Group for preventing falls in Hospital Costa del Sol. Members: Silvia Barrero-Sojo (RN), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Claudia Perez-Jimenez (RN), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Angeles Morales-Fernandez (RN, PT, MSc), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Margarita Enriquez de Luna-Rodriguez (RN), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Sandra Saldaña-Del Campo (RN, Speech Therapist), Research Unit, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain.
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RESEARCH PROTOCOL
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Instruments for assessing the risk of falls in acute hospitalized patients: a systematic review protocol
Article first published online: 9 AUG 2012
DOI: 10.1111/j.1365-2648.2012.06104.x
© 2012 Blackwell Publishing Ltd
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How to Cite
, , , , .(2012) Instruments for assessing the risk of falls in acute hospitalized patients: a systematic review protocol.Journal of Advanced Nursing 69(1), 185–193. doi: 10.1111/j.1365-2648.2012.06104.x
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Group for preventing falls in Hospital Costa del Sol. Members: Silvia Barrero-Sojo (RN), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Claudia Perez-Jimenez (RN), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Angeles Morales-Fernandez (RN, PT, MSc), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Margarita Enriquez de Luna-Rodriguez (RN), Department of Nursing, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain. Sandra Saldaña-Del Campo (RN, Speech Therapist), Research Unit, Agencia Sanitaria Costa del Sol, Marbella, Málaga, Spain.
Publication History
- Issue published online: 17 DEC 2012
- Article first published online: 9 AUG 2012
- Manuscript Accepted: 23 JUN 2012
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Keywords:
- accidental falls;
- inpatients;
- nursing assessment;
- risk assessment;
- safety management;
- systematic review
Abstract
Aim
The purpose of this article is to present the research protocol of a systematic review about fall risk assessment tools in acute hospitalized patients.
Background
Various risk assessment tools for falls have been developed, but with uncertainties derived from validation in heterogeneous environments and variations in their sensitivity, specificity and predictive validity.
Design
Systematic review and meta-analysis.
Methods
Two independent reviewers will extract data in a blinded process. Quality of studies will be assessed using various standardized instruments. A meta-analysis will be performed if applicable. For all studies, sensitivity, specificity, positive and negative predictive values, together with the positive and negative likelihood ratios and Youden index will be calculated. The diagnostic odds ratio of the studies and the hierarchical summary Relative Operating Characteristic curve and bivariate model will be applied. Calculations will be made from random effects models. Forest-plot diagrams for sensitivity and specificity and likelihood ratios, in addition to Cochrane's Q test and the I2 statistic, will be calculated. Funding of the review was confirmed in December 2010.
Discussion
The results of this review will help to clarify some uncertainties provoked by earlier research findings and enable informed choice of a validated, reproducible instrument for assessing the risk of falls by hospital patients, so that preventive action may be taken to minimize this risk.