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Journal of Nursing Administration:
doi: 10.1097/NNA.0000000000000065

The Baptist Health High Risk Falls Assessment: A Methodological Study

Corley, Donna PhD, RN, CNE; Brockopp, Dorothy PhD, RN; McCowan, Denise MSN, RN; Merritt, Sharon BSN, RN; Cobb, Teresa ADN, RN; Johnson, Brenda MSN, RN; Stout, Cheryl MSN, RN, CENP; Moe, Krista PhD; Hall, Brittany AASB

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OBJECTIVE: The purpose of this study was to evaluate the psychometric properties of the Baptist Health High Risk Falls Assessment (BHHRFA).

BACKGROUND: The cost of falls and the potential for increased patient morbidity and mortality necessitate the development of a psychometrically sound assessment.

METHODS: Based on pilot data, a multisite study was conducted. Assessments were collected on 21 medical-surgical units, 1 rehabilitation unit, 1 psychiatric unit, and 3 critical care units (N = 241599). Sensitivity, specificity, and diagnostic odds ratios (DORs) were calculated. Clinical usefulness in terms of assessment performance time was addressed.

RESULTS: Psychometric properties were within a desirable range for each site, critical care patients, and all participants (sensitivity, 0.64-1.00; specificity, 0.50-0.70; and DOR, 4.73-7.0). Although sensitivity at 1 site was high (0.84), specificity was low (0.37).

CONCLUSIONS: Results suggest that the BHHRFA is clinically useful for adult inpatients across acute care settings.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins



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