2023
DOI: 10.3390/healthcare11152194
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Time-Varying Hazard of Patient Falls in Hospital: A Retrospective Case–Control Study

Abstract: This study aims to evaluate the association between patient falls and relevant factors and to quantify their effect on fall risk. This is a retrospective case–control study using the secondary data collected from a tertiary general hospital. Study subjects were 450 patients who were admitted to the hospital between January 2016 and December 2020. The prevalence of falls was associated with the fall risk level by the Morse Fall Scale (MFS) and individual status at admission including history of admission, dizzi… Show more

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Cited by 2 publications
(1 citation statement)
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“…However, newer literature from Turkey found the MFS inferior to an alternative measure, upholding the concerns regarding sensitivity and specificity (Kuş, Büyükyilmaz & ARDıÇ 2023) and poor diagnostic performance (De Oliveira Silva et al 2023). Morse Falls Scale may be capable of identifying patients at high risk for falls, but given that falls are 'never events' and may result in litigation (Lee, Seo & Kim 2023), potentially against nurses, one should question if such a psychometrically and diagnostically unstable measure is fit for purpose and is justifiable for use in an institutional falls policy. Indeed, a recent evidence review in a nursing journal (Schoberer et al 2022) considering older adults in hospitals and long-term care facilities did not recommend FRAT, rather individualised assessment and risk management.…”
Section: Risk Assessment and Managementmentioning
confidence: 99%
“…However, newer literature from Turkey found the MFS inferior to an alternative measure, upholding the concerns regarding sensitivity and specificity (Kuş, Büyükyilmaz & ARDıÇ 2023) and poor diagnostic performance (De Oliveira Silva et al 2023). Morse Falls Scale may be capable of identifying patients at high risk for falls, but given that falls are 'never events' and may result in litigation (Lee, Seo & Kim 2023), potentially against nurses, one should question if such a psychometrically and diagnostically unstable measure is fit for purpose and is justifiable for use in an institutional falls policy. Indeed, a recent evidence review in a nursing journal (Schoberer et al 2022) considering older adults in hospitals and long-term care facilities did not recommend FRAT, rather individualised assessment and risk management.…”
Section: Risk Assessment and Managementmentioning
confidence: 99%