Hospital fall risk assessment tools: a critique of the literature.

There are numerous fall risk assessment tools developed for use by nurses in hospitals; however, few of them have established validity and reliability. This article will examine the current state of knowledge in regard to fall risk assessment tools through review and critique of the literature on the topic. Recommendations for future research on fall risk assessment tools will be made and a conceptual framework detailing the relationship between the variables involved in assessing the accuracy of fall risk assessment tools will be presented.

[1]  B. Farmer Fall risk assessment. , 2000, Journal of gerontological nursing.

[2]  B. O'Connell,et al.  A failed fall prevention study in an acute care setting: lessons from the swamp. , 2001, International journal of nursing practice.

[3]  D. Forrester,et al.  Fall risk assessment of hospitalized adults and follow-up study. , 1999, Journal for nurses in staff development : JNSD : official journal of the National Nursing Staff Development Organization.

[4]  D J Eagle,et al.  Comparison of three instruments in predicting accidental falls in selected inpatients in a general teaching hospital. , 1999, Journal of gerontological nursing.

[5]  C. Stetler,et al.  Integration of evidence into practice and the change process: fall prevention program as a model. , 1999, Outcomes management for nursing practice.

[6]  K. K. Badros,et al.  Recognize risk factors to prevent patient falls. , 1999, Nursing management.

[7]  P. Eisener-Parsche,et al.  A standardized assessment and intervention protocol for managing risk for falls on a geriatric rehabilitation unit. , 1999, Journal of gerontological nursing.

[8]  C. Price Single assessment of risk predicted which elderly patients would fall , 1998, BMJ.

[9]  D. Altman Study to predict which elderly patients will fall shows difficulties in deriving and validating a model , 1997, BMJ.

[10]  D. Oliver,et al.  Development and evaluation of evidence based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall: case-control and cohort studies , 1997, BMJ.

[11]  L. Mercer Falling out of favour. , 1997, Australian nursing journal.

[12]  S. MacAvoy,et al.  Fall risk assessment tool. , 1996, Applied nursing research : ANR.

[13]  L. Nyberg,et al.  Using the Downton index to predict those prone to falls in stroke rehabilitation. , 1996, Stroke.

[14]  A. Mitchell,et al.  Striving to prevent falls in an acute care setting--action to enhance quality. , 1996, Journal of clinical nursing.

[15]  T Moore,et al.  Predicting falls: risk assessment tool versus clinical judgement. , 1996, Perspectives (Gerontological Nursing Association (Canada)).

[16]  McCollam Me Evaluation and implementation of a research-based falls assessment innovation. , 1995 .

[17]  A. Hendrich,et al.  Hospital falls: development of a predictive model for clinical practice. , 1995, Applied nursing research : ANR.

[18]  H. Sweeting Patient fall prevention--a structured approach. , 1994, Journal of Nursing Management.

[19]  Geriatric falls: prevention strategies for the staff. , 1993, Journal of gerontological nursing.

[20]  L. Wood,et al.  Fall risk protocol and nursing care plan. , 1992, Geriatric nursing.

[21]  S. Kallmann,et al.  Comfort, safety, and independence: restraint release and its challenges. , 1992, Geriatric nursing.

[22]  A. M. Spellbring Assessing elderly patients at high risk for falls: A reliability study , 1992, Journal of nursing care quality.

[23]  J. Larrabee,et al.  Patient falls: An outcome indicator , 1991, Journal of nursing care quality.

[24]  R. W. Chen,et al.  The Development of the RISK Tool for Fall Prevention , 1991, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[25]  1989 Federal Nursing Service Award Winner. Reducing patient falls: a research-based comprehensive fall prevention program. , 1990, Military medicine.

[26]  A. Jones,et al.  Point by point: predicting elders's falls. , 1989, Geriatric nursing.

[27]  J. Morse,et al.  A prospective study to identify the fall-prone patient. , 1989, Social science & medicine.

[28]  Hendrich Al An effective unit-based fall prevention plan. , 1988 .

[29]  M. Shekleton,et al.  Analysis of falls in the acute surgical and cardiovascular surgical patient. , 1988, Applied nursing research : ANR.

[30]  B. A. Hill,et al.  Reducing the incidence of falls in high risk patients. , 1988, The Journal of nursing administration.

[31]  A. M. Spellbring,et al.  Improving safety for hospitalized elderly. , 1988, Journal of gerontological nursing.

[32]  K. A. Tack,et al.  Patient Falls: Profile for Prevention , 1987, The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses.

[33]  J. Morse Computerized evaluation of a scale to identify the fall-prone patient. , 1986, Canadian journal of public health = Revue canadienne de sante publique.

[34]  J Miller,et al.  How to reduce falls. , 1986, Geriatric nursing.

[35]  M R Kostopoulos Reducing Patient Falls , 1985, Orthopedic nursing.

[36]  B Widder A new device to decrease falls. , 1985, Geriatric nursing.

[37]  C. Lund,et al.  Is your patient about to fall? , 1985, Journal of gerontological nursing.

[38]  D D Fife,et al.  A risk/falls program: code orange for success. , 1984, Nursing management.

[39]  E. Barbieri Patient falls are not patient accidents. , 1983, Journal of gerontological nursing.

[40]  Clark Gl,et al.  SEVERAL METHODS OF TREATING DISTAL PHALANGEAL FRACTURES. , 1965 .