Article

The Johns Hopkins Fall Risk Assessment Tool: postimplementation evaluation.

The Johns Hopkins Hospital, The Johns Hopkins University School of Nursing, Baltimore, Maryland 21287, USA.
Journal of nursing care quality (Impact Factor: 1.09). 01/2007; 22(4):293-8. DOI: 10.1097/01.NCQ.0000290408.74027.39
Source: PubMed
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    • "and 13 points represents an intermediate risk, and a total score above 13 points indicates a high risk. Fall risk assessment is performed during the first eight hours of hospitalization, once a day, and when there is any change in a patient's condition or risk condition (Poe et al., 2007). The investigators have received approval for using the tool from its author Stephanie Poe. "
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    ABSTRACT: Purpose The purpose of this study was to compare the validity of three fall risk assessment scales including the Morse Fall Scale (MFS), the Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS), and the Johns Hopkins Hospital Fall Risk Assessment Tool (JHFRAT). Methods This study was a prospective validation cohort study in five acute care hospitals in Seoul and Gyeonggi-Do, Korea. In total, 356 patients over the age of 18 years admitted from December 2009 to February 2010 participated. The three fall risk assessment scales listed above were tested for sensitivity, specificity, positive predictive and negative predictive values. A receiver-operating characteristic (ROC) curve was generated to show sensitivities and specificities for predicting falls based on different threshold scores for considering patients at high risk. Results Based on the mean scores of each scale for falls, the MFS at a cut-off score of 50 had a sensitivity of 78.9%, specificity of 55.8%, positive predictive value of 30.8%, and negative predictive value of 91.4%, which were the highest values among the three fall assessment scales. Areas under the curve of the ROC curves were .761 for the MFS, .715 for the BMFRAS, and .708 for the JHFRAT. Conclusions Accordingly, of the three fall risk assessment scales, the highest predictive validity for identifying patients at high risk for falls was achieved by the MFS.
    Asian Nursing Research 03/2011; 5(1):28-37. DOI:10.1016/S1976-1317(11)60011-X
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    Nursing management 12/2008; 39(11):18-24. DOI:10.1097/01.NUMA.0000340814.83152.35
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    ABSTRACT: : The Helping Hands program is a nurse-directed falls prevention program designed to support a hospital-wide culture of safety and reduce harm from falls. : Patient falls and the associated morbidity and mortality represent a significant risk for patients and healthcare facilities. Age-adjusted fatalities from falls increased significantly from 1993 to 2003. By 2020, the annual cost of injuries from falls is expected to exceed $40 billion. : Components of the Helping Hands falls prevention program worked synergistically to support the development of a culture of safety at Robert Wood Johnson University Hospital. The program consisted of nursing assessment of fall risk with the Johns Hopkins Fall Risk Assessment Tool; reviews of fall risk and intervention efficacy; creation of communication mechanisms, reporting processes, and change champion roles; engagement of patients and families in falls prevention; increased public awareness of fall risk through signage; nursing interventions; and utilization of nursing performance improvement analysts. : Over 3 years, 65% (N = 7,900) of more than 12,000 patients assessed were at risk of falling. Most falls caused no or little harm, and at 3 years of follow-up, total falls decreased by 16.6 %, and severe falls accounted for 0.009 % (n = 2) of all falls. : The data offer a hopeful perspective on the role of nursing engagement in developing a hospital-wide culture of safety and protecting patients from permanent harm caused by fall events.
    The Journal of nursing administration 12/2011; 41(12):538-45. DOI:10.1097/NNA.0b013e3182378d53
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