Using a systems perspective to understand hospital falls among patients with dementia

• A systems approach can help to broaden our understanding of falls prevention amongst patients with dementia. Hospital training programmes incorporate thinking into the educational process. Current interventions will benefit from use a approach. : Falls are frequent event among older adults dementia during their hospital stay. This qualitative study explores factors contributing in this population using perspective. Semi-structured interviews were conducted 32 carers and 20 staff who worked on medical wards. Interview transcripts analysed thematically framework. The themes generated research related the: patient (e.g. physical health), carer ability re-call patient's past history), teamwork), policies transfer between wards), environment lack observation side rooms for infectious at risk some wards) equipment walking aid). We recommend that future intervention need be supported by credible aiming improve outcomes relation prevention.