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Printable Handouts
Navigable Slide Index
- Introduction
- Today’s program
- Why bother assessing the patient’s risk of falling?
- Some believe that... (1)
- Some believe that...(2)
- Patients who have the potential to fall
- What is a patient fall?
- Which falls are considered a reportable?
- Those red fit the definition of a fall
- Which falls are interesting to research?
- Missed/saved falls
- Types of falls
- One more time…
- How to use the MFS—and what the score means
- Approaches to identifying the fall-prone patient
- Fall Triage/Prediction Instruments
- The MFS
- Can we identify the patient who is likely to fall?
- 1. History of falling
- Injury classification
- 2. Secondary diagnosis
- 3. Ambulatory aid
- 4. Gait
- Analyzing Gait
- 5. IV/IV Access
- 6 Mental status
- What do the scores mean?
- Anticipated physiological falls
- Common question: medications in the scale?
- Common question: what to record?
- Lost clinical data
- Common question: How often do I score?
- Common question: Do I score all the patients?
- Problems: 1. Recognize limitations
- Problems: 2. The MFS only predicts patient falls
- Problems: 3. “All of our patients are at high risk”
- Problems:4. “How do I remember the items?”
- Problems:5. “Is it valid for my setting?”
- Problems: 6. Scoring errors
- Problems: 7. Scoring errors
- Check that MFS used correctly & consistently
- Using interventions to prevent falls
- Two types of fall interventions
- Types of fall intervention strategies
- Anticipated physiological fall-protection strategy
- High risk patients
- Model (1)
- Assessing anticipated physiological falls (1)
- Assessing anticipated physiological falls (2)
- Model (2)
- Determine policy: when a patient scores high risk
- Repeat fallers
- Assessing unanticipated physiological falls
- Accidental falls: assessing the environment
- Fall precautions prevent accidental falls (1)
- Fall precautions prevent accidental falls (2)
- NOT recommended (1)
- NOT recommended (2)
- NOT recommended (3)
- DO THIS!
- When a patient falls
- Collect data at the time of the fall
- Classifying injuries
- Summary-components of fall intervention
- How to implement a fall program in your hospital
- The role of administration
- 1. Select the triage instrument
- Evaluate the nature of evidence
- Fall prediction tools: nature of evidence
- How “good” is the MFS? (1)
- How “good” is the MFS? (2)
- With a normalized hospital population
- Validity (1)
- Validity (2)
- Prospective testing
- Validity check of false positive
- Problems of prospectively exploring falls in 2018
- Using the MFS
- Program goal
- Developing the program (1)
- Role of administration
- But
- Developing the program (2)
- Work to change attitudes
- Calculating fall rate
- Calculating injury rate
- Once the program begins
- Evaluating the program
- Remember
- Falls are an institutional & nursing problem
- Thank you!
Topics Covered
- Patients with risk of falling
- Types of falls
- How to use the Morse Fall Scale (MFS) and what the score means
- How the MFS works
- Using interventions to prevent anticipated physiological falls
- Protecting for unanticipated physiological falls
- Preventing accidental falls
- How to implement a fall program in your hospital
- Charting falls scores, interventions and falls
- Monitoring falls at the administrative level
- Using fall reports diagnostically
Talk Citation
Morse, J.M. (2019, March 28). Patient falls: protecting patients and preventing injury [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved November 21, 2024, from https://doi.org/10.69645/CYPG4517.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Janice M. Morse has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Other Talks in the Series: Nursing
Transcript
Please wait while the transcript is being prepared...
0:00
Hello, my name is Janice Morse.
I'm a Professor and Presidential Chair at the University of Utah College of Nursing
here in Salt Lake City, Utah, USA.
The title of my talk is,
"Patient Falls: Protecting Patients and Preventing Injury."
0:21
Today, I'm going to talk about a number of topics.
First, we're going to talk about why we assess patients' risk of falling
and consider whether or not you have a problem in your institution.
We'll talk about types of patient falls,
how to use the Morse Fall Scale and what the score means,
who is scored and who is not scored, and why.
Then we'll talk about how the scale works, why it is valid;
next, using interventions to prevent anticipated physiological falls;
protecting the patient from unanticipated physiological falls;
preventing accidental falls.
We'll talk about what to do when a patient falls
and how to implement a program in your hospital –
simply charting falls, interventions,
and how the fall occurred;
diagnosing fall types; injury classification; monitoring falls.
Finally, we talk about monitoring falls at the administrative level –
using fall reports diagnostically;
fall rates; falls; and fall injury rates.
1:31
Why do we bother assessing the patient's risk of falling?
At first we ask,
"Do you have a problem?
Are patients falling in your institution?
How many? How often? Are they injured?"