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Development and Validation of a Simplified Falls Assessment Tool in an Acute Care Setting

Yip, Wai Kin BN, RN; Mordiffi, Siti Zubaidah PhD, RN; Wong, Hung Chew MStat; Ang, Emily Neo Kim DNurs, RN

doi: 10.1097/NCQ.0000000000000183

An easy-to-use assessment tool, which contains reversible risk factors, might influence the success of a falls prevention program. A 2-phase study was undertaken to develop and validate a simplified falls assessment tool. Risk factors of confusion, dizziness, altered elimination, and difficulty with mobility were found to be significantly associated with fall status. The simplified falls assessment tool that contains these 4 risk factors yielded a comparable predictive value to Hendrich II Falls Risk Model.

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Evidence Based Nursing Unit, Department of Nursing, National University Hospital, National University Health System, Singapore (Ms Yip and Dr Mordiffi); Biostatistics Unit, Yong Loo Lin School of Medicine Dean's Office, National University of Singapore, National University Health System, Singapore (Ms Wong); and Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, and National University Cancer Institute, National University Health System, Singapore (Dr Ang).

Correspondence: Wai Kin Yip, BN, RN, 5 Lower Kent Ridge Rd, Main Building Level 6, Singapore 119074 (

The team thanks Ms Lee Siu Yin