Practice Innovations

Patient Falls Prevention: Assessing the Use of an Innovative Color-Coded Flag System in an Outpatient Oncology Infusion Center

fall prevention, outpatient setting, oncology, flag system, treatment-related fatigue
CJON 2020, 24(4), 448-450. DOI: 10.1188/20.CJON.448-450

Patients in outpatient oncology settings are highly susceptible to falls. Because clothing can hide a patient’s wrists, fall-alert risk bands may not be not consistently visible. Using an inexpensive, innovative, and visually accessible color-coded flag system placed outside of each infusion room decreased the outpatient oncology patient fall rate from 5% to 0% within six months.


  • Falls with injury cause emotional and physical distress in patients with cancer. 
  • An effective strategy to prevent patient falls in the outpatient infusion center is to implement a color-coded flag system. 
  • The inexpensive color-coded flag system used in this project helped to reduce the rate of falls.
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