsory Care and Rehabilitation) Act 2003
Prebble, Kate, Diesfeld, Kate, Frey, Rosemary Ann, Sutton, Daniel, Honey, Michelle, Vickery, Russell and McKenna, Brian. (2013) The care manager's dilemma : Balancing human rights with risk management under the intellectual Disability (Compulsory Care and Rehabilitation) Act 2003. Disability and Society. https://doi.org/10.1080/09687599.2012.695527
Reporting of suicide by the New Zealand media
Thom, Katey, McKenna, Brian, Edwards, Gareth, O'Brien, Anthony and Nakarada-Kord, Ivana. (2012) Reporting of suicide by the New Zealand media. Crisis: The Journal of Crisis Intervention and Suicide Prevention. 33(4), pp. 199 - 207. https://doi.org/10.1027/0227-5910/a000133
Patterns of mental health service contact before and after forensic mental health contact in New Zealand
Cavney, James, Skipworth, Jeremy, Madell, Dominic and McKenna, Brian. (2012) Patterns of mental health service contact before and after forensic mental health contact in New Zealand. Australasian Psychiatry. 20(3), pp. 225 - 227. https://doi.org/10.1177/1039856212437258
Accuracy of hospital morbidity data and the performance of comorbidity scores as predictors of mortality
Mnatzaganian, George, Ryan, Philip, Norman, Paul E. and Hiller, Janet E.. (2012) Accuracy of hospital morbidity data and the performance of comorbidity scores as predictors of mortality. Journal of Clinical Epidemiology. 65(1), pp. 107 - 115. https://doi.org/10.1016/j.jclinepi.2011.03.014
Efficacy of a whole-body vibration intervention to effect exercise tolerance and functional performance of the lower limbs of people with chronic obstructive pulmonary disease
Furness, Trentham, Bate, Nicole, Welsh, Liam, Naughton, Geraldine and Lorenzen, Christian. (2012) Efficacy of a whole-body vibration intervention to effect exercise tolerance and functional performance of the lower limbs of people with chronic obstructive pulmonary disease. BMC Pulmonary Medicine. 12(71), pp. 1 - 6. https://doi.org/10.1186/1471-2466-12-71
Length of stay in hospital and all-cause readmission following elective total joint replacement in elderly men
Mnatzaganian, George, Ryan, Philip, Norman, Paul, Davidson, David and Hiller, Janet E.. (2012) Length of stay in hospital and all-cause readmission following elective total joint replacement in elderly men. Orthopedic Research and Reviews. 4, pp. 43 - 51. https://doi.org/10.2147/ORR.S31668
Use of routine hospital morbidity data together with weight and height of patients to predict in-hospital complications following total joint replacement
Mnatzaganian, George, Ryan, Philip, Norman, Paul, Davidson, David and Hiller, Janet. (2012) Use of routine hospital morbidity data together with weight and height of patients to predict in-hospital complications following total joint replacement. BMC Health Services Research. 12(1), pp. 1 - 8. https://doi.org/10.1186/1472-6963-12-380
Effect of performance jewlery on balance of elite Australian rules footballers and healthy young adults
Joseph, Corey, Furness, Trentham, Buttifant, David and Naughton, Geraldine. (2012) Effect of performance jewlery on balance of elite Australian rules footballers and healthy young adults. In E J Bradshaw, A Burnett and P A Hume (Ed.). 30th Conference of the International Society of Biomechanics in Sports. Australia: International Society of Biomechanics. pp. 162 - 165
Improving the ability of mental health nurses to give second opinion in judicial reviews :An evaluation study
McKenna, Brian, O'Brien, Anthony and O'Shea, Maria. (2011) Improving the ability of mental health nurses to give second opinion in judicial reviews :An evaluation study. Journal of Psychiatric and Mental Health Nursing. 18(6), pp. 550 - 557. https://doi.org/10.1111/j.1365-2850.2011.01703.x
Implementing and maintaining nurse-led healthy living programs in forensic inpatient settings :An illustrative case study
Prebble, Kate, Kidd, Jacquie Dianne, O'Brien, Anthony, Carlyle, Dave, McKenna, Brian, Crowe, Marie, Deering, Daryle and Gooder, Claire. (2011) Implementing and maintaining nurse-led healthy living programs in forensic inpatient settings :An illustrative case study. Journal of American Psychiatric Nurses Association. 17(2), pp. 127 - 138. https://doi.org/10.1177/1078390311399094
Suicide online :portrayal of website-related suicide by the New Zealand media
Thom, Katey, Edwards, Gareth, Nakarada-Kordic, Ivana, McKenna, Brian, O'Brien, Anthony and Nairn, Raymond. (2011) Suicide online :portrayal of website-related suicide by the New Zealand media. New Media and Society. 13(8), pp. 1355 - 1372. https://doi.org/10.1177/1461444811406521
Smoking, body weight, physical exercise, and risk of lower limb total joint replacement in a population-based cohort of men
