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.

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

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

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.

Using the Care Dependency Scale for fall risk screening

2007 ◽  
Vol 58 (6) ◽  
pp. 594-601 ◽  
Author(s):  
Elke I. Mertens ◽  
Ruud J.G. Halfens ◽  
Theo Dassen
Keyword(s):  
Fall Risk ◽  
Risk Screening ◽  
Care Dependency ◽  
Fall Risk Screening

Scoping Review of Clinical Practice Guidelines for Fall Risk Screening and Assessment in Older Adults across the Care Continuum

2020 ◽  
pp. 1-18
Author(s):  
Hazel Williams-Roberts ◽  
Catherine Arnold ◽  
Daphne Kemp ◽  
Alexander Crizzle ◽  
Shanthi Johnson
Keyword(s):  
Older Adults ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Scoping Review ◽  
Fall Risk ◽  
Community Dwelling ◽  
Risk Screening ◽  
Care Continuum ◽  
Fall Risk Screening

ABSTRACT Given the rising numbers of older adults in Canada experiencing falls, evidence-based identification of fall risks and plans for prevention across the continuum of care is a significant priority for health care providers. A scoping review was conducted to synthesize published international clinical practice guidelines (CPGs) and recommendations for fall risk screening and assessment in older adults (defined as 65 years of age and older). Of the 22 CPGs, 6 pertained to multiple settings, 9 pertained to community-dwelling older adults only, 2 each pertained to acute care and long-term care settings only, and 3 did not specify setting. Two criteria, prior fall history and gait and balance abnormalities, were applied either independently or sequentially in 19 CPG fall risk screening algorithms. Fall risk assessment components were more varied across CPGs but commonly included: detailed fall history; detailed evaluation of gait, balance, and/or mobility; medication review; vision; and environmental hazards assessment. Despite these similarities, more work is needed to streamline assessment approaches for heterogeneous and complex older adult populations across the care continuum. Support is also needed for sustainable implementation of CPGs in order to improve health outcomes.

Outcomes of a Physical Therapist-Led, Statewide, Community-Based Fall Risk Screening

2019 ◽  
Vol 43 (4) ◽  
pp. 185-193
Author(s):  
Lee Karlsson ◽  
Kelsey Doe ◽  
Meghan Gerry ◽  
Brooke Moore ◽  
Mariana Wingood ◽  
...  
Keyword(s):  
Fall Risk ◽  
Physical Therapist ◽  
Community Based ◽  
Risk Screening ◽  
Fall Risk Screening
Sign in / Sign up

Export Citation Format

Share Document