Registed Nurses' Association of Ontario

Implementation Resources

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The annual direct health-care costs are estimated to be CAD $2 billion due to falls, with older adults accounting for nearly half of these costs. In 2012, the average cost for a serious injurious fall was estimated to be CAD $31,000  when compared to a patient with no falls treated for similar diagnosis. This reflected direct and indirect in-patient costs of 34 days in the hospital with nursing care and excluded physician billing.

In 2010, the global economic impact of dental diseases amounted to US$442 billion. Across OECD countries, 5% (average) of total health expenditures originate from treatment of oral diseases. Recent findings suggest oral diseases account for productivity losses of over $1 billion per year in Canada alone.1 Improvements in oral health would result in substantial economic benefits by reducing treatment costs and by decreasing productivity losses in the labour market.

The aim of this Evidence Booster is to examine the quality of partnerships with persons and families experiencing care through implementation of the RNAO BPG Client Centred Care (2006) and Person- and Family- Centred Care (2015), in one Ontario long-term care (LTC) and one Ontario hospital Best Practice Spotlight Organization® (BPSO®).

The purpose of the Best Practice Guideline Implementation to Reduce Falls in Older Adults is to increase all nurses' confidence, knowledge, skills, and abilities in the identification of older adults within health-care facilities at risk for falling and to define interventions for the prevention of falling.

The aim of this Evidence Booster is to examine changes in health outcomes associated with the implementation of the RNAO best practice guidelines (BPG) Prevention of Falls and Fall Injuries in the Older Adult (2011) and Preventing Falls and Reducing Injury from Falls (2017)in two hospital Best Practice Spotlight Organizations (BPSO)®.