NSW Falls Prevention Program

Falls Prevention in Hospitals

The CEC has developed a Hospital Package that provides guidance to NSW Health facilities and ensures a uniform approach to the prevention of falls and harm from falls that is consistent with best practice.

Risk Screening & Assessment

NSW Health policy (PD2011_024) requires facilities to provide, or arrange for, screening, assessment and management of falls risk factors among older people presenting to NSW Health services following a fall, or at high risk of falls. Standard 10 of the National Safety and Quality Health Service Standards also requires all patients admitted to hospital to be screened for falls risk and if any falls risk is identified a Falls Assessment is required.

The CEC has undertaken a process to review falls risk screen tools and has developed a Falls Risk Assessment tool.

The Falls Screen is to be completed on admission to identify patients falls risk factors. If falls risks have been identified, a Falls Risk Assessment and Management Plan (FRAMP) is to be completed and interventions actioned for the falls risk factors that have been identified in the screen. Care planning should also be discussed with the patient or family/carers and falls risk interventions communicated at handover.

Post-Fall Management

When a patient has a fall, staff are required to undertake rapid assessment and basic life support (if required) and complete observations. Staff are to follow local Clinical Emergency Response Systems (CERS) and if at any time a staff member and or a family member is concerned about the patient, staff are to call for a Clinical Review.

Maternity Services

Mothers and newborns can be at risk of falls whilst in Maternity Units. Managing falls risk in the maternal and newborn population has received minimal attention and has not been well documented. Women have an increased short term falls risk for example, following a vaginal or caesarean birth, and especially during initial attempts at ambulation. Newborn falls in maternity units are associated with maternal sedation, and many falls occur when a neonate rolls from the arms of a sleeping parent. Traditional falls risk screening tools do not address the unique characteristics experienced by women in the immediate pre- and post-partum period.

The following resources are available:

Clinical Incident Management and Reporting

The requirements for facility or LHD level notification, analysis and reporting of adverse events related to falls is outlined in the NSW Health Incident Management Policy PD2014_004.

NSW Health employees can submit falls related incidents here

National Standards and Audit Tools

The NSW Falls Prevention Program has put together resources to assist local health districts meet Standard 10 - Preventing Falls and Harm from Falls.

Education Resources



Rollator Frames

YouTube video (high resolution)

Length 4:57

Forearm Support Frame

YouTube video (high resolution)

Length 4:41

Walking Stick

YouTube video (high resolution)

Length 5:33

Wheeled Walker

YouTube video (high resolution)

Length 5:13

A Patient's Story

Suzanne Archer's Fall Journey

Suzanne is an artist and shares her story following a fall at home

YouTube video (high resolution)

Length 9:25