Fall Prevention at Landspítali

Fall prevention at Landspítali is based on evidence-based knowledge, standardized procedures, and international guidelines. Many departments at Landspítali have also implemented regular patient safety checks.

Risk Factor Assessment

It is recommended to assess common fall risk factors in individuals aged 65 and older, as well as in younger patients at risk due to illness or medical conditions. Each patient should be evaluated individually, and personalized fall prevention measures should be implemented to reduce their risk. More details on fall risk assessment can be found in Landspítali's quality handbook.

During hospitalization, the focus is on:

• Addressing risk factors, such as reviewing medication lists, managing orthostatic hypotension, diagnosing and treating delirium, and providing nutritional counseling.

• Teaching patients techniques to enhance stability and safety in daily activities.

• Eliminating environmental fall hazards and providing appropriate assistive devices.

Before Discharge

Studies have shown that balance training can help prevent falls, and exercise programs for fall prevention in older adults can reduce injuries and decrease fall-related hospitalizations.Before discharge, in consultation with the patient and their family:

• The need for a home safety assessment is evaluated.

• Appropriate assistive devices are provided, along with training on their use.

• Balance training and other rehabilitation programs are arranged.

While it is unrealistic to prevent all falls, international research shows that targeted interventions can significantly reduce fall incidents, thereby minimizing patient suffering and healthcare costs.