The Development of the RISK Tool for Fall Prevention

Authors

  • Lorraine K. Brians MS RN C,

    Nursing Quality Assurance Coordinator, Corresponding authorSearch for more papers by this author
    • When this study was begun, all five authors were employed at the Olin E. Teague Veterans' Center in Temple, TX. Lorraine K. Brians and Kristine Alexander still are employed there, Brians as a nursing quality assurance coordinator and Alexander as a quality assurance/utilization review program assistant. Patti Grota is a quality assurance clinician at the Audie Murphy Memorial Veterans' Center in San Antonio, TX. Ruth W. H. Chen is the associate chief of the nursing service for education at the VA Medical Center in Cleveland. Valarie Dumas is head nurse at the VA Medical Center in Bay Pines, FL.

  • Kristine Alexander BSN RN,

    Search for more papers by this author
    • When this study was begun, all five authors were employed at the Olin E. Teague Veterans' Center in Temple, TX. Lorraine K. Brians and Kristine Alexander still are employed there, Brians as a nursing quality assurance coordinator and Alexander as a quality assurance/utilization review program assistant. Patti Grota is a quality assurance clinician at the Audie Murphy Memorial Veterans' Center in San Antonio, TX. Ruth W. H. Chen is the associate chief of the nursing service for education at the VA Medical Center in Cleveland. Valarie Dumas is head nurse at the VA Medical Center in Bay Pines, FL.

  • Parti Grota MSN RN C,

    Assurance ClinicianSearch for more papers by this author
    • When this study was begun, all five authors were employed at the Olin E. Teague Veterans' Center in Temple, TX. Lorraine K. Brians and Kristine Alexander still are employed there, Brians as a nursing quality assurance coordinator and Alexander as a quality assurance/utilization review program assistant. Patti Grota is a quality assurance clinician at the Audie Murphy Memorial Veterans' Center in San Antonio, TX. Ruth W. H. Chen is the associate chief of the nursing service for education at the VA Medical Center in Cleveland. Valarie Dumas is head nurse at the VA Medical Center in Bay Pines, FL.

  • Ruth W. H. Chen MSN RN,

    Associate Chief of the Nursing ServiceSearch for more papers by this author
    • When this study was begun, all five authors were employed at the Olin E. Teague Veterans' Center in Temple, TX. Lorraine K. Brians and Kristine Alexander still are employed there, Brians as a nursing quality assurance coordinator and Alexander as a quality assurance/utilization review program assistant. Patti Grota is a quality assurance clinician at the Audie Murphy Memorial Veterans' Center in San Antonio, TX. Ruth W. H. Chen is the associate chief of the nursing service for education at the VA Medical Center in Cleveland. Valarie Dumas is head nurse at the VA Medical Center in Bay Pines, FL.

  • Valarie Dumas BSN RN

    NurseSearch for more papers by this author
    • When this study was begun, all five authors were employed at the Olin E. Teague Veterans' Center in Temple, TX. Lorraine K. Brians and Kristine Alexander still are employed there, Brians as a nursing quality assurance coordinator and Alexander as a quality assurance/utilization review program assistant. Patti Grota is a quality assurance clinician at the Audie Murphy Memorial Veterans' Center in San Antonio, TX. Ruth W. H. Chen is the associate chief of the nursing service for education at the VA Medical Center in Cleveland. Valarie Dumas is head nurse at the VA Medical Center in Bay Pines, FL.


1901 S. First Street, Temple, TX 76504.

Abstract

The authors tailored a 26-item risk assessment tool (RAT) for falls based on a literature review and an analysis of causative factors of falls that had occurred over a 3-month period at the Olin E. Teague VA Medical Center, an 1,100-bed acute medical-surgical, psychiatric, and extended care facility in Temple, TX. The RAT was completed by nursing staff on 10 patient units (four medical, four surgical, and two nursing home units) for all admissions during the period. A 25% sample of the completed RATs was randomly selected (n =208). Pearson's correlation coefficient was used to identify factors that would most likely predict falls from the RATs of the randomly selected group and of the patients who fell (n =78). Only 4 of the 26 items were statistically related to falls. Based on findings from this study, the RAT was shortened to the four items and called the RISK (Reassessment Is Safe “Kare”) tool.

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