What is everyone learning?

1 Aug 2014 | Reducing Harm from Falls

The evidence-base on falls prevention directs us to programme components that have been demonstrated to be effective in preventing falls – the WHAT to do in falls prevention[1]. The question of HOW to best implement effective falls prevention components[1] can be answered with another question, ‘What is everyone learning?’[2]

Local or regional networks are an ideal forum for sharing implementation strategies and learning about what has worked and what hasn’t. People reading the 10 Topics in reducing harm from falls and other programme material have a shared interest in falls prevention and could be thought of as a ‘virtual learning community’.[3]

The idea of learning from what is working is based on:

The premise …that solutions to common problems mostly exist within clinical communities rather than externally with policy makers or managers, and that identifiable members of a community have tacit knowledge and wisdom that can be generalised. Moreover, because the solutions have been generated within a community, they tend to be more readily accepted and feasible within existing resources, thus increasing the likelihood of success and, potentially, of adoption elsewhere.[4]

To this end we invite you to share your stories of success (or struggle) in implementing falls prevention measures.

  • Please share material already published on your website (which we can link to from this page).
  • If your story is not yet written up, consider sending a one paragraph description for review.
  • Please be in touch with us on info@hqsc.govt.nz.

There are a number of case studies already published on these pages about successful implementation of initiatives or improvement projects.

We will also be featuring stories and case studies in the upcoming falls newsletters. Sign up for the newsletter here.


  1. Fixsen D, Scott V, Blase K et al. 2011. When evidence is not enough: the challenge of implementing fall prevention strategies. Journal of Safety Research 42(6): 419–22.
  2. Berwick DM. 2008. The science of improvement. JAMA 299(10): 1182–4.
  3. Dixon-Woods M, Bosk CL, Aveling EL et al. 2011. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Quarterly 89(2):167-205.
  4. Lawton R, Taylor N, Clay-Williams R et al. 2014. Positive deviance: a different approach to achieving patient safety. BMJ Quality & Safety, epub 21 July 2014. Downloaded from http://qualitysafety.bmj.com/content/early/2014/07/21/bmjqs-2014-003115.full

Last updated 05/03/2021