Page 4 - FALL GUIDELINES MOH 2019
P. 4

FOREWORD
         FOREWORD

         DIRECTOR-GENERAL OF HEALTH MALAYSIA
         DIRECTOR-GENERAL OF HEALTH MALAYSIA
         DATUK DR. NOOR HISHAM BIN ABDULLAH
         DATUK DR. NOOR HISHAM BIN ABDULLAH


         Falls are a major public health concern globally.  According to the WHO, falls are the second
         Falls are a major public health concern globally.  According to the WHO, falls are the second
         leading cause of accidental injury and nonintentional deaths worldwide.  Adults above the
         leading cause of accidental injury and nonintentional deaths worldwide.  Adults above the
         age of 65 suffer the greatest number of falls.
         age of 65 suffer the greatest number of falls.

         Falls among hospital inpatients are common, causing significant morbidity such as fractures,
         Falls among hospital inpatients are common, causing significant morbidity such as fractures,
         bleeding  and  even  death.   This  increases  healthcare cost and  prolongs  hospital stay.
         bleeding  and even death.    This  increases  healthcare  cost  and prolongs  hospital  stay.
         Therefore falls have been included as one of the Malaysian Patient Safety Goals.
         Therefore falls have been included as one of the Malaysian Patient Safety Goals.

         Causes of  falls are  frequently complex  and  multifactorial, and  there  is evidence  that  a  a
         Causes of  falls are  frequently complex  and  multifactorial, and  there  is evidence  that
         collaborative multidisciplinary  team  approach can decrease  the incidence  of  falls.
         collaborative multidisciplinary  team  approach can decrease  the incidence  of  falls.
         Preventive strategies should emphasize education and training, creating safer environments
         Preventive strategies should emphasize education and training, creating safer environments
         and establishing effective policies to reduce risk.
         and establishing effective policies to reduce risk.

         It is timely that the Ministry of Health Geriatrics Service have developed a Falls Pathway for
         It is timely that the Ministry of Health Geriatrics Service have developed a Falls Pathway for
         inpatient older adults, the patient demographic most susceptible to falls and injury.  I would
         inpatient older adults, the patient demographic most susceptible to falls and injury.  I would
         like  to  thank and congratulate  the  team involved for their  tireless effort and sacrifice
         like  to  thank and congratulate  the  team involved for their  tireless effort and sacrifice  in  in
         coming up with this initiative.
         coming up with this initiative.

         My  hope  is that all  staff and services  in the  Ministry  work together to  implement  the
         My  hope  is that all  staff and services  in the  Ministry  work together to  implement  the
         strategies and interventions outlined in this guideline to improve patient safety and quality
         strategies and interventions outlined in this guideline to improve patient safety and quality
         of care in the hospital.
         of care in the hospital.




                         Datuk Dr. Noor Hisham bin Abdullah
                         Datuk Dr. Noor Hisham bin Abdullah









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