Poe SS, Cvach MM, Gartrelu DG, Radzik BR, Joy TL. An evidence-based approach to fall risk assessment, prevention, and management: lessons learned. Journal of Nursing Care Quality 2005 Apr-Jun;20(2):107-16; quiz 117-8.

Nurses at an academic medical institution undertook a fall safety initiative. Using an evidence-based approach, they created a risk stratification tool, developed a comprehensive protocol, investigated fall-prevention products and technologies, and piloted the protocol and products/technologies before the full implementation. This article describes their journey and lessons learned along the way, the most compelling of which is the need for a simple, guided, and time-efficient approach to implementing the best practices into clinical care.