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

2016 ◽  
Vol 26 (5-6) ◽  
pp. 698-706 ◽  
Author(s):  
Wen-Hsuan Hou ◽  
Chun-Mei Kang ◽  
Mu-Hsing Ho ◽  
Jessie Ming-Chuan Kuo ◽  
Hsiao-Lien Chen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Fall Risk ◽  
Screening Tool ◽  
Risk Screening ◽  
Fall Risk Factors ◽  
Fall Risk Screening

59 * FALL-RISK FACTORS' PREVALENCE IN HOSPITALISED PATIENTS AND PERFORMANCE OF THE LUCAS FALL-RISK SCREENING

2014 ◽  
Vol 43 (suppl 2) ◽  
pp. ii18-ii18
Author(s):  
L. Neumann ◽  
V. S. Hoffmann ◽  
B. Klugmann ◽  
S. Golgert ◽  
J. Hasford ◽  
...  
Keyword(s):  
Risk Factors ◽  
Fall Risk ◽  
Risk Screening ◽  
Fall Risk Factors ◽  
Hospitalised Patients ◽  
And Performance ◽  
Fall Risk Screening

scholarly journals Falling and fall risk in adult patients with severe haemophilia

2017 ◽  
Vol 37 (02) ◽  
pp. 97-103 ◽  
Author(s):  
Hanna Rehm ◽  
Jan Schmolders ◽  
Sebastian Koob ◽  
Rahel Bornemann ◽  
Georg Goldmann ◽  
...  
Keyword(s):  
Risk Factors ◽  
Fall Risk ◽  
Standardized Test ◽  
Daily Practice ◽  
Adult Patients ◽  
Severe Haemophilia ◽  
Artificial Joints ◽  
Fall Risk Factors ◽  
Fall Rates ◽  
Fall Risk Screening

SummaryThe objective of this study was to define fall rates and to identify possible fall risk factors in adult patients with severe haemophilia. Patients, material, methods: 147 patients with severe haemophilia A and B were evaluated using a standardized test battery consisting of demographic, medical and clinical variables and fall evaluation. Results: 41 (27.9 %) patients reported a fall in the past 12 months, 22 (53.7 %) of them more than once. Young age, subjective gait insecurity and a higher number of artificial joints seem to be risk factors for falling. Conclusion: Falls seem to be a common phenomenon in patients with severe haemophilia. Fall risk screening and fall prevention should be implemented into daily practice.

Testing the reliability of the Fall Risk Screening Tool in an elderly ambulatory population

2013 ◽  
Vol 21 (8) ◽  
pp. 1008-1015
Author(s):  
Susan J. Fielding ◽  
Michael McKay ◽  
Kristiina Hyrkas
Keyword(s):  
Fall Risk ◽  
Screening Tool ◽  
Risk Screening ◽  
Fall Risk Screening

scholarly journals P036: A comprehensive quality improvement initiative to prevent falls in the emergency department

CJEM ◽  
2017 ◽  
Vol 19 (S1) ◽  
pp. S90
Author(s):  
P. Samuel ◽  
J. Park ◽  
F. Muckle ◽  
J. Lexchin ◽  
S. Mehta ◽  
...  
Keyword(s):  
At Risk ◽  
Emergency Department ◽  
Quality Improvement ◽  
Literature Review ◽  
Fall Risk ◽  
Screening Tool ◽  
Risk Screening ◽  
Constructive Feedback ◽  
Patients At Risk ◽  
Fall Risk Screening

Introduction: Patients from all population groups visit the emergency department (ED), with increasing visits by elderly patients. Patient falls in the ED are a significant safety concern, and they can lead to serious injuries and worse outcomes. Toronto Western Hospital’s ED Quality Improvement (QI) team identified as a problem our assessment and management of patients at risk for falls. The aim of this project was to develop a comprehensive and standardized approach to patients at risk of falls in the ED, including implementing timely interventions for fall prevention. Methods: A literature review of existing tools was completed to develop our own reliable and valid fall risk screening tool for ED patients. QI methods were used to devise a comprehensive strategy starting with detection at triage and implementation of action-driven steps at the bedside, through multiple PDSA cycles, randomized audits, surveys, and education. Repeated measurements were undergone throughout the project, as were staff satisfaction surveys. Results: The chart audits showed a five-fold increase in the completion rate of the fall risk screening tool in the ED by the end of the QI initiative (from 10% to 50%). Constructive feedback by an engaged team of nurses was used to iteratively improve the tool, and there was mostly positive feedback on it after various PDSA cycles were completed. The various component of this novel and useful ED-based falls screening tool and bundle will be presented in tables and figures for other leaders to replicate in their EDs. Conclusion: We developed a completely new ED-specific fall risk screening tool through literature review, front-line provider feedback, and iterative PDSA cycles. It was used for the identification, prevention, and management of ED patients with fall risk. We also contributed to a positive change in the culture of a busy ED environment towards the promotion of patient safety. Education and feedback continue to be provided to the ED nurses for reflective practice, and we hope to continue to improve our tool and to share it with other EDs.

