title: Pattern of underreporting falls in a general psychiatric hospital in Japan.
abstract: OBJECTIVE
  To examine the pattern of underreporting of fall incidents in a general psychiatric hospital in Japan.
  
  
  METHODS
  All fall incidents were analyzed and stratified by ward.
  
  
  RESULTS
  A discrepancy in fall rates was found in acute psychiatric and dementia wards. The following indicators were suggestive of underreporting: "zero fall/1,000 patient-days," "proportion of falls without injury," and "proportion of falls identified as occurring in the bedroom as a fall location during certain time periods."
  
  
  CONCLUSIONS
  Ward-specific fall rates, with further stratifications by time and location of the fall, were useful for identifying a pattern of underreporting.
authors.affiliation: Graduate School of Medicine, Osaka University, Suita, Osaka, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Higami
authors.forename: Akari
authors.initials: A
authors.lastname: Higuchi
authors.forename: Masakazu
authors.initials: M
authors.lastname: Takahama
authors.forename: Miyae
authors.initials: M
authors.lastname: Yamakawa
authors.forename: Kiyoko
authors.initials: K
authors.lastname: Makimoto
mesh_terms: D000058:Accidental Falls / Q000706:statistics & numerical data*; D000368:Aged; D000369:Aged, 80 and over; D003704:Dementia; D005260:Female; D006769:Hospitals, General; D006778:Hospitals, Psychiatric; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012308:Risk Management / Q000941:ethics / Q000706:statistics & numerical data*
keywords: Falls; incident report; pattern; underreporting