Browse > Article
http://dx.doi.org/10.22650/JKCNR.2022.28.3.270

Validation of the Edmonson Psychiatric Fall Risk Assessment Tool for Psychiatric Inpatients: A Retrospective Study  

Kim, Kyung Young (Department of Nursing, Samsung Medical Center)
Son, Young Sun (Department of Nursing, Samsung Medical Center)
Lee, You Ji (Department of Nursing, Samsung Medical Center)
Kim, Ji Eun (Department of Nursing, Samsung Medical Center)
Kim, Mi Kyung (Department of Nursing, Samsung Medical Center)
YI, Young Hee (Graduate School of Clinical Nursing Science, Sungkyungkwan University)
Publication Information
Journal of Korean Clinical Nursing Research / v.28, no.3, 2022 , pp. 270-276 More about this Journal
Abstract
Purpose: The purpose of this study was to validate the Edmonson psychiatric fall risk assessment tool (EPFRAT) for psychiatric inpatients. Methods: Data from retrospective study were collected from 670 adult inpatients in two departments of mental health medicine of a tertiary general hospital by reviewing their electronic medical records. There were 41 patients who experienced falls and 629 patients who did not experience falls during the period from January to December 2019. Data were analyzed by sensitivity, specificity, positive predictive value, negative predictive value, and a receiver-operating characteristic curve (ROC) for validity assessment using the IBM SPSS/WIN 26.0 program. Results: Factors affecting falls were the participant's age, guardian's residence, high-risk determination at the time of admission, and comorbidity. At the 85 points where the point of sum of the sensitivity and specificity was largest, the sensitivity, specificity, positive predictive value, and negative predictive value of EPFRAT were 92.7%, 79.7%, 22.9%, and 99.4%, respectively. The area under the ROC to assess the overall validity of the tool was .92 (95% CI 0.89~0.94). Conclusion: The EPFRAT was proved to be valid and reasonable for predicting falls in psychiatric inpatients. Based on the results of this study, it could be used for the assessment of high-risk patients for falls in psychiatric units.
Keywords
Accidental Falls; Risk Assessment; Validation; Psychiatry; Inpatients;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Guyatt G, Walter S, Norman G. Measuring change over time: Assessing the usefulness of evaluative instruments. Journal of Chronic Disease. 1987;40(2):171-178. https://doi.org/10.1016/0021-9681(87)90069-5   DOI
2 Schwendimann R, De Greet S, Milisen K. Evaluation of the Morse fall scale in hospitalized patients. Age and Ageing. 2006;35(3):311-313. https://doi.org/10.1093/ageing/afj066   DOI
3 Kim YS, Choi-Kwon S. Fall risk factors and fall risk assessment of inpatients. Korean Journal of Adult Nursing. 2013; 25(1):74-82. https://doi.org/10.7475/kjan.2013.25.1.74   DOI
4 Choi EH, Ko MS, Yoo CS, Kim MK. Characteristics of fall events and fall risk factors among inpatients in general hospitals in Korea. Journal of Korean Clinical Nursing Research. 2017;23(3):350-360. https://doi.org/10.22650/JKCNR.2017.23.3.350   DOI
5 Korea Institute for Healthcare Accreditation. Standard guidelines for evaluation of psychiatric institutions in four cycles. Ministry of Health and Welfare; 2020. p. 32-33.
6 Edmonson D, Robinson S, Hughes L. Development of the Edmonson psychiatric fall risk assessment tool. Journal of Psychosocial Nursing and Mental Health Services. 2011;49(2):29-36. https://doi.org/10.3928/02793695-20101202-03   DOI
7 Bugajski A, Lengerich A, McCowan D, Merritt S, Moe K, Hall B, et al. The Baptist health high-risk falls assessment: One assessment fits all. Journal of Nursing Care Quality. 2017;32 (2):114-119. https://doi.org/10.1097/ncq.0000000000000220   DOI
8 Turner K, Bjarnadottir R, Jo A, Repique RJ, Thomas J, Green J, et al. Patient falls and injuries in U.S. psychiatric care: Incidence and trends. Psychiatric Services. 2020;71(9):899-905. https://doi.org/10.1176/appi.ps.202000004   DOI
9 Kim SK, Lee SH, Lee SH, Song JJ, Gwak MJ, Lee HS, et al. Analysis of fall accidents of dizzy patients in a tertiary hospital in South Korea (2011-2015). Korean Journal of Otorhinolaryngology-Head Neck Surgery. 2017;60(6):271-278. https://doi.org/10.3342/kjorl-hns.2016.17531   DOI
10 Park KM. A study on sedation, delirium and fall in mental illness taking psychiatric drugs. Journal of Industrial Convergence. 2020;18(4):33-40. https://doi.org/10.22678/JIC.2020.18.4.033   DOI
11 Rutledge DN, Donaldson NE, Pravikoff DS. Fall risk assessment and prevention in hospitalized patients. Online Journal of Clinical Innovation. 2003;6:1-55.
12 Abraham S. Looking for a psychiatric fall risk assessment tool. Annals Psychiatry and Mental Health. 2016;4(2):1061.
13 Mathew L, Steigman D, Driscoll D, Moran-Peters JA, Fischer IM, Cordle P, et al. Making fall risk assessment clinically relevant in an adult psychiatric setting. Journal of Psychosocial Nursing and Mental Health Services. 2020;58(2):21-26. https://doi.org/10.3928/02793695-20191106-01   DOI
14 Fischer ID, Krauss MJ, Dunagan WC, Birge S, Hitcho E, Johnson S, et al. Patterns and predictors of inpatient falls and fall-related injuries in a large academic hospital. Infection Control and Hospital Epidemiology. 2005;26(10):822-827. https://doi.org/10.1086/502500   DOI
15 Morse JM, Morse RM, Tylko SJ. Development of a scale to identify the fall-prone patient. Canadian Journal on Aging. 1989;8(4):366-377. https://doi.org/10.1017/S0714980800008576   DOI
16 Cho YS, Lee YO, Youn YS. Risk factors for falls in tertiary hospital inpatients: A survival analysis Journal of Korean Critical Care Nursing. 2019;12(1):57-70.   DOI
17 Kim KS, Kim JA, Choi YK, Kim YJ, Park MH, Kim HY, et al. A comparative study on the validity of fall risk assessment scales in Korean hospitals. Asian Nursing Research. 2011;5(1):28-37. https://doi.org/10.1016/S1976-1317(11)60011-X   DOI
18 Kang YO, Song RY. Validation of fall risk assessment scales among hospitalized patients in South Korea using retrospective data analysis. Korean Journal of Adult Nursing. 2015;27(1):29-38. https://doi.org/10.7475/kjan.2015.27.1.29   DOI
19 Choi EJ, Lee YS, Yang EJ, Kim JH, Kim YH, Park HA. Characteristics and risk factors for falls in tertiary hospital inpatients. Journal of Korean Academy Nursing. 2017;47(3): 420-430. https://doi.org/10.4040/jkan.2017.47.3.420   DOI
20 Tsai YF, Witte N, Radunzel M, Keller ML. Falls in a psychiatric unit. Applied Nursing Research. 1998;11(3):115-121. https://doi.org/10.1016/S0897-1897(98)80112-2   DOI
21 Ebesutani C, Drescher CF, Reise SP, Heiden L, Hight TL, Damon JD, et al. The loneliness questionnaire-short version: An evaluation of reverse-worded and non-reverse-worded items via item response theory. Journal of Personality Assessment. 2012;94(4):427-437. https://doi.org/10.1080/00223891.2012.662188   DOI