Four-item fall risk screening tool for subacute and residential aged care: The first step in fall prevention

2009 ◽  
Vol 28 (3) ◽  
pp. 139-143 ◽  
Author(s):  
Caroline Stapleton ◽  
Peter Hough ◽  
Leonie Oldmeadow ◽  
Karen Bull ◽  
Keith Hill ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Fall Risk ◽  
Screening Tool ◽  
Aged Care ◽  
Residential Aged Care ◽  
Risk Screening ◽  
Fall Risk Screening

The Relationship Between Fear of Falling and Functional Fitness among Older Adults Living in Rest Home

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
H Tuna ◽  
Ö Bozan ◽  
B Gürpınar ◽  
N İlçin
Keyword(s):  
Risk Factors ◽  
Older Adults ◽  
Fall Risk ◽  
Fear Of Falling ◽  
Dynamic Balance ◽  
Upper Body ◽  
Functional Fitness ◽  
Fall Risk Factors ◽  
Rest Home ◽  
History Of

Objective: This study aimed to report the fear of falling and assess its associations with several fall-related characteristics and functional fitness parameters among older adults living in the rest home. Methods: Seventy-eight older adults aged between 65-94 years were included in the study. History of falling and the number of risk factors for falling were recorded. Fear of falling was evaluated with The Falls Efficacy ScaleInternational. Functional fitness was assessed with Senior Fitness Test, including tests for the functional measurement of strength, flexibility, aerobic endurance and dynamic balance. Result: The mean age of participants was 78.46±7.16 years. There were correlations exist between fear of falling and number of fall risk factors, dynamic balance, upper body flexibility and aerobic endurance (p<0.05). Multiple linear regression analysis showed that the parameters with the highest determinants of fear of falling were the dynamic balance and history of falling (p<0.05). Conclusions: In our study, history of falling, number of fall risk factors, flexibility for the upper body, aerobic endurance and dynamic balance were parameters related to fear of falling among older adults, but the most influential factors in fear of falling were dynamic balance and history of falling.

scholarly journals Can Fall Risk Screening and Fall Prevention Advice in Hospital Settings Motivate Older Adult Patients to Take Action to Reduce Fall Risk?

2021 ◽  
pp. 073346482110040
Author(s):  
Lotte M. Barmentloo ◽  
Vicki Erasmus ◽  
Branko F. Olij ◽  
Juanita A. Haagsma ◽  
Johan P. Mackenbach ◽  
...  
Keyword(s):  
Fall Risk ◽  
Individual Risk ◽  
Preventive Action ◽  
Dutch Hospital ◽  
Risk Screening ◽  
Patients At Risk ◽  
Individual Risk Factors ◽  
Fall Risk Screening ◽  
Tailored Advice

Objective: We investigated whether an in-hospital intervention consisting of fall risk screening and tailored advice could prompt patients to take preventive action. Method: Patients (≥70) attending the emergency department and nephrology outpatient clinic in a Dutch hospital were screened. Patients at high risk received tailored advice based on their individual risk factors. Three months after screening, preventive steps taken by patients were surveyed. Results: Two hundred sixteen patients were screened. Of the 83 patients completing a 3-month follow-up, 51.8% took action; among patients who received tailored advice ( n = 20), 70% took action. Patients most often adhered to advice on improving muscle strength and undergoing vision checkups (20%). Tailored advice and a reported low quality of life were associated with consulting a health care provider. Discussion: Patients at risk in these settings are inclined to take action after screening. However, they do not always adhere to the tailored prevention advice.

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