Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
-
Randomized Controlled Trial Multicenter Study
Reducing hazard related falls in people 75 years and older with significant visual impairment: how did a successful program work?
In a randomized controlled trial testing a home safety program designed to prevent falls in older people with severe visual impairment, it was shown that the program, delivered by an experienced occupational therapist, significantly reduced the numbers of falls both at home and away from home. ⋯ The overall reduction in falls by the home safety program must result from some mechanism in addition to the removal or modification of hazards or provision of new equipment.
-
Multicenter Study
Unspecified falls among youth: predictors of coding specificity in the emergency department.
Deficiencies in emergency department (ED) charting is a common international problem. While unintentional falls account for the largest proportion of injury related ED visits by youth, insufficient charting details result in more than one third of these falls being coded as "unspecified". Non-specific coding compromises the utility of injury surveillance data. ⋯ Deficiencies in both chart documentation and coding specificity contribute to the use of non-specific E-codes. More comprehensive triage coding, improved chart documentation, and alternative methods of data collection in the acute care setting are required to improve ED injury surveillance initiatives.