Mnatzaganian, G., Ryan, P., Norman, P E., Davidson, D. C. and Hiller, Janet E.. (2011) Smoking, body weight, physical exercise, and risk of lower limb total joint replacement in a population-based cohort of men. Arthritis & Rheumatism. 63(8), pp. 2523 - 2530. https://doi.org/10.1002/art.30400
Use of Tasers on people with mental illness. A New Zealand database study
O'Brien, Anthony, McKenna, Brian, Thom, Katey, Diesfeld, Kate and Simpson, Alexander. (2011) Use of Tasers on people with mental illness. A New Zealand database study. International Journal of Law and Psychiatry. 34(1), pp. 39 - 43. https://doi.org/10.1016/j.ijlp.2010.11.006
Insanity, methamphetamine and psychiatric expertise in New Zealand courtrooms
Thom, Katey, Finlayson, Mary and Mckenna, Brian. (2011) Insanity, methamphetamine and psychiatric expertise in New Zealand courtrooms. Journal of law and medicine. 18(4), pp. 749 - 758.
Mental health and addiction services in the criminal justice system: Where do we sit?
McKenna, Brian. (2011) Mental health and addiction services in the criminal justice system: Where do we sit? International Journal of Mental Health Nursing. 20(2), pp. 75 - 76. https://doi.org/10.1111/j.1447-0349.2010.00738.x
In search of a national approach to professional supervision for mental health and addiction nurses : The New Zealand experience
McKenna, Brian, Thom, Katey, Howard, Fiona and Williams, Val. (2010) In search of a national approach to professional supervision for mental health and addiction nurses : The New Zealand experience. Contemporary Nurse: Health care across the lifespan. 34(2), pp. 267 - 276. https://doi.org/10.5172/conu.2010.34.2.267
Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults
Furness, Trentham, Maschette, Wayne, Lorenzen, Christian, Naughton, Geraldine and Williams, Morgan. (2010) Efficacy of a whole-body vibration intervention on functional performance of community-dwelling older adults. Journal of Alternative & Complementary Medicine. 16(7), pp. 795 - 797. https://doi.org/10.1089/acm.2009.0366
Duly authorized officers' practices under mental health law in New Zealand: Are nurses meeting the requirements of the law?: Feature article
McKenna, Brian, Thom, Katey, O'Brien, Anthony John, Crene, Sally and Simpson, A.. (2009) Duly authorized officers' practices under mental health law in New Zealand: Are nurses meeting the requirements of the law?: Feature article. International Journal of Mental Health Nursing. 18(4), pp. 231 - 238. https://doi.org/10.1111/j.1447-0349.2009.00619.x
Community treatment orders and competence to consent
Milne, Duncan, O'Brien, Anthony John and McKenna, Brian. (2009) Community treatment orders and competence to consent. Australasian Psychiatry. 17(4), pp. 273 - 278. https://doi.org/10.1080/10398560902721572
Compulsory community mental health treatment: Literature review
O'Brien, Anthony John, McKenna, Brian and Kydd, Robert R.. (2009) Compulsory community mental health treatment: Literature review. International Journal of Nursing Studies. 46(9), pp. 1245 - 1255. https://doi.org/10.1016/j.ijnurstu.2009.02.006
Effect of infections on 30-day mortality among critically ill patients hospitalized in and out of the intensive care unit
Mnatzaganian, George, Sprung, Charles L., Zitser-Gurevich, Yana, Galai, Noya, Goldschmidt, Nethanel, Levi, Leon, Bar-Lavi, Yaron, Zveibil, Fabio, Salz, Inbal Weiss, Ekka-Zohar, Anat and Simchen, Elisheva. (2008) Effect of infections on 30-day mortality among critically ill patients hospitalized in and out of the intensive care unit. Critical Care Medicine. 36(4), pp. 1097 - 1104. https://doi.org/10.1097/CCM.0B013E3181659610
Judging nursing practice: Implications of habeas corpus rulings for mental health nurses in New Zealand
Thom, Katey, O'Brien, Anthony John and McKenna, Brian. (2008) Judging nursing practice: Implications of habeas corpus rulings for mental health nurses in New Zealand. Psychiatry Psychology and Law. 15(1), pp. 131 - 139. https://doi.org/10.1080/13218710701879558
Return to nursing programmes: Justifications for a mental health specific course
McKenna, Brian, Thom, Katey and O'Brien, Anthony John. (2008) Return to nursing programmes: Justifications for a mental health specific course. International Journal of Nursing Education Scholarship. 5(1), pp. 1 - 16. https://doi.org/10.2202/1548-923X.1618
The unintended impact of the therapeutic intentions of the New Zealand Mental Health Review Tribunal? Therapeutic jurisprudence perspectives
Diesfeld, Kate and McKenna, Brian. (2007) The unintended impact of the therapeutic intentions of the New Zealand Mental Health Review Tribunal? Therapeutic jurisprudence perspectives. Journal of law and medicine. 14(4), pp. 566 - 574.
Concerns about the use of TASERs on people with mental illness in New Zealand
O'Brien, Anthony John and McKenna, Brian. (2007) Concerns about the use of TASERs on people with mental illness in New Zealand. Journal of Forensic Nursing. 3(2), pp. 89 - 92. https://doi.org/10.1097/01263942-200706000-00008
Outcome of patients rehabilitated through a New Zealand Forensic Psychiatry Service: A 7.5 year retrospective study
Simpson, Sandy, Simpson, A., Jones, Roland Morgan, Evans, Ceri G. and McKenna, Brian. (2006) Outcome of patients rehabilitated through a New Zealand Forensic Psychiatry Service: A 7.5 year retrospective study. Behavioral Sciences and the Law. 24(6), pp. 833 - 843. https://doi.org/10.1002/bsl.740
Mentally abnormal homicide in New Zealand as defined by legal and clinical criteria: A national study
Simpson, A., Skipworth, Jeremy J., McKenna, Brian, Moskowitz, Andrew K. and Barry-Walsh, Justin B.. (2006) Mentally abnormal homicide in New Zealand as defined by legal and clinical criteria: A national study. Australian and New Zealand Journal of Psychiatry. 40(9), pp. 804 - 809. https://doi.org/10.1111/j.1440-1614.2006.01887.x
The therapeutic intent of the New Zealand Mental Health Review Tribunal
Diesfeld, Kate and McKenna, Brian. (2006) The therapeutic intent of the New Zealand Mental Health Review Tribunal. Psychiatry Psychology and Law. 13(1), pp. 100 - 109. https://doi.org/10.1375/pplt.13.1.100
Best practice management strategies for mental health nurses during the clinical application of civil commitment: an overview
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2006) Best practice management strategies for mental health nurses during the clinical application of civil commitment: an overview. Contemporary Nurse. 21(1), pp. 62 - 70. https://doi.org/10.5172/conu.2006.21.1.62
Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992
McKenna, Brian, O'Brien, Anthony John, Dal Din, Toni and Thom, Kate. (2006) Registered nurses as responsible clinicians under the New Zealand Mental Health (Compulsory Assessment and Treatment) Act 1992. International Journal of Mental Health Nursing. 15(2), pp. 128 - 134. https://doi.org/10.1111/j.1447-0349.2006.00412.x
The role of mental illness in homicide-suicide in New Zealand, 1991 - 2000
Moskowitz, Andrew K., Simpson, A., McKenna, Brian, Skipworth, Jeremy J. and Barry-Walsh, Justin B.. (2006) The role of mental illness in homicide-suicide in New Zealand, 1991 - 2000. Journal of Forensic Psychiatry and Psychology. 17(3), pp. 417 - 430. https://doi.org/10.1080/14789940600761410
Outpatient commitment and coercion in New Zealand: A matched comparison study
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2006) Outpatient commitment and coercion in New Zealand: A matched comparison study. International Journal of Law and Psychiatry. 29(2), pp. 145 - 158. https://doi.org/10.1016/j.ijlp.2004.07.004
Gambling and problem gambling among recently sentenced women in New Zealand prisons
Abbott, Max W. and McKenna, Brian. (2005) Gambling and problem gambling among recently sentenced women in New Zealand prisons. Journal of Gambling Studies. 21(4), pp. 559 - 581. https://doi.org/10.1007/s10899-005-5563-5
Gambling and problem gambling among recently sentenced male prisoners in four New Zealand prisons
Abbott, Max W., McKenna, Brian and Giles, Lynne C.. (2005) Gambling and problem gambling among recently sentenced male prisoners in four New Zealand prisons. Journal of Gambling Studies. 21(4), pp. 537 - 558. https://doi.org/10.1007/s10899-005-5562-6
New nurses face endemic violence
McKenna, Brian, Poole, Suzette J., Smith, Naumai A. and Cloverdale, John H.. (2004) New nurses face endemic violence. Kai Tiaki: Nursing New Zealand. 10(5), pp. 12 - 14.
Homicide and mental illness in New Zealand, 1970-2000
Simpson, A., McKenna, Brian, Moskowitz, Andrew K., Skipworth, Jeremy J., Barry-Walsh, Justin B. and Simpson, Sandy. (2004) Homicide and mental illness in New Zealand, 1970-2000. British Journal of Psychiatry. 185(NOV), pp. 394 - 398. https://doi.org/10.1192/bjp.185.5.394
Patients' perceptions of coercion on admission to forensic psychiatric hospital: A comparison study
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2003) Patients' perceptions of coercion on admission to forensic psychiatric hospital: A comparison study. International Journal of Law and Psychiatry. 26(4), pp. 355 - 372. https://doi.org/10.1016/S0160-2527(03)00046-3
Horizontal violence: Experiences of Registered Nurses in their first year of practice
McKenna, Brian, Smith, Naumai A., Poole, Suzette J. and Cloverdale, John H.. (2003) Horizontal violence: Experiences of Registered Nurses in their first year of practice. Journal of Advanced Nursing. 42(1), pp. 90 - 96. https://doi.org/10.1046/j.1365-2648.2003.02583.x
Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation
Farrow, Tony L., McKenna, Brian and O'Brien, Anthony John. (2002) Advanced 'prescribing' of nurses' emergency holding powers under New Zealand mental health legislation. International Journal of Mental Health Nursing. 11(3), pp. 164 - 169.
Initiating committal proceedings 'just in case' with voluntary patients: a critique of nursing practice
Farrow, Tony L., McKenna, Brian and O'Brien, Anthony John. (2002) Initiating committal proceedings 'just in case' with voluntary patients: a critique of nursing practice. Nursing Praxis in New Zealand. 18(2), pp. 15 - 23.
Risk assessment of violence to others: time for action
McKenna, Brian. (2002) Risk assessment of violence to others: time for action. Nursing Praxis in New Zealand. 18(1), pp. 36 - 43.
An analysis of procedural justice during psychiatric hospital admission
McKenna, Brian, Simpson, A., Cloverdale, John H. and Laidlaw, Tannis M.. (2001) An analysis of procedural justice during psychiatric hospital admission. International Journal of Law and Psychiatry. 24(6), pp. 573 - 581. https://doi.org/10.1016/S0160-2527(00)00069-8
Debating forensic mental health nursing
McKenna, Brian and Poole, Suzette J.. (2001) Debating forensic mental health nursing. Kai Tiaki: Nursing New Zealand. 7(6), pp. 18 - 20.
What is the role of procedural justice in civil commitment?
McKenna, Brian, Simpson, A. and Cloverdale, John H.. (2000) What is the role of procedural justice in civil commitment? Australian and New Zealand Journal of Psychiatry. 34(4), pp. 671 - 676. https://doi.org/10.1046/j.1440-1614.2000.00744.x
Implications for training of violent acts by patients against psychiatry registrars
Gale, Christopher K., Simpson, A., McKenna, Brian and Cloverdale, John H.. (2000) Implications for training of violent acts by patients against psychiatry registrars. Australasian Psychiatry. 8(4), pp. 345 - 348. https://doi.org/10.1046/j.1440-1665.2000.00289.x
Patient perception of coercion on admission to acute psychiatric services: The New Zealand experience
McKenna, Brian, Simpson, A. and Laidlaw, Tannis M.. (1999) Patient perception of coercion on admission to acute psychiatric services: The New Zealand experience. International Journal of Law and Psychiatry. 22(2), pp. 143 - 153. https://doi.org/10.1016/S0160-2527(98)00039-9
To tell or not to tell?
McKenna, Brian. (1997) To tell or not to tell? Kai Tiaki: Nursing New Zealand. 3(4), pp. 28 - 29.