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Spartanburg Fall Risk Assessment Tool: a simple three-step process.

Cathy Robey-Williams1, Kathy L Rush, Heather Bendyk

  • 1Spartanburg, Regional Healthcare System, Spartanburg, SC 29303, USA. crwilliams@srhs.com

Applied Nursing Research : ANR
|May 8, 2007
PubMed
Summary

This study introduces the Spartanburg Fall Risk Assessment Tool (SFRAT), a sensitive and reliable method for predicting patient falls in acute care settings. The SFRAT effectively identifies individuals at high risk, aiding in fall prevention strategies.

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Area of Science:

  • Gerontology
  • Nursing
  • Healthcare Quality Improvement

Background:

  • Falls are a significant safety concern in acute care settings, leading to increased morbidity and healthcare costs.
  • Existing fall risk assessment tools may lack sensitivity or user-friendliness for routine clinical application.
  • Identifying accurate fall risk factors is crucial for effective patient safety interventions.

Purpose of the Study:

  • To develop and validate the Spartanburg Fall Risk Assessment Tool (SFRAT) as a sensitive predictor of falls in acute care patients.
  • To create a user-friendly tool that incorporates key fall risk factors into clinical practice.
  • To establish the reliability and predictive accuracy of the SFRAT.

Main Methods:

  • A comprehensive literature review identified key fall risk factors: previous falls, medications, and gait.

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  • The Spartanburg Fall Risk Assessment Tool (SFRAT) was developed, integrating intrinsic patient factors with functional status measures.
  • Interrater reliability was assessed using Cohen's kappa, and predictive analysis determined sensitivity and specificity.

    • Main Results:

    • The SFRAT demonstrated excellent interrater reliability (.9008), indicating near-perfect agreement between users.
    • The tool achieved 100% sensitivity for predicting falls, with no false negatives.
    • Specificity was 28%, with a high number of false positives potentially indicating undetected high-risk patients or effective interventions.

    Conclusions:

    • The SFRAT is a valid, reliable, and highly sensitive tool for assessing fall risk in acute care populations.
    • Its ease of use allows for seamless integration into nursing workflows.
    • The SFRAT can significantly contribute to improving patient safety and reducing fall incidents in hospitals.