However, wider implementation of fall prevention activities in routine care has yielded mixed results.
The rest of the papers focused on health interventions or other health topics, e.g., the impact of schools on child health (paper S16), the nurse-patient relationship (paper S1), and the implementation of fall-prevention programmes (paper S4).
Child S, Goodwin V, Garside R, Jones-Hughes T, Boddy K, Stein K Factorss influencing the implementation of fall-prevention programmes: a systematic review and synthesis of qualitative studies, Implementation Science 2012, 7 91.
16 With regard to implementation of fall risk assessment in the GP setting and sustainability strategies, no incentives were provided for the GPs for study participation and testing procedures (due to the current health systems structure in Germany).
15 17 Research on factors associated with poor fall risk assessment and management has tended to focus on the impact of outreach education intervention, 10 13 and implementation of fall prevention clinical practice guidelines, 17 and has been conducted in high-income countries.
In the first phase of the research project: "Clinical Supervision for Safety and Care Quality" (C-S2AFECARE-Q), difficulties in the application of the Morse Fall Scale® and non-conformities in the implementation of the falls prevention protocol were identified.
When the implementation of the Falls CPG began, participants pointed out that they already did so many things to prevent falls.
In our view, the current implementation of ERA falls short of complying with the EU regulations.
Thus, successful implementation criteria from nursing personnel's point of view were satisfyingly met even though no extra budget was provided for the implementation of the Falls CPG.
Usual care on these units includes patient's screening, assessment and implementation of individualised falls prevention strategies, ongoing staff training and environmental strategies.
