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Development and Delphi consensus validation of the Medication-Related Fall screening and scoring tool.
Dima Saeed1,2, Gillian Carter3, Ruth Miller4
1School of Pharmacy, Queen's University Belfast, Belfast, UK.
International Journal of Clinical Pharmacy
|May 16, 2024
Summary
This study developed the Medication-Related fall (MRF) tool to identify medications increasing fall risk. The validated MRF tool helps assess medication review needs to reduce patient falls.
Area of Science:
- Gerontology
- Pharmacology
- Public Health
Background:
- Falls are a significant public health issue, causing injuries and mortality.
- Medication use is a key multifactorial risk factor for falls in patients.
Purpose of the Study:
- To develop and validate the Medication-Related fall (MRF) screening and scoring tool.
- To assess the content validity of the MRF tool for identifying medication-related fall risks.
Main Methods:
- The MRF tool was created using clinical guidelines and expert pharmacist input.
- Medication classes were categorized by falls risk (high, moderate, low).
- Delphi consensus methodology with 22 international experts validated medication risks via surveys.
Main Results:
- Consensus was achieved for 19 medications/classes in the final MRF tool.
- Ten medications were classified as high-risk, eight as moderate-risk, and one as low-risk for falls.
Conclusions:
- The MRF tool offers a simple method for medicines optimization to decrease fall risk.
- The MRF score can guide medication reviews and clinical interventions to prevent fall-related outcomes.
