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http://dx.doi.org/10.7475/kjan.2013.25.1.74

Fall Risk Factors and Fall Risk Assessment of Inpatients  

Kim, Yoon Sook (Asan Medical Center)
ChoiKwon, Smi (College of Nursing, Research Institute of Nursing Science, Seoul National University)
Publication Information
Korean Journal of Adult Nursing / v.25, no.1, 2013 , pp. 74-82 More about this Journal
Abstract
Purpose: The purpose of this study was to identify the fall risk factors and to evaluate the effectiveness of the Morse Fall Scale(MFS) as an assessment tool among hospitalized inpatients. Methods: The medical records of a total of 294 patients who admitted to hospital from January 1 to December 31, 2010 were reviewed. One hundred forth seven patients who had experienced fall were matched with 147 patients who have never experienced fall. The fall information was obtained from electronic medical records and fall reports. Results: There were significant differences in visual disturbances, pain, emotional disturbances, sleep disorder, urination problems and elimination disorder at admission between fallers and non-fallers. Patients who had higher MFS scores at admission were more likely to fall as compared to the patients with lower MFS scores. When falls did occur, these occurred within five days following admission, in the patient room, among patients with alert mental status, and among patients who were ambulant with some assistance. Conclusion: The findings of this study support the need of using risk assessment tool for predicting risk for falls. This finding can be used as a useful resource to develop nursing intervention strategies for fall prevention at the hospital.
Keywords
Accidental fall; Risk factor; Risk assessment;
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1 American Nurses Association. (2011). NDNQI indicators and reported rates. Retrieved 2012, from the NDNQI Web site: https://www.nursingquality.org/data.aspx
2 Beack, Y. J. (2011). Fall risk at the emergency department in patients. Unpublished master's thesis, Pusan National University, Busan.
3 Browne, J. A., Covington, B. G., & Davila, Y. (2004). Using information technology to assist in redesign of a fall prevention program. Journal of Nursing Care Quality, 19(3), 218-225.   DOI
4 Evans, D., Hodgkinson, B., Lambert, L., & Wood, J. (2001). Fall risk factors in the hospital setting: A systematic review. International Journal of Nursing Practice, 72 (4), 38-45.
5 Foley, S. J., Lord, S. R., Srikanth, V., Cooley, H., & Jones, G. (2006). Falls risk is associated with pain and dysfunction but not radiographic osteoarthritis in older adults: Tasmanian older adult cohort study. Osteoarthritis Cartilage, 14 (6), 533-539. http://dx.doi.org/10.1016/j.joca.2005.12.007   DOI   ScienceOn
6 Grey-Miceli, D. (2008). Preventing falls in acute care. In E. Capezuti, D. Zwicker, M. Merzey, T. T., Fulmer, D., Gray- Miceli, & M. Kluger (ed.), Evidence-based geriatric nursing protocols for best practice (pp. 161-193). New York: Springer Publishing Company.
7 Hayes, N. (2004). Prevention of falls among older patients in the hospital environment. British Journal of Nursing, 13 (15), 896-901.   DOI
8 Hur, J. Y., & Kim, H. J. (2009). Relationship of risk factors, knowledge and attitude to falls in elderly patients. Journal of Korean Gerontological Nursing, 11 (1), 38-50.
9 Jung, D. Y., Lee, J. H., & Lee, S. M. (2009). A meta-analysis of fear of falling treatment programs for the elderly. Western Journal of Nursing Research, 31 (1), 6-16.   DOI
10 Kim, C. G., & Suh, M. J. (2002). An analysis of fall incidence rate and its related factors of fall in inpatients. Journal of Korean Society of Quality Assurance in Health Care, 9 (2), 210-228.
11 Kim, E. K., Lee, J. C., & Eom, M. R. (2008). Fall risk factors of inpatients. Journal of Korean Academic Nursing, 38(5), 676- 684.   DOI   ScienceOn
12 Kim, K. S., Kim, J. A., Choi, Y. K., Kim, Y. J., Park, M. H., Kim, H. Y., et al. (2011). A comparative study on the validity of fall risk assessment scales in Korean hospitals. Asian Nursing Research, 5, 28-37.   과학기술학회마을   DOI   ScienceOn
13 Lane, A. J. (1999). Evaluation of the fall prevention program in an acute care setting. Orthopedic Nursing, 18(6), 37-46.
