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VA National Center for Patient Safety

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Falls Toolkit


Getting Started

Fall prevention is an important and timely issue. In 2003, falls represented nearly 47% of all safety reports and aggregated events within the NCPS' database, and 11% of all root cause analyses
occurring in calendar year 2003 were fall-related.Nurse helps patient on crutches in hospital.

NCPS staff members worked with the Patient Safety Center of Inquiry, Tampa, Florida, and others to develop the Falls Toolkit.

The Toolkit is designed to aid facilities in developing a comprehensive
falls prevention program.

We have made the Toolkit available for a number of years, begining in 2004.
The current editon, with updates and revisions, was posted in July 2014.

We appreciate feedback on this effort and the materials offered. If you would like to provide us with suggestions for improving the Toolkit or pass on stories as to how you used this information to improve the falls prevention program at your facility, please contact us:

Don't Miss Anything

The Toolkit consists of a wide variety of items, please ensure that you scroll to the bottom of this page to view all the resources we have provided.

Falls Notebook 

Title Documents
Contents Word


Instructions Word   
Background Word   
Falls Team Word   
Falls Policy Word   



Floor Mat Guide

Floor Mat Examples




Videos 1-2-3

Word  PDF 

Post Falls Huddle


Injurious Fall Prevention Organizational Self-Assessment Questionnaire

Fall Program Interventions Self-Assessment

The purpose of these questionnaires is to determine the implementation level of key fall injury program attributes within your hospital and inpatient units. By completing these surveys, organizations seek information from administrative, advanced practice and direct care staff who currently practice in inpatient units.

The objectives of this survey are to:

  • Determine the level of implementation of fall and injury prevention attributes at organizational and unit level within your hospital and within VISN 8;
  • Identify opportunities for fall injury program development and expansion as part of your strategic planning; and,
  • Implement a learning community among your staff to assist with program implementation,
    spread and sustainability

Once you have completed reviewing these tools and would like further guidance and support please contact either:

Julia Neily, RN, MS, MPH
Associate Director, VHA National Center for Patient Safety Field Office
White River Junction, VT
(802) 295-9363 ext. 6417


ACNSR/Associate Director VISN 8 Patient Safety Center of Inquiry, James A. Haley VAMC (151R)
HSR&D/RR&D Center of Innovation on Disability and  Rehabilitation Research VISN 8 (CIDRR8)
8900 Grand Oak Circle
Tampa, FL 33637-1022
Phone: 813-558-3912

Implementation Guide for Fall Injury Reduction

Balance Assessment Handbook

Osteoporosis Overview

Enviromental Assessment



File Size: 95KB
Printed Size: 8.5 x 11 in
Pages: 1


File Size: 75KB
Printed Size: 11 x 17 in
Pages: 1


File Size: 7KB
Printed Size: 8.5 x 11 in
Pages: 1

Fall Risk Evaluations Handout 

File Size: 18KB
Printed Size: 8.5 X 11 in
Pages: 1

Timed Up and Go Test Handout 

File Size: 10KB
Printed Size: 3x5 in
Pages: 2

Morse Fall Scale Pocket Card 

File Size: 93KB
Printed Size: 11 x 17 in
Pages: 1

Hip Protectors Poster 

hip_pad_brochure.pdf (coming soon)
File Size: 88KB
Printed Size: 11 x 8.5 in
Pages: 2

Hip Pad Brochure 

File Size: 229KB
Printed Size: 11 x 8.5 in
Pages: 2

Fall Prevention at Home Brochure 

File Size: 1.6MB
Printed Size: 8.5 x 11 in
Pages: 1

Falls Toolkit Buttons 

Blood Thinners: Risk Factors Associated with Falling and What to Do When You Fall
File Size: 95KB
Printed Size: 11 x 8.5 in
Pages: 2

Anticoagulation Brochure thumbnail

Web Sites


Thank you for your continued commitment to falls prevention. If you have any questions or would like more information, contact us: 

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VA does not endorse and is not responsible for the content of the linked Web site.