title: Development, implementation, and evaluation of a comprehensive fall risk program.
abstract: OBJECTIVE
  The purpose was to develop and implement I'M SAFE, a comprehensive patient fall-risk assessment tool linked to a tiered-intervention falls prevention program.
  
  
  METHODS
  A fall-risk evaluation tool was incorporated into electronic nurse documentation along with risk-specific nursing interventions.
  
  
  RESULTS
  Intrinsic fall rates declined significantly (preimplementation: .67 falls/1,000 patient days; postimplementation: .51 falls/1,000 patient days, p = .015) and has been sustained 2 years following implementation.
  
  
  CONCLUSIONS
  The I'M SAFE tool identifies patients at increased risk for falls. When linked to a multidisciplinary fall prevention program, the incidence of preventable falls can be reduced. The program's impact has persisted across two facilities.
authors: Department of Quality and Patient Safety, The Children's Hospital, Aurora, Colorado, USA. neiman.jenae@tchden.org
authors: Jenae
authors: J
authors: Neiman
authors: Michael
authors: M
authors: Rannie
authors: Jodi
authors: J
authors: Thrasher
authors: Karen
authors: K
authors: Terry
authors: Michael G
authors: MG
authors: Kahn
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control*; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D057286:Electronic Health Records; D005260:Female; D006801:Humans; D007223:Infant; D007297:Inpatients; D016015:Logistic Models; D008297:Male; D008403:Mass Screening / Q000379:methods*; D015999:Multivariate Analysis; D009730:Nursing Assessment / Q000379:methods*; D016730:Program Development; D015203:Reproducibility of Results; D018570:Risk Assessment