Things to consider: Choosing an appropriate fall risk assessment tool to identify those at risk for falls must take into consideration psychometrics of the tool, generalizability to acute care and feasibility.

Kim EAN, Mordiffi SZ, Bee WH, Devi K, Evans D.Evaluation of three fall-risk assessment tool in an acute care setting.JAN.2007;60(4):427-435.

Centers for Disease Control and Prevention. Falls in Nursing Home. Available at http://www.cdc.gov/HomeandRecreationalSafety/Falls/nursing.html#causes. Accessed May 9, 2012.

Mobility Interaction Fall (MIF) Chart


Lundin-Olsson, Jensen J, Nyberg L, Gustafson Y. Predicting falls in residential care by a risk assessment tool, staff judgment, and history of falls. Aging Clin Exp Res. 2003;15:51-59.

Strengths:

  • Developed for predicting falls among older people in residential facilities
  • Includes a test of the ability to walk and simultaneously interact with a person or an object, a vision test, and a concentration rating
  • Classifies older people in residential care facilities as having a high or low fall risk
  • Sensitivity .85, Specificity .82, for predicting falls

Hendrich II Fall Risk Model:


Hendrich, Ann. Predicting patient falls using the Hendrich II fall risk model in clinical practice. AJN.2007;107(11):50-58.

Strengths:

  • Time >1 min
  • Focuses on interventions for specific areas or risk
  • With permission it can be built into electronic health records
  • Validated in acute care, skilled nursing, rehab
  • Cut off threshold score to indicate intervention: >3
  • Score <5: High risk for falls
  • 97.5% Interrater Reliability
  • Sensitivity .77, Specificity .72, for predicting falls

Weaknesses:

  • Almost all patients will be placed in the "high risk for falls" category