Fall prevention strategy in an emergency department

Muray, Mwali; Bélanger, Charles H.; Razmak, Jamil

doi:10.1108/ijhcqa-09-2016-0122

Cited by 9 publications

(7 citation statements)

References 18 publications

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“…According to the assessment with the MEDFRAT, 33.3% of Portuguese users had a risk of falling, with 18.8% being low risk, 7.5% moderate risk and 7% high risk, values lower than those found in other studies [ 25 , 26 ] and similar to those found by Southerland et al [ 27 ]. The fact that our sample had a fall risk of 31.7% and in Scott et al’s [ 25 ] study the fall risk was 53% makes us wonder why there is such a difference.…”

Section: Discussionsupporting

confidence: 58%

Psychometric Properties of the European Portuguese Version of the Memorial Emergency Department Fall Risk Assessment Tool

et al. 2022

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Falls are a public health problem that cause serious damage to people’s health and health systems. This study aims to estimate the validity and reliability of the Memorial Emergency Department Fall Risk Assessment Tool for the European Portuguese population. The sample included 186 adults from an emergency department of a District Hospital in Portugal. Reliability and precision (inter-rater reliability) are assessed by two independent raters. The relationship between MEDFRAT and the Morse Fall Risk Scale is evaluated. All items presented a high Kappa index. The MEDFRAT showed a high and significant correlation with the Morse Fall Risk Scale. The influence of sociodemographic and clinical data was also checked. The MEDFRAT is adequate, valid and reliable for the European Portuguese population to assess the risk of falling of emergency department patients.

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Section: Discussionsupporting

confidence: 58%

Psychometric Properties of the European Portuguese Version of the Memorial Emergency Department Fall Risk Assessment Tool

et al. 2022

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“…Esta pesquisa seguiu os preceitos da ética em pesquisa com seres humanos, segundo as Resoluções nº466/12 e nº510/ 16 qual mostrou que 53,33% dos pacientes avaliados pela escala de Morse apresentaram alto risco de queda. 10 Ao considerar a criticidade e especificidade do atendimento realizado aos usuários em UPA, estratificar o risco de queda no momento da triagem clínica, ou em outro momento oportuno, torna-se importante para direcionar e sistematizar ações multifatoriais que impactem na prevenção de quedas e lesões decorrentes destas aos usuários do serviço, reduzindo custos desnecessários 16 e contribuindo com a segurança e a qualidade do cuidado prestado nesta importante modalidade de assistência não hospitalar.…”

Section: Métodounclassified

“…Esses resultados são semelhantes ao estudo conduzido com pacientes adultos hospitalizados em hospital privado da região sul do Brasil que verificou associação entre idade (idoso e não idoso) e risco de queda (p<0,001),17, bem como investigação realizada no Canadá a qual apontou risco de queda em 5.371 (56,5%) pacientes geriátricos. 16 Entretanto, o inverso foi encontrado em um estudo observacional, o qual identificou que os pacientes sob o risco de queda no departamento de emergência eram adultos jovens, em uso de álcool ou de outras substâncias ilícitas. 18 Essas divergências estão relacionadas aos múltiplos fatores de riscos intrínsecos (relacionados ao paciente) e extrínsecos (condições ambientais e organizacionais) de queda, 19 somados ao perfil demográfico, tecnológico e epidemiológico distintos entre as mais variadas regiões geográficas, bem como dos determinantes sociais de saúde de cada população em âmbito mundial e nacional.…”

Section: Métodounclassified

Risco de queda em usuários de unidades de pronto atendimento

Silva

Batista

Cruz

et al. 2021

SaudColetiv (Barueri)

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Objetivo: Investigar a associação do risco de queda com o setor de atendimento e faixa etária de usuários de Unidades de Pronto Atendimento. Método: Estudo transversal e analítico realizado de setembro a abril/2016 em oito unidades do sul do Brasil. Foram amostrados 377 usuários, aos quais foi aplicada, prospectivamente, a Escala de Morse. A análise dos dados se deu por estatística descritiva e teste qui-quadrado para as variáveis categóricas. Resultados: Houve maior prevalência de usuários com alto risco de queda no setor emergência (67,3%), e de baixo risco no setor observação (56,8%). Distribuição homogênea de risco médio foi observada nos setores emergência, observação e internamento. Entre os idosos, 68,4% apresentaram alto risco. Diferença (valor-p<0,0001) foi observada nas variáveis setor de atendimento e faixa etária. Conclusão: Há associação do risco de quedas, setor de atendimento e idade do usuário do serviço de saúde.

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“…The MSF is a widely used tool in geriatric care worldwide, and it has been recommended by the US VA National Center for Patient Safety for use as a screening tool (Muray et al, 2018). In the past, the MFS was not commonly used in Israel.…”

Section: Review Of the Literaturementioning

confidence: 99%

Comparison of two fall-risk assessment tools used in a long-term care facility

Glass

Mendelson

Natan³

2020

IJHCQA

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PurposeThe purpose of this paper is to compare the ability of the Morse Fall Scale (MFS) and Farmer's fall-risk assessment tool (FFAT) to identify correlations between risk factors and falls among older adult long-term care (LTC) facility residents.Design/methodology/approachThis was a correlational retrospective study. 200 medical records of older adults hospitalized in a LTC facility in central Israel, from January 2017 to January 2018, were examined.FindingsOf all the residents, 75% and 99.5% of the residents were identified as having a high fall risk according to the MFS and FFAT, respectively. Only 12.5% of residents actually fell. MFS score was weakly correlated with actual falls (odds ratio = 1.035). It was also found that all fallers fell during their first week at the facility.Research limitations/implicationsFuture research should explore the ability of the tools to capture changes in the fall risk by repeat assessments, as this has not been examined in the present study.Practical implicationsThe MFS and FFAT tool may have little value in assessing fall risk in older adult LTC facility residents. Therefore, nurses should perform a clinical evaluation of each individual patient. In addition, nurses should place a particular emphasis on fall risk and prevention during the first week following admission.Originality/valueThe findings of the present study raise doubts regarding the utility of the common practice of assessing fall risk in older adult LTC facility residents using the tools MFS and the FFAT, thus emphasizing the need to adopt a different approach.

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Fall prevention strategy in an emergency department

Cited by 9 publications

References 18 publications

Psychometric Properties of the European Portuguese Version of the Memorial Emergency Department Fall Risk Assessment Tool

Psychometric Properties of the European Portuguese Version of the Memorial Emergency Department Fall Risk Assessment Tool

Risco de queda em usuários de unidades de pronto atendimento

Comparison of two fall-risk assessment tools used in a long-term care facility

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