Validity of the Morse Fall Scale implemented in an electronic medical record system

Baek, Seonhyeon; Piao, Jinshi; Jin, Yinji; Lee, Sun-Mi

doi:10.1111/jocn.12359

Cited by 61 publications

(66 citation statements)

References 16 publications

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“…The validity of the IFRST was assessed according to sensitivity, specificity, positive and negative predictive values and the area under the ROC curve (AUC; Zweig & Campbell 1993). Because the Youden index is an analytic method commonly used for most diagnostic tests, especially for fall assessment tools (Wong Shee et al 2012, Baek et al 2014, Lee et al 2016, it was used for indicating the most appropriate cut-off points for the IFRST (Youden 1950). The Youden index is calculated by subtracting 1 from the sum of sensitivity and specificity.…”

Section: Discussionmentioning

confidence: 99%

“…The Youden index is calculated by subtracting 1 from the sum of sensitivity and specificity. Possible values range from À1 to 1, where a higher value indicates greater effectiveness in predicting an actual fall/ nonfall (Baek et al 2014). The combination of the ROC curve and Youden index could provide an appropriate cutoff point balancing sensitivity and specificity to distinguish patients diagnosed as fallers and nonfallers.…”

Section: Discussionmentioning

confidence: 99%

“…, Baek et al . , Lee et al . ), it was used for indicating the most appropriate cut‐off points for the IFRST (Youden ).…”

Section: Methodsmentioning

confidence: 99%

“…Inpatient falls are one of the most common nursing-sensitive quality indicators in acute care hospitals; therefore, preventing inpatients from falling is a priority for healthcare organisations and healthcare professionals. Although many existing fall screening or assessment tools have routinely been used in acute care hospitals to prevent falls in high-risk patients, the clinical predictive accuracy of such tools remains inconclusive because of varying patient characteristics, social and economic factors and physical environments between hospitals (Aranda-Gallardo et al 2013, Baek et al 2014, Lin 2013. Chiu et al (2015) even reported that a high fall risk score related to the present fall screening scales was unrelated to the fall occurrence in Taiwanese inpatients.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients

Hou

Kang

et al. 2016

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…, Baek et al . , Lee et al . ), it was used for indicating the most appropriate cut‐off points for the IFRST (Youden ).…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients

Hou

Kang

et al. 2016

Journal of Clinical Nursing

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“…The optimal cut-off value ranges between of 25 -55, with the standard cut-off value of 45 suggested by the creators of the tool [8]. Studies have found different cut-off values to be optimal in different organizations [9] [10]. The organization in which this analysis was conducted found the cut-off value of 45 to be optimal based on a statistical analysis of the specificity and sensitivity of each potential cut off value.…”

Section: Fall Risk Assessmentmentioning

confidence: 99%

Selecting the Optimal Morse Falls Scale Cut-Off Point for Patient Fall Risk

Long¹,

Bagui²

2019

Health

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Patient falls have long been a difficult problem and topic of research in the inpatient hospital environment. Hospitals experience heavy financial burden due to patient falls. Preventing falls can improve patient outcomes as well as reduce financial burden on both the patient as well as the healthcare organization. In this study, we determine the optimal cutoff value for patients at risk for falls using a Falls Screening Tool, the Morse Falls Scale. This study was conducted at a community-owned hospital with 256 acute care private rooms and 36 critical care rooms. This study used only the admission Morse Falls Scale (MFS) score in its analysis.

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The serum 25(OH)D level and hand grip strength for fall risk assessment among osteoporotic elderly Japanese women

et al. 2021

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Summary We investigated the relationship between serum 25(OH)D levels, grip strength, and fall score in elderly osteoporotic women for fall risk assessment. Both low serum 25(OH)D and low grip strength were independently associated with increased fall risk. The serum 25(OH)D cutoff specific to increased fall risk was 14 mg/dL (35 nmol/L). Purpose This study aimed to establish a cutoff value of serum 25-hydroxyvitamin D (25(OH)D) for fall assessment and investigate the relationship between serum 25(OH)D, grip strength, and fall score adjusted for age in osteoporotic elderly Japanese women. Methods This is a cross-sectional study utilizing collected data of osteoporotic elderly (age ≥65 years) female patients. A questionnaire for fall risk assessment was used, in which a score ≥ 6 was determined as increased fall risk. Serum 25(OH)D levels and grip strength were measured, and the cutoff points were calculated by receiver operating curve (ROC) analysis. Logistic regression analysis with age adjustment was conducted for potential risk factors for fall. Results After applying eligibility criteria, finally, 349 patients were enrolled. The median patient age was 77.0 years, and the mean serum 25(OH)D level was 15.6 ng/mL (36 nmol/L). Based on the ROC analysis, we defined the cutoff values of serum 25(OH)D level and grip strength as 14 ng/mL (35 nmol/L) and 15 kg, respectively. A multivariate analysis adjusted for age was conducted. Low serum 25(OH)D level and grip strength were independent risk factors for ≥6 fall risk scores. Conclusion Both low serum 25(OH)D level and low grip strength were independently associated with increased fall risk score in osteoporotic elderly women. The appropriate serum 25(OH)D cutoff specific to the increased fall risk group in this population was 14 mg/dL (35 nmol/L). These findings might be used for the identification of patients with high fall risks. These results should be confirmed in other patient groups.

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Validity of the Morse Fall Scale implemented in an electronic medical record system

Cited by 61 publications

References 16 publications

Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients

Evaluation of an inpatient fall risk screening tool to identify the most critical fall risk factors in inpatients

Selecting the Optimal Morse Falls Scale Cut-Off Point for Patient Fall Risk

The serum 25(OH)D level and hand grip strength for fall risk assessment among osteoporotic elderly Japanese women

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