Article

The Johns Hopkins Fall Risk Assessment Tool - Postimplementation evaluation

School of Nursing, Johns Hopkins University, Baltimore, Maryland, United States
Journal of nursing care quality (Impact Factor: 1.39). 10/2007; 22(4):293-8. DOI: 10.1097/01.NCQ.0000290408.74027.39
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Available from: Maria M Cvach, Feb 09, 2015
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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.
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    Full-text · Article · Dec 2008 · Nursing management
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    ABSTRACT: The purpose of this article was to describe nursing practices (e.g., assessment, interventions) around fall prevention, as perceived by nurse managers in adult, medical-surgical nursing units. One hundred forty nurse managers from 51 hospitals from across the United States participated. Descriptive frequencies are used to describe nurse manager responses. The most commonly used fall risk assessment tool was the Morse Fall Risk Assessment Tool (40%). The most common fall prevention interventions included bed alarms (90%), rounds (70%), sitters (68%), and relocating the patient closer to the nurses' station (56%). Twenty-nine percent of nurse managers identified physical restraints as an intervention to prevent falls whereas only 10% mentioned ambulation. No nurse manager identified that RN hours per patient-day were adjusted to prevent falls or fall-related injuries. More work is needed to build systems that ensure evidence-based nursing interventions are consistently applied in acute care.
    No preview · Article · Oct 2010 · Western Journal of Nursing Research
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