Predicting falls: considerations for screening tool selection vs. screening tool development.
OBJECTIVE
This paper discusses considerations for falls risk screening tool selection vs. the need to develop new tools.


BACKGROUND
Inpatient falls are a complex patient safety issue that represent a significant burden for the healthcare system. In the inpatient context, falls risk screening tools are most often used for predicting falls, but in some populations assessment tools are more suited, however in others, a clinician's clinical judgment may be just as effective. Limited external validity is a central issue with falls risk screening tools when used in different populations than the original study. There is clinical need for guidance regarding screening tool selection vs. the need to development new tools and how to effect change in relation to the prediction of falls.


METHODS
Discussion paper.


METHODS
This discussion paper is based on our own experiences and research and is supported by literature.


CONCLUSIONS
This paper provides clinicians with a better understanding of considerations for falls risk screening tool selection vs. the need to develop new tools. In doing so, it provides clinicians guidance on how to critique the efficacy and utility of their falls risk screening tool. This paper equips clinicians for effecting change in relation to the prediction of falls.


CONCLUSIONS
Falls risk prediction is a particularly complex patient safety issue. Clinicians need to be aware of the limitations of their tool used to predict falls.
The University of Sydney, Sydney Nursing School, and Royal Rehab, Sydney, New South Wales, Australia.
Duncan
D
McKechnie
The University of Sydney, Sydney Nursing School, and Royal Rehab, Sydney, New South Wales, Australia.
Julie
J
Pryor
The University of Sydney, Sydney Nursing School, and Royal Rehab, Sydney, New South Wales, Australia.
Murray J
MJ
Fisher
D000058:Accidental Falls; D006801:Humans; D007297:Inpatients; D008403:Mass Screening; D061214:Patient Safety; D018570:Risk Assessment
assessment; clinical judgment; decision-making; falls; instrument development; nursing; screen