Effect of hospital-at-home vs. traditional brick-and-mortar hospital care in acutely ill adults: study protocol for a pragmatic randomized controlled trial

Table 5 Definition of fall with injury

Minor	Resulted in application of ice or dressing, cleaning of a wound, limb elevation, topical medication, pain, bruise, or abrasion
Moderate	Resulted in suturing, application of steri-strips or skin glue, splinting, or muscle/joint strain
Major	Resulted in surgery, casting, traction, required consultation for neurological (e.g., basilar skull fracture, small subdural hematoma) or internal injury (e.g., rib fracture, small liver laceration), or patients with any type of fracture regardless of treatment, or patients who have coagulopathy who receive blood products as a result of a fall
Death	The patient died as a result of injuries sustained from the fall (not from physiologic events causing the fall)

Fall with injury will be defined based on National Database for Nursing Quality Indicators (NDNQI) criteria. The primary analysis will consider all fall with injury and sensitivity analyses will be conducted to assess the severity of injury. All the clinical outcomes (e.g., fall and medication errors) are measured in routine practice. The research team will contact the clinical team if there is uncertainty about outcome adjudication

ISSN: 1745-6215