Outcomes of a consult fall prevention screening clinic

Am J Phys Med Rehabil. 2006 Nov;85(11):882-8. doi: 10.1097/01.phm.0000233209.49518.46.


Objective: To report patient satisfaction and quality outcomes from a standardized, multicenter fall prevention screening clinic.

Design: Referrals were made to the fall prevention screening clinic, which was staffed by a physician, pharmacist, therapist, nurse, and the site coordinator. The fall prevention screening clinic staff utilized a team-meeting format with clearly delineated management options to determine the appropriate interventions based on various screening examinations.

Results: Primary care providers acknowledged pharmacy recommendations and >80% of the recommendations were followed. There was a reduction in reported falls (initial visit = 297 falls, follow-up visit = 141 falls, P = 0.0002) and in the number of recurrent fallers. There was a small (average difference = 1.8 secs) but significant (P = 0.025) decrease in the 8-foot Up-and-Go time, representing a functional improvement in walking speed. There was no significant change in the Fall Efficacy Scale, however. At least 80% of the patients reported that they were completely satisfied with their care.

Conclusions: Patients who attended the fall prevention screening clinic demonstrated improved confidence during activities of daily living and reduced falls. They reported high satisfaction with the clinic format.

Publication types

  • Evaluation Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Accidental Falls / prevention & control*
  • Accidental Falls / statistics & numerical data
  • Activities of Daily Living
  • Female
  • Humans
  • Male
  • Mass Screening / methods*
  • Patient Care Team / organization & administration*
  • Patient Satisfaction*
  • Referral and Consultation
  • Risk Factors
  • Wounds and Injuries / epidemiology
  • Wounds and Injuries / prevention & control