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Updated: May 25, 2026

Community-based Adapted Tango Dancing for Individuals with Parkinson's Disease and Older Adults
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The 6-PACK programme to decrease falls and fall-related injuries in acute hospitals: protocol for an economic

Renata Morello1, Anna Barker, Silva Zavarsek

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

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
|February 2, 2012
PubMed
Summary

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This summary is machine-generated.

The 6-PACK programme, a nurse-led falls prevention strategy, is being evaluated for its cost-effectiveness in reducing hospital falls and injuries. This study assesses its economic impact compared to usual care in acute hospital settings.

Area of Science:

  • Healthcare Economics
  • Patient Safety
  • Nursing Interventions

Background:

  • In-hospital falls are a significant concern, leading to substantial economic costs and complicating patient care.
  • Few studies have comprehensively evaluated the economic implications of falls prevention interventions within acute care settings.
  • The 6-PACK programme is a nurse-delivered intervention designed for acute hospital wards, featuring a risk assessment tool and six targeted strategies for high-risk patients.

Purpose of the Study:

  • To determine the incremental cost-effectiveness of the 6-PACK programme compared to usual care for preventing falls and fall-related injuries in acute hospitals.
  • To analyze the economic impact of a targeted, nurse-led falls prevention strategy.

Main Methods:

  • A multicentre cluster randomised controlled trial (RCT) involving 24 acute medical and surgical wards across six Australian hospitals.

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  • Prospective collection of outcome and hospitalisation cost data for approximately 16,000 patients over a 12-month trial period.
  • Calculation of the incremental cost-effectiveness ratio (ICER) to express results as cost or saving per fall and per fall-related injury prevented.

    • Main Results:

    • This section is not available in the provided abstract.

    Conclusions:

    • The economic evaluation will elucidate the cost-effectiveness of the 6-PACK programme in reducing in-hospital falls and injuries.
    • This protocol outlines a planned economic evaluation alongside a cluster RCT to assess the efficacy of the 6-PACK programme.