A Study on the Falls Prevention System in an Acute Hospital

Abstract

Preventing falls is one of the clinical problem and causes patients’ significant problem, since it may cause serious injuries such as an abrasion and fractures. An assessment score sheet for inpatients is one of the falls prevention system. In this paper, we focus on sheet for inpatients’ fall risk. In this paper, we validate the appropriateness of the falls estimate in patients hospitalising. We reassessed the score of 84 cases which consist of 42 sets of the actual patient data for patients who have fallen and 42 sets of the data for those who have not from seven wards from October 2013. The results showed four items as greatly influence the falls. With these items, we calculated fall probabilities of each patients, and compared them of patients who have fallen and those who have not. Then, we could not recognise the difference between two groups since the number of people whose probability of fall is more than 60% are 34 cases in patients who fallen and 24 cases who did not fall. From the result of the analysis, we discuss it is not enough that nurses estimate the patient’s fall risk only using the assessment in patients at the time of hospitalising. Instead, the importance of daily assessment is shown.