14 Leveille, S. G., Jones, R. N., Kiely, D. K., Hausdorff, J. M., Shmerling, R. H., Guralnik, J. M., et al. (2009). Chronic musculoskeletal pain and the occurrence of falls in an older population. Journal of the American Medical Association. 302(30), 2214-21. http://dx.doi.org/10.1001/jama.2009.1738   DOI   ScienceOn
15 Mayo, N. E., Korner-Bitensky, N., & Kaizer, F. (1990). Relationship between response time and falls among stroke patients undergoing physical rehabilitation. International Journal of Rehabilitation Research, 13(1), 47-55.   DOI
16 Morse, J. M. (1997). Preventing patient falls. Thousand Oaks, CA: Sage.
17 Morse, J. M., Morse, R. M., & Tylko, S. J. (1989). Development of a scale to identify the fall-prone patient. Canadian Journal on Aging, 8, 366-377.   DOI
18 National Patient Safety Agency. (2007). Slips, trips and falls in hospital. London: NPSA, 2007, Retrieved from http://www.npsa.nhs.uk
19 Oliver, D., Britton, M., Seed, P., Martin, F.C., & Hopper, A. H. (1997). Development and evaluation of evidence based assessment tool (STRATIFY) to predict which elderly inpatients will fall: Case-control and cohort studies. British Medical Journal, 315, 1049-1053. http://dx.doi.org/10.1136/bmj.315.7115.1049   DOI   ScienceOn
20 Oliver, D., Daly, F., Martin, F. C., & McMurdo, E. T. (2004). Risk factors and risk assessment tools for falls in hospital in-patients: A systematic review. Age Ageing, 33 (2), 122-130. http://dx.doi.org/10.1093/ageing/afh017   DOI   ScienceOn
21 Park, I. S., Cho, I. S., Kim, E. M., & Kim, M. K. (2011). Evaluation of a fall risk assessment tool to establish continuous quality improvement process for inpatients falls. Journal of Korean Academy of Nursing Administration, 17 (4), 484-492.   과학기술학회마을   DOI
22 Poe, S. S., Cvach, M. M., Gartrell, D. G., Radizik, B. R., & Joy, T. L. (2005). An evidence-based approach to fall risk assessment, prevention and management lessons learned. Journal of Nursing Care Quality, 20 (2), 107-116.   DOI   ScienceOn
23 Sasakia, E. D., Niek, S. K., Patrick, S. R., Daniel, J. T., Maria, A. G., & Moria, C. H. (2009). Application of patient safety indicators internationally: A pilot study among seven countries. International Journal for Quality in Health Care, 21(4), 272-278. http://dx.doi.org/10.1093/intqhc/mzp018   DOI   ScienceOn
24 Schwendimann, R., DeGeest, S., & Milsen, K. (2006). Evaluation of the morse fall scale in hospitalized patients. Age Ageing, 35(5), 311-313. http://dx.doi.org/10.1093/ageing/afj066   DOI   ScienceOn
25 Scott. D., Blizzard, L., Fell, J., & Jones, G. (2010). A prospective study of self-reported pain, radiographic osteoarthritis, sarcopenia progression and falls risk in community-dwelling older adults. Arthritis Care Res, 64(1), 30-37. http://dx.doi. org/10.1002/acr.20545   DOI   ScienceOn
26 Shin, J. G. (2011). Prevalence and management of falls among elderly in a hospital. Unpublished master's thesis, Hanyang University, Seoul.
27 Staab, A. S., & Hodges, L. C. (1996). Essentials of Gerontological Nursing, Philadelphia, PA: Lippincott Company.
28 Yoon, J. L. (2000). Fall. Journal of the Korean Geriatrics Society. 4(1), 53-63.
29 Tinetti, M. E., Speechley, M., & Ginter, S. F. (1988). Risk factors for falls among elderly persons living in the community. New England Journal of Medicine, 310, 1701-1707.
30 Wong, C. A., Recktenwald, A. J., Jones, M. L., Waterman, B. M., Bollini, M. K., & Dunagan, W. C. (2011). The cost of serious fall-related Injuries at three midwestern hospitals. Joint Commission Journal on Quality and Patient Safety, 37 (2), 81-87.   DOI