[Show abstract][Hide abstract] ABSTRACT: Falls risk assessment is a foundational element of falls prevention programs. Many falls risk assessment tools have been developed to screen for risk factors most predictive of falls. Studies have found that these tools accurately identify patients who will fall or those who are at high risk of falling with a sensitivity and specificity of greater than 70%. Pairing risk assessment with functional assessment tests and injury risk assessments shows promise of further delineating patients at highest risk of falls and falls-with-injury events. Initial screening for falls risk using these tools forms the basis for further risk assessment and formulation of a multifactorial falls prevention plan with interventions targeted to the risk factors identified. In 2011, the Pennsylvania Patient Safety Authority received reports of more than 32,000 falls. Of these patients who fell, 64% were reported to have had a falls risk assessment completed, 60% had been identified as at risk for falling, and 65% were reported to have had prevention strategies in place. While these statistics may reflect a lack of documentation, rather than a deficiency in practice, evaluation of compliance with best practices with respect to falls prevention is warranted, beginning with performance of a falls risk assessment for all patients.
[Show abstract][Hide abstract] ABSTRACT: The purpose of this study was to establish the interrater reliability and face validity of the Postepidural Fall Risk Assessment Score instrument for the obstetric patient. The sample consisted of 207 healthy mothers at an inner-city level 1 trauma center. Kappa coefficients ranged from 0.54 to 0.83. Face validity of the tool was determined by participating nurses (n = 25). Results indicated that the tool was reliable and required modification to increase face validity.
Journal of nursing care quality 12/2013; · 0.77 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: UHC conducted an analysis of more than 25 000 patient fall reports entered into the UHC Patient Safety Net incident reporting tool. Gaps were found in the completion of fall risk assessments, the ability of tools to accurately assess risk, and prevention strategies in particular inpatient units and emergency department. Common factors in falls resulting in major harm or death included age more than 80 years, altered mental status, ambulation (often without assistance), toileting, and diuretics and anticoagulants.
Journal of nursing care quality 07/2013; · 0.77 Impact Factor
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