Fall Prevention Research Archive

Applied Research

Literature Review

Validation of the Hendrich II Fall Risk Model:
A Large Concurrent Case-Control Study of Hospitalized Patients

From Applied Nursing Research, Vol. 16, No. 1 (February), 2003: pp 9-21
by  Ann L. Hendrich, Patricia S. Bender and Allen Nyhuis

This case-control study of fall and non-fall patients in a large, diverse, acute-care tertiary facility was designed to examine all cases in each population.… Read-more

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FIM Predicts Rehab Inpatient Falls

A rehabilitation facility evaluated Functional Independence Measure (FIM) items and patient diagnoses to identify variables that were associated with high risk of falling. FIM scores and diagnoses were collected for the 174 patients in the study. Several FIM items were associated with high risk of falling, including toileting, bed transfer, tub/shower transfer, and stairs. Specific diagnoses associated with high fall risk were right stroke, traumatic brain injury, and amputation.… Read-more

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Age and Gender Predict Serious Injury Falls in Hospitalized Patients

A recent study identified predictors of falls with resultant serious injury in hospitalized patients. A total of 1,438 patient falls that occurred between 2008 and 2010 were evaluated by secondary data analysis. Numerous variables were examined, including demographics, illness severity, and hospital unit. An online event reporting system defined contributing factors after falls and the Hendrich II fall-risk assessment tool identified risk in patients prior to falling.… Read-more

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Home Healthcare Falls Risk Assessment Tool Identifies Contribution of Individual Factors

Inspired by The Joint Commission national safety goal of reducing falls, researchers at a home healthcare agency serving suburban Philadelphia evaluated a simple falls risk assessment tool (FRA). The FRA consists of 10 items: level of consciousness/mental status, history of falls (3 months), ambulation/elimination status, vision status, Timed Up and Go (TUG) test, gait and balance evaluation, orthostatic changes, medications, predisposing diseases, and equipment issues.… Read-more

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Two New Studies Review Falls Risk Assessment Tool Performance

Falls risk stratification is complex and difficult to achieve due to the many variables that contribute to patient fall risk. More than 35 factors are believed to contribute directly to inpatient falls. Falls risk assessment tools must be sufficiently sensitive to identify all at-risk patients and sufficiently specific to avoid diverting hospital resources needlessly. At present, more than 15 falls risk assessment tools have been described, and 3 tools have been validated in multiple studies of different patient populations: the Saint Thomas’s Risk Assessment Tool in Falling Elderly Inpatients (STRATIFY), the Morse Falls Scale (MFS), and the Hendrich Fall Risk Model II (H2Model).… Read-more

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Modified Falls Risk Tool Predicts Falls in Community-Dwelling Elderly People

Can a questionnaire used in primary care identify elderly patients who are at high risk of falling? Researchers in Japan combined retrospective and prospective studies of 2 different patient samples to develop a method to identify elderly patients with high risk of falling. In the retrospective portion of the study, 1871 community-dwelling adults were assessed for fall risk in community day centers.… Read-more

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