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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Functional Independence Measure As Useful as Morse Fall Scale in Determining Fall Risk

A new study compared the utility of the Functional Independence Measure (FIM) to the Morse Fall Scale (MFS) in identifying patient fall risk in an inpatient rehabilitation facility. The FIM determines the amount of help a patient needs in performing 18 tasks such as eating, grooming, bathing, dressing, transferring, and problem solving. The Center for Medicare and Medicaid Services requires inpatient rehabilitation facilities to determine each patient’s FIM at admission and discharge.… Read-more

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Validity of the Johns Hopkins Falls Risk Assessment Tool in the Home Healthcare Elderly

A recent prospective cohort study evaluated the validity and reliability of a modified version of the Johns Hopkins Falls Risk Assessment Tool (mJH-FRAT) in elderly patients receiving home healthcare in San Diego. Researchers sought to address the need for a reliable and easy-to-use falls risk assessment tool in the home healthcare elderly. Falls remain a serious issue for community-dwelling elderly patients who often sustain injuries that lead to a greatly reduced quality of life following a fall.… Read-more

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Rapid Event Improvement Techniques Contribute to Reduced Inpatient Falls

Rapid-cycle improvement methods derive from the automotive industry and have been applied in hospitals to improve workflow and change culture. Rapid Event Improvement (REI) involves management and frontline staff on teams that identify problems and solutions, rapidly implement new approaches, and make changes as necessary. REI has identified inefficient clinical processes that contribute to poor patient outcomes and now has been applied to inpatient falls prevention.… Read-more

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A Korean Hospital Determines the Optimal Cut-Off for Morse Falls Scale

Korean researchers determined the validity of the Morse Falls Scale (MFS) in an acute care setting and identified the optimal cut-off value for the locale and population. This retrospective study used the medical records of 66 patients who fell and 99 patients who did not fall during an 11 month period in 2009. Data were collected from records on the day of admission and the day of falling or on the tenth day of hospitalization for non-falling patients.… Read-more

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H2Model More Sensitive than Morse Fall Scale in Predicting Falls

Researchers at American University of Beirut Medical Center compared the Hendrich II Fall Risk Model (H2Model) and the Morse Fall Scale (MFS) in an 1815-patient study. The prospective, observational, descriptive study recruited all newly admitted patients on medical, surgical, oncology, and critical care units, but excluded patients who had sustained a fall prior to risk assessment.… Read-more

Posted in Fall Prevention Research