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Development of an Automated Self-assessment of Fall Risk Questionnaire for Hospitalized Patients
1Nursing Innovation and Performance Excellence, Sharp Memorial Hospital, San Diego, California.
Journal of Nursing Care Quality
|September 1, 2015
Summary
Hospital falls remain a challenge. A new patient self-assessment questionnaire, integrated into interactive patient care systems, actively engages patients in identifying their fall risk, improving accuracy for both patients and nurses.
Area of Science:
- Healthcare quality improvement
- Patient safety research
- Nursing informatics
Background:
- Hospital falls pose a significant risk to patient well-being and increase healthcare costs.
- Current multifactorial fall prevention strategies often lack active patient involvement.
- Effective patient engagement is crucial for successful fall risk assessment.
Purpose of the Study:
- To develop and validate a patient self-assessment fall risk questionnaire.
- To integrate this tool into an interactive patient care system for enhanced engagement.
- To evaluate the reliability and validity of patient-led fall risk assessment.
Main Methods:
- Customization of a fall risk questionnaire for a computer-based, interactive patient care system.
- Implementation of the questionnaire within the hospital's television-equipped system.
- Assessment of the questionnaire's reliability and validity for patient and nurse use.
Main Results:
- The patient self-assessment questionnaire was successfully customized and integrated.
- The tool effectively engages patients in evaluating their own fall risk.
- The questionnaire demonstrated reliability and validity for both patient and nursing assessments.
Conclusions:
- Patient self-assessment of fall risk is a feasible and effective strategy.
- Integrating patient self-assessment into interactive systems enhances engagement and accuracy.
- This approach offers a valuable addition to hospital fall prevention programs.

