Development of an evidence‐based fall risk assessment tool and evaluation of interrater reliability and nurses’ perceptions of the tool's clarity and usability

Abstract

The evidence-based fall risk assessment tool requires further modification and re-examination of interrater reliability is warranted. In particular, the cognitive impairment items need to be reconsidered in order to enable nurses to better assess patient cognition on the admission day.

Fall prediction using decision tree analysis in acute care units

“…Drug use has also been included in domestic and foreign evaluations, but narcotics in particular were highly evaluated, especially in Japan, and have been considered an essential fall factor for consideration in hospitalized patients 23) . High degree of self-reliance has also been reported as a fall factor 24,25) . The factors extracted in this study were thus considered appropriate for acute units.…”

Competências profissionais de promoção da saúde na prevenção de quedas na pediatria

“…A identificação destes fatores, de forma individualizada, permite que sejam implementadas estratégias de prevenção de quedas, conforme as características apresentadas pelo paciente. (22) Para tanto, os profissionais de saúde devem usar diariamente ferramentas, como escalas pediátricas de avaliação de risco de queda, pois o uso de um instrumento de triagem válido e clinicamente testado e que inclui intervenções auxilia na identificação de crianças em risco de queda. (23) Domínio de competência Possibilidade de mudanças versa sobre habilitar indivíduos, grupos, comunidades e organizações a desenvolver capacidade para ações de promoção da saúde e de redução das iniquidades.…”

Actions of the fall prevention protocol: mapping with the classification of nursing interventions

“…Assessing the risk for falls is an essential component of any prevention program to identify patients at risk to correct the situation and, finally, to avoid the occurrence of falls. It is recommended that the evaluation is performed at the admission of the patient and at least every three days during the period of hospitalization and when there is a transfer of the unit, there is a change in its clinical condition or after the occurrence of a fall 25 . The evaluation has been based on fall risk assessment scales, tools that assign numerical values to several factors, and the sum of these predicts whether the patient has a risk of low, medium or high falls 23 .…”

“…In general, the assessment for the risk of falls involves the collection of factors such as history of falls, mental and sensory alteration, mobility, age, medications in use, the presence of osteoarticular diseases, alterations of balance, inactivity, and alterations of vision and hearing. The identification and evaluation of these factors in an individualized way allows the implementation of fall prevention strategies according to the characteristics presented by the patient 25 .…”

“…Despite the existence of different instruments for the assessment of the risk of falls, it is important that the health services use those that are validated for the specific populations to minimize the chances of bias or error in the identification/classification of the risk 25 . Among the instruments for this purpose, there is the Morse Fall Scale (MFS), one of the most studied at an international level, applied in several scenarios mainly in adult patients.…”