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Updated: Jun 1, 2026

Community-based Adapted Tango Dancing for Individuals with Parkinson's Disease and Older Adults
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Community-based Adapted Tango Dancing for Individuals with Parkinson's Disease and Older Adults

Published on: December 9, 2014

The 6-PACK programme to decrease fall-related injuries in acute hospitals: protocol for a cluster randomised

Anna Barker1, Caroline Brand, Terry Haines

  • 1The Centre for Research Excellence in Patient Safety, Department of Epidemiology and Preventative Medicine, Monash University, Victoria, Australia. anna.barker@monash.edu

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
|June 10, 2011
PubMed
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This summary is machine-generated.

This study tested the 6-PACK programme to prevent patient falls and injuries in hospitals. The largest trial of its kind, it aims to reduce harm and healthcare costs associated with falls.

Area of Science:

  • Gerontology
  • Patient Safety
  • Healthcare Management

Background:

  • In-hospital falls cause patient harm, increased hospital costs, and longer stays.
  • Despite awareness, fall-related fractures in hospitals have not decreased.
  • Effective fall prevention strategies are crucial for acute care settings.

Purpose of the Study:

  • To evaluate the 6-PACK programme's effectiveness in preventing fall-related injuries in acute hospital wards.
  • To assess the generalizability of the 6-PACK programme to diverse acute care settings.
  • To provide evidence for widespread implementation of a successful fall prevention intervention.

Main Methods:

  • A cluster randomized controlled trial involving 24 acute medical and surgical wards across 6-8 Australian hospitals.

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  • Wards were matched and randomly assigned to the 6-PACK intervention or usual care.
  • The 6-PACK intervention includes a fall risk assessment and six nursing interventions, supported by a structured implementation strategy.

    • Main Results:

    • The study is powered to detect differences in fall and fall-related injury rates.
    • Primary outcomes measured 12 months post-intervention implementation.
    • Results will inform the clinical effectiveness of the 6-PACK programme.

    Conclusions:

    • This is the largest randomized controlled trial for hospital fall prevention, specifically powered for fall-related injuries.
    • If effective, the 6-PACK programme has the potential for broad implementation in acute care.
    • Findings will contribute to reducing patient harm and healthcare burdens associated with in-hospital falls.