Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/130
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dc.contributor.authorWong Shee, Annaen
dc.contributor.authorPhillips, Beven
dc.contributor.authorHill, Keithen
dc.date.accessioned2013-01-07T22:51:44Zen
dc.date.available2013-01-07T22:51:44Zen
dc.date.issued2012en
dc.identifier.govdoc00099en
dc.identifier.issn0167-4943en
dc.identifier.urihttp://hdl.handle.net/11054/130en
dc.description.abstractFRATs are designed to identify both persons at high risk of falls and to allow for cost-effective targeting of fall prevention strategies. This study compares two FRATs (BHS FRAT and TNH-STRATIFY) for accuracy of predicting falls and targeting of fall prevention strategies in a sub-acute hospital. Comparisons of retrospective audit data over two periods (use of the BHS-FRAT; post TNH-STRATIFY implementation) were used in the evaluation (n=362). Inter-rater reliability of the TNH-STRATIFY was evaluated from independent assessment by two nurses for 30 sub-acute patients and using intraclass correlation coefficient (ICC(2,1)). Event rate (ER) and standard measures of predictive accuracy were calculated for both FRATs. The proportions of patients with documented fall prevention strategies addressing identified fall risk factors were compared between audit phases. The TNH-STRATIFY had high inter-rater reliability (ICC(2,1)=0.96). The BHS-FRAT and TNH-STRATIFY demonstrated poor predictive accuracy using recommended high risk cut-off scores, with low specificity(ER) (0.07 and 0.13 respectively) and very low Youden Index(ER) (0.04 and 0.07 respectively), although these measures improved using modified cut-off scores. Positive and negative predictive values were moderate for the BHS-FRAT (0.51, 0.64) and TNH-STRATIFY (0.52, 0.61). The falls rate and proportion of recurrent fallers did not change between audit phases. Implementation rates for prevention strategies for key risk factors were higher following implementation of the TNH-STRATIFY. The results indicated that the TNH-STRATIFY, combined with associated nursing care plan falls documentation, improved the targeting of prevention strategies for key risk factors such as cognitive impairment, incontinence and mobility impairment.en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2013-01-07T22:42:07Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2013-01-07T22:51:44Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2013-01-07T22:51:44Z (GMT). No. of bitstreams: 0 Previous issue date: 2012en
dc.publisherElsevieren
dc.titleComparison of two fall risk assessment tools (FRATs) targeting falls prevention in sub-acute care.en
dc.typeJournal Articleen
dc.type.specifiedArticleen
dc.bibliographicCitation.titleArchives of Gerontology and Geriatricsen
dc.bibliographicCitation.volume55en
dc.bibliographicCitation.issue3en
dc.bibliographicCitation.stpage653en
dc.bibliographicCitation.endpage659en
dc.publisher.placeLondonen
dc.subject.healththesaurusFALLSen
dc.subject.healththesaurusFALL RISK ASSESSMENT TOOLen
dc.subject.healththesaurusFRATen
dc.subject.healththesaurusSUB-ACUTEen
dc.subject.healththesaurusFALL PREVENTIONen
dc.date.issuedbrowse2012-01-01en
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