National Audit of Inpatient Falls – Audit report 2020
Falls are the most common incident affecting hospital inpatients, and one of their most serious consequences is a hip fracture. This report covers 2020 England and Wales facilities audit data and is supported by National Hip Fracture Database (NHFD) clinical audit data from 1 January to 31 December.
Many healthcare professionals had to focus on the COVID-19 response in 2020, and in response, NAIF extended its clinical audit deadline to the end of 2020. As a result, this report focuses solely on facilities data and a further clinical data report will be published in autumn 2021.
74% of eligible trusts and health boards took part in the facilities audit, reduced from 77% last year; these numbers are still encouraging in the context of the challenges posed by COVID-19.
The report shows that hip fractures sustained in an inpatient setting continue to be associated with poorer outcomes including a two-fold increase in 30-day mortality.
The findings also showed that fewer organisations claim to report all inpatient hip fractures as serious harm, which is a recommendation in this report (70% in 2020 compared to 76% in 2019).
NICE guidelines advise against the use of fall risk screening tools, instead recommending a multi-factorial risk assessment for all inpatients over the age of 65, however despite this, the report found there was a small increase in the proportion of organisations using the screening tools.
You can download the report here. Please note you will be prompted to register your details so you can receive updates. You may skip the registration process if you prefer.