The Centre for Research Excellence in Patient Safety, Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Inj Prev. 2012 Apr;18(2):e2. doi: 10.1136/injuryprev-2011-040302. Epub 2012 Jan 30.
Falls are a common hospital occurrence complicating the care of patients. From an economic perspective, the impact of in-hospital falls and related injuries is substantial. However, few studies have examined the economic implications of falls prevention interventions in an acute care setting. The 6-PACK programme is a targeted nurse delivered falls prevention programme designed specifically for acute hospital wards. It includes a risk assessment tool and six simple strategies that nurses apply to patients classified as high-risk by the tool.
To examine the incremental cost-effectiveness of the 6-PACK programme for the prevention of falls and fall-related injuries, compared with usual care practice, from an acute hospital perspective.
The 6-PACK project is a multicentre cluster randomised controlled trial (RCT) that includes 24 acute medical and surgical wards from six hospitals in Australia to investigate the efficacy of the 6-PACK programme. This economic evaluation will be conducted alongside the 6-PACK cluster RCT. Outcome and hospitalisation cost data will be prospectively collected on approximately 16,000 patients admitted to the participating wards during the 12-month trial period. The results of the economic evaluation will be expressed as 'cost or saving per fall prevented' and 'cost or saving per fall-related injury prevented' calculated from differences in mean costs and effects in the intervention and control groups, to generate an incremental cost-effectiveness ratio (ICER).
This economic evaluation will provide an opportunity to explore the cost-effectiveness of a targeted nurse delivered falls prevention programme for reducing in-hospital falls and fall-related injuries. This protocol provides a detailed statement of a planned economic evaluation conducted alongside a cluster RCT to investigate the efficacy of the 6-PACK programme to prevent falls and fall-related injuries.
The protocol for the cluster RCT is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12611000332921).
跌倒在医院中很常见，会给患者的护理带来困难。从经济角度来看，院内跌倒及其相关伤害的影响是巨大的。然而，很少有研究调查过在急性护理环境中预防跌倒干预的经济意义。6-PACK 计划是一个针对护士的跌倒预防计划，专为急性医院病房设计。它包括一个风险评估工具和六个简单的策略，护士可以根据工具将高风险患者应用于患者。
从急性医院的角度来看，与常规护理实践相比，检查 6-PACK 计划预防跌倒和跌倒相关伤害的增量成本效益，比较 6-PACK 计划预防跌倒和跌倒相关伤害的增量成本效益。
6-PACK 项目是一项多中心集群随机对照试验（RCT），包括澳大利亚六家医院的 24 个急性内科和外科病房，以调查 6-PACK 计划的疗效。这项经济评估将与 6-PACK 集群 RCT 同时进行。在为期 12 个月的试验期间，将前瞻性收集约 16000 名入住参与病房的患者的结果和住院费用数据。经济评估的结果将表示为“每预防一次跌倒的成本或节省”和“每预防一次跌倒相关伤害的成本或节省”，通过计算干预组和对照组之间的平均成本和效果差异来计算增量成本效益比（ICER）。
这项经济评估将提供一个机会来探讨一种针对护士的跌倒预防计划的成本效益，以减少院内跌倒和跌倒相关伤害。本方案详细说明了一项计划中的经济评估，该评估与一项集群 RCT 同时进行，以调查 6-PACK 计划预防跌倒和跌倒相关伤害的疗效。
该集群 RCT 的方案在澳大利亚和新西兰临床试验注册中心（ACTRN12611000332921）注册。
