Development of Policy-Relevant Indicators for Injury Prevention in British Columbia by the Key Decision-Makers

Introduction Falls are the leading cause of injury-related emergency department (ED) visits and hospital admissions among older adults across many provinces in Canada. To effectively address this burden requires relevant data and indicators to inform fall prevention planning and evaluation. Methods We used a modified Delphi approach, including an environmental scan, survey and pairwise comparison exercise to identify, refine and prioritize older adult fall prevention indicators across multiple health sectors (MS) in Ontario and specifically for public health (PH). Three iterative phases of consultation were conducted with practitioners, as well as experts in injury prevention indicator development. Results The prioritization exercise resulted in differing priorities between MS and PH. The highest ranked indicator for MS was the rate of ED visits, and the lowest was disability-adjusted life years due to a fall. For PH, the rate of hospitalizations due to a fall was ranked first, with the rate of mortality due to a falllast. The remainder of the list differs considerably by group, with certain indicators ranked on one list, but not the other. Conclusion This work identified, refined and prioritized indicators for older adult fall prevention across health sectors and for PH in Ontario. While both groups shared some highly ranked indicators, their differing responsibilities in fall prevention are reflected in the contents and order of their respective priorities for indicators. Delineating the unique data needs of each group highlights the importance of having consistent and actionable data that informs prevention planning and evaluation. Medical Subject Headings [MeSH]: Accidental falls; Policy; Wounds and Injuries;

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Injury surveillance in the Canadian Armed Forces: An environmental scan

Tessier

Dubiniecki

Carew

2022

Journal of Military, Veteran and Family Health

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LAY SUMMARY Injuries can affect the operational readiness, wellness, and careers of Canadian Armed Forces (CAF) personnel. Many injuries are preventable; thus, it is important for the CAF to create a sustainable, accurate, and timely injury surveillance system (ISS) that can be used to describe injury incidence, populations at risk, and other causal factors to effectively direct injury prevention efforts. As a first step in the creation of an ISS, the authors conducted a rapid environmental scan that included a review of both the peer-reviewed scientific literature and publicly available information, along with an internal organization scan, to gather information on ISS facilitators, barriers, recommendations, data sources, and potential injury indicators. The results of this work will be used to plan the next steps in the development and implementation of the CAF ISS. In addition, this information can be used to facilitate engagement and collaboration with stakeholders and decision makers to ensure that the ISS collects and reports key data needed to target and prioritize interventions most likely to have the greatest impact on reducing injuries and improving the health and operational readiness of CAF personnel.

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Development of Policy-Relevant Indicators for Injury Prevention in British Columbia by the Key Decision-Makers

Cited by 3 publications

References 46 publications

Home injuries in British Columbia: patterns across the deprivation spectrum

Home injuries in British Columbia: patterns across the deprivation spectrum

Comparing fall prevention indicator priorities for public health and across health sectors in Ontario

Injury surveillance in the Canadian Armed Forces: An environmental scan

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