Posters for 3rd World Falls Congress 2026

Introduction Falls are a common hospital patient presentation. NICE falls assessment and prevention guideline (NG249) includes lying and standing (L&S) blood pressure (BP). The Royal College of Physicians (RCP) outlines a standardised approach for L&S BP measurement; involving lying BP, standing BP within 1 minute and after 3 minutes. We aimed to improve postural BP recording on Cerner Electronic Patient Record (EPR) utilising Quality Improvement methodology to help clinicians make a correct diagnosis. Method Retrospective data was collected using EPR patient notes whereby 12 medical patients

Background The Emergency Department in the Home (EDITH) service provides an alternative to Emergency Department (ED) attendance for older adults by delivering acute emergency care in the person’s home. The service aims to support admission avoidance while promoting safety and functional independence through a multidisciplinary approach, including medical and Occupational Therapy (OT) assessment. Falls in older adults account for approximately 22% of EDITH referrals per month in 2025. Nationally, the cost of fall-related injuries in older adults in Ireland is projected to exceed €2 billion by

Introduction: Falls in older adults are prevalent, costly and frequently under-managed. We developed the Screening, Agility, Frailty & Falls prevention, Empowerment (SAFE) pathway to operationalise guideline-aligned multifactorial assessment, medication optimisation, osteoporosis risk trigger and rapid linkage to community rehabilitation at the first point of contact. We aim to describe implementation of SAFE in the pilot polyclinic, compare delivery of interventions pre- and post-implementation, and assess feasibility for scale-up with a focus on clinical effectiveness, patient safety and

Introduction: Adverse effects(AE) of zoledronic acid(ZA) administration, including electrolyte abnormalities and pyrexia, are well documented in the literature. A retrospective audit of all hip fracture patients that underwent fixation at the Royal Victoria Hospital, Belfast between 01/06/25 and 31/08/25 was performed. Incidence of fragility-fracture patients who received IV ZA post-op and recording subsequent reactions during their inpatient stay was reported. Methodology. A total of 222 patients underwent fixation for hip fractures. 17 were excluded due to fracture eligibility e.g. high

Introduction Falls and fall-related fractures are a major and growing public health challenge among older adults. Their multifactorial nature requires an integrated approach combining prevention, clinical care, education and policy. Effective prevention depends on coordinated action tailored to diverse target groups, including older adults, healthcare professionals and policymakers. A dedicated centre of expertise offers a clear structure to align efforts, translate scientific evidence into practice and support large-scale implementation. By integrating evidence, clinical expertise, education

Introduction Falls are a major cause of morbidity among older adults, with physical, psychological and economic consequences. Despite effective interventions, implementation remains limited, making awareness initiatives essential to encourage recognition of fall risks and effective falls prevention interventions. Method The Flemish Falls Prevention Awareness Week is coordinated by the Centre of Expertise for Falls and Fracture Prevention Flanders in collaboration with key stakeholders such as the Flemish Institute for Healthy Living and loco-regional healthcare networks. Campaign participation

Background: Falls remain a major healthcare burden from an individual to societal level. Vestibular disorders are recognised as a significant risk factor for falls in older adults, but identification and assessment of such conditions has only recently been included in national and international guidance. The extent to which National Health Service (NHS) falls services in England are including vestibular assessment is not well known. Method: A freedom-of-information request was sent to 117 Falls Services run by NHS Trusts in England to identify if they included vestibular assessment/management

Introduction: The Action Falls programme is a multifactorial falls-prevention programme shown in a randomised controlled trial (RCT) to reduce falls in care home residents by 43%. Action Falls has since been recommended as best practice by NHS England. In the original RCT, training was delivered by a member of the research team face-to-face to “Falls Leads” (registered NHS nurses or allied health professionals), using a train-the-trainer model. A subsequent implementation study indicated that an e-learning approach could offer greater flexibility and scalability. This study evaluated Falls

Introduction: Problematic polypharmacy contributes to an increased risk of medicine-related harm, particularly in those living with frailty or multimorbidity [1]. This pilot aimed to evaluate the potential benefits of introducing a dedicated polypharmacy pharmacist to conduct enhanced falls medication reviews as part of consultant-led ward rounds for targeted cohorts at Wirral University Teaching Hospital NHS Foundation Trust. Method: An independent prescribing pharmacist conducted weekly medication reviews on a stepdown ward for older patients. Medications were reviewed for safety based on

Introduction Best practice guidance for falls management with care home residents recommends a proactive approach and care home staff require training to support this. The CHAFFINCH (Co-producing tHe implementAtion oF Falls management IN Care Homes) study co-produced a model for falls management. The second phase of the CHAFFINCH study evaluated the feasibility of delivering the model in real-world care home settings. Methods A shared learning model was delivered for 6 months in 10 care homes in Nottinghamshire, United Kingdom. The model included bespoke training and ongoing support, provided

Background: People recovering after stroke are at increased risk of falls due to impairments in balance, strength and functional mobility. Exercise-based rehabilitation is critical to fall risk reduction; however, access remains limited. Digitally delivered rehabilitation has potential to extend care beyond traditional service models, but successful uptake depends on real-world implementation. Using an integrated knowledge translation approach, this mixed-methods study aimed to inform and evaluate the codesign, delivery and implementation of a tailored digital exercise program after stroke

Introduction: Falls are a common occurrence in both inpatient and emergency settings with CT head imaging being the gold standard for assessing potential intracranial injuries. However, it was noted that CT scans are often inappropriately requested leading to unnecessary radiation exposure and increased healthcare costs. The aim of the audit was to evaluate adherence to NICE Head Injury Guidelines on CT head[i] scanning after falls in a district hospital. Methods: In the first PDSA cycle, 50 adult patients who attended the ED with a fall were randomly selected. Data was collected

Purpose With >2.1 million British Columbians ≥50 years-of-age, the Ministry of Health recognized the need for a proactive approach to supporting health and wellness in aging. Age Forward is a comprehensive strategy and 3-year action plan to prevent and reduce significant factors contributing to increased health-care utilization and poor health outcomes observed among older adults: frailty, falls, fall-related injuries. Implementation Age Forward presents five focus areas addressing specific aspects of health and well-being: Prevention & Health Promotion; Screening, Early Identification & Risk

Introduction In British Columbia (BC), Canada, falls are the leading contributor to injury-related direct health care costs, and the leading cause of injury-related hospitalization for all ages and deaths among adults ≥70 years-of-age. This burden is expected to increase as the population continues to grow and age. The purpose of this study is to investigate five-year trends and patterns of fall-related injuries in BC to inform injury prevention policies and practices. Methods Using ICD-10 codes W00-W19, fall-related deaths were obtained from BC Vital Statistics and hospitalizations from the

Title: Improving Frailty Assessment in Older Adults with Bladder Cancer: A Quality Improvement Audit and Re-Audit at Oxford University Hospitals. Background: Frailty assessment is a crucial element of personalised care in older cancer patients. In bladder cancer, treatment options, ranging from radical cystectomy to conservative or palliative management, must consider physiological resilience rather than chronological age. Despite national recommendations to record frailty assessments, local compliance remained inconsistent. Aim: To evaluate and improve compliance with frailty assessment

Introduction: Falls are a leading cause of morbidity among older adults, particularly in post-acute rehabilitation settings characterised by multimorbidity and functional decline. The World Guidelines for Falls Prevention and Management for Older Adults (2022) recommend comprehensive, person-centred multifactorial falls risk assessment (MFRA), including evaluation of balance and vestibular function. However, vestibular symptoms are frequently under-recognised in routine practice. Objective: To implement and evaluate a structured vestibular symptom screening process within a physiotherapy-led

INTRODUCTION Frailty is prevalent in Singapore's rapidly ageing population. The Clinical Frailty Scale (CFS) is a widely adopted frailty assessment tool chosen for its ease of use and predictive accuracy. However, CFS grading requires clinical judgment, introducing subjectivity and potential inter-rater variability. The Short Physical Performance Battery (SPPB) is an objective measure of physical function that can predict disability and mortality in older adults, with declining scores suggesting increased frailty. This study aimed to determine the correlation of SPPB to CFS in identifying

Introduction Falls are a crucially important issue for older adults with one-third 65years+ falling each year. In Greater Manchester (GM) fall rates are above the national average in 6/10 localities, leading to the highest inpatient spend in England on hip/thigh injuries. However, falls can be prevented via strength and balance exercises. World guidelines recommend older people be screened for fall risk when they visit a doctor, and based on their risk, referred to appropriate services; but there is currently no easy way to do this. A new tool, eFalls, automatically calculates fall risk from

Background: Lying and standing blood pressure (L/S BP) assessment is essential for detecting orthostatic hypotension (OH) and preventing falls in rehabilitation wards. staff management of postural drops remained largely medical, with limited patient engagement. Aim: To develop and implement a care bundle that improves staff understanding, patient involvement, and proactive management of OH. Methods: Using quality improvement methodology and PDSA cycles, baseline compliance and staff knowledge were assessed via questionnaires and notes review. Interventions included staff education through

Introduction In-hospital delirium and in-hospital falls are leading causes of harm to older people in hospital and are inter-related. Interventions to prevent in-hospital delirium have been shown also to prevent in-hospital falls. To better target interventions to older in-patients at risk both of delirium and falls, a prognostic model that predicts both delirium and falls risk would be clinically useful. Prognostic models intended for routine clinical care are most effective when based on information routinely captured in electronic health records (EHRs). Objective To identify overlapping