The Baptist Health High Risk Falls Assessment: a methodological study
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Updated: Apr 30, 2026
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Published on: October 25, 2024
Donna Corley1, Dorothy Brockopp, Denise McCowan
1Author Affiliations: Evidence-Based Practice Consultant (Dr Corley), Evidence-Based Practice Coordinator (Dr Brockopp), Nursing Director (Ms McCowan), Magnet/Nursing Special Projects Coordinator (Ms Merritt), Evidence-Based Practice Consultant (Dr Moe), Patient Care Technician (Ms Hall), Baptist Health Lexington, Kentucky; Executive Nursing Director (Ms Cobb), Baptist Health Corbin, Kentucky; Infection Control Nurse and Patient Safety Officer (Ms Johnson), Baptist Health La Grange, Kentucky; Nursing Director (Ms Stout) Baptist Health Louisville, Kentucky.
Objective:
The purpose of this study was to evaluate the psychometric properties of the Baptist Health High Risk Falls Assessment (BHHRFA).
Background:
The cost of falls and the potential for increased patient morbidity and mortality necessitate the development of a psychometrically sound assessment.
Methods:
Based on pilot data, a multisite study was conducted. Assessments were collected on 21 medical-surgical units, 1 rehabilitation unit, 1 psychiatric unit, and 3 critical care units (N = 241599). Sensitivity, specificity, and diagnostic odds ratios (DORs) were calculated. Clinical usefulness in terms of assessment performance time was addressed.
Results:
Psychometric properties were within a desirable range for each site, critical care patients, and all participants (sensitivity, 0.64-1.00; specificity, 0.50-0.70; and DOR, 4.73-7.0). Although sensitivity at 1 site was high (0.84), specificity was low (0.37).
Conclusions:
Results suggest that the BHHRFA is clinically useful for adult inpatients across acute care settings.
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