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Table 3 Clinical practice recommendations

From: Factors influencing fall prevention for patients with spinal cord injury from the perspectives of administrators in Canadian rehabilitation hospitals

Fall Risk Assessments in SCI rehabilitation
 ■ Re-format fall risk assessment tools to encourage critical thinking and individualized plans
 ■ Consider a patient’s behavioral risk factors to predict fall risk
Fall Prevention Procedures in SCI rehabilitation
 ■ No blame reporting of fall incidents
 ■ Consider strategies to minimize injuries from falls
 ■ Establish consensus on documenting therapy falls that do not result in an injury and streamline reporting process
 ■ Adapt existing fall prevention strategies to increase applicability in SCI rehabilitation
 ■ Track falls during community passes to identify areas for additional fall prevention education
 ■ Re-design processes that have poor compliance
Fall Prevention Training/Education in SCI rehabilitation
 ■ Include SCI-specific fall risk factors when delivering fall prevention education
 ■ Prioritize fall prevention education in inpatient and outpatient rehabilitation
 ■ Educate patients with SCI on hospital and community fall risk factors
 ■ Include an informed risk taking and/or self-management approach to fall prevention training
 ■ Create a formal dialogue for fall prevention education
 ■ Ensure clinicians have the appropriate skills to deliver fall prevention education
Post-fall Procedure in SCI rehabilitation
 ■ Conduct formal reviews of fall trends and integrate findings into fall prevention education
 ■ Share fall trends with staff and encourage discussions on how to prevent similar occurrences
 ■ Identify the patients’ perspectives on contributing factors to falls
 ■ Leadership to continue encouraging a culture of learning from falls
 ■ Outline a clear process for clinicians to follow if a patient refuses the post-fall assessment