Testing the Predictive Validity of the Hendrich II Fall Risk Model

Cumulative data on patient fall risk have been compiled in electronic medical records systems, and it is possible to test the validity of fall-risk assessment tools using these data between the times of admission and occurrence of a fall. The Hendrich II Fall Risk Model scores assessed during three...

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Bibliographic Details
Published in:Western journal of nursing research 2018-12, Vol.40 (12), p.1785-1799
Main Authors: Jung, Hyesil, Park, Hyeoun-Ae
Format: Article
Language:English
Subjects:
Accident prevention
Accidental Falls - statistics & numerical data
Computerized medical records
Confusion
Electronic health records
Electronic Health Records - statistics & numerical data
Falls
Female
Health risk assessment
Health risks
Hospitalization
Humans
Inpatients - statistics & numerical data
Length of Stay
Male
Medical records
Middle Aged
Nursing
Nursing Research
Predictive validity
Retrospective Studies
Risk assessment
Risk Assessment - methods
Risk Assessment - statistics & numerical data
Risk Factors
Validity
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Summary:Cumulative data on patient fall risk have been compiled in electronic medical records systems, and it is possible to test the validity of fall-risk assessment tools using these data between the times of admission and occurrence of a fall. The Hendrich II Fall Risk Model scores assessed during three time points of hospital stays were extracted and used for testing the predictive validity: (a) upon admission, (b) when the maximum fall-risk score from admission to falling or discharge, and (c) immediately before falling or discharge. Predictive validity was examined using seven predictive indicators. In addition, logistic regression analysis was used to identify factors that significantly affect the occurrence of a fall. Among the different time points, the maximum fall-risk score assessed between admission and falling or discharge showed the best predictive performance. Confusion or disorientation and having a poor ability to rise from a sitting position were significant risk factors for a fall.
ISSN:0193-9459
1552-8456
DOI:10.1177/0193945918766554