A new instrument for targeting falls prevention interventions was accurate and clinically applicable in a hospital setting

Haines, Terry, Bennell, Kim, Osborne, Richard and Hill, Keith 2006, A new instrument for targeting falls prevention interventions was accurate and clinically applicable in a hospital setting, Journal of clinical epidemiology, vol. 59, no. 2, pp. 168-175.

Attached Files
Name Description MIMEType Size Downloads

Title A new instrument for targeting falls prevention interventions was accurate and clinically applicable in a hospital setting
Author(s) Haines, Terry
Bennell, Kim
Osborne, Richard
Hill, Keith
Journal name Journal of clinical epidemiology
Volume number 59
Issue number 2
Start page 168
End page 175
Publisher Elsevier Inc.
Place of publication New York, N.Y.
Publication date 2006-02
ISSN 0895-4356
1878-5921
Keyword(s) accidental falls
hospitals
sensitivity and specificity
assessment
Summary Background and Objective: To describe the diagnostic accuracy and practical application of the Peter James Centre Falls Risk Assessment Tool (PJC-FRAT), a multidisciplinary falls risk screening and intervention deployment instrument.

Methods: In phase 1, the accuracy of the PJC-FRAT was prospectively compared to a gold standard (the STRATIFY) on a cohort of subacute hospital patients (n = 122). In phase 2, the PJC-FRAT was temporally reassessed using a subsequent cohort (n = 316), with results compared to those of phase 1. Primary outcomes were falls (events), fallers (patients who fell), and hospital completion rates of the PJC-FRAT.

Results: In phase 1, PJC-FRAT accuracy of identifying fallers showed  sensitivity of 73% (bootstrap 95% confidence interval CI = 55, 90) and specificity of 75% (95% CI = 66, 83), compared with the STRATIFY (cutoff ≥ 2/5) sensitivity of 77% (95% CI = 59, 92) and specificity of 51% (95% CI = 41, 61). This difference was not significant. In phase 2, accuracy of nursing staff using the PJC-FRAT was lower. PJC-FRAT completion rates varied among disciplines over both phases: nurses and physiotherapists, ≥90%; occupational therapists, ≥82%; and medical officers, ≥57%.

Conclusion:
The PJC-FRAT was practical and relatively accurate as a predictor of falls and a deployment instrument for falls prevention interventions, although continued staff education may be necessary to maintain its accuracy.
Language eng
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2006, Elsevier Inc.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30018641

Document type: Journal Article
Collection: School of Health and Social Development
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 21 times in TR Web of Science
Scopus Citation Count Cited 28 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 428 Abstract Views, 196 File Downloads  -  Detailed Statistics
Created: Thu, 10 Sep 2009, 14:00:41 EST by Lorraine Driscoll

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.