Evaluation of the efficacy of repeat falls risk assessments using the Morse Falls Scale
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Mary Beth Harrington, PhD, RN, ACNS-BC, ANP-BC, CCRN-K
- Sigma Affiliation
- Theta Alpha
- Contributor Affiliation(s)
- Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA
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Patient falls have been identified as a potentially preventable, nurse sensitive outcome. Routine assessment of fall risk is required by the Joint Commission (2015). The rate of falls in the United States is approximately 3.5 falls per 1,000 patient days, with 1 injurious fall per 1,000 patient days. They are the most commonly reported adverse events in hospitals, constituting approximately 40% reports. Patient falls delay recovery, cause psychological harm and can decrease independence and mobility due to either physical harm or fear of falling again. As of October, 2008, Medicare no longer provides reimbursement for care required due to inpatient falls. The first step in fall prevention is identification of individuals at risk. The MSF has been studied extensively and has demonstrated good sensitivity and negative predictive value. The majority of the studies of, or utilizing, the MFS have used a measurement at a single point in time. However, repeated observations are required in most institutions. Most facilities, including the VA Boston HealthCare System require repeated measurements during the patient’s hospitalization, ranging between every 48 hours to as often as every shift. However, there is little evidence to support the frequency at which the assessment should be done. The research question for this study is; What is the efficacy of repeated MFS measurements in hospitalized patients?
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository.
Type | Presentation |
Acquisition | Proxy-submission |
Review Type | Abstract Review Only: Reviewed by Event Host |
Format | Text-based Document |
Evidence Level | N/A |
Research Approach | N/A |
Keywords | Falls; Hospitalized Adults; Risk Assessment |
Name | 28th International Nursing Research Congress |
Host | Sigma Theta Tau International |
Location | Dublin, Ireland |
Date | 2017 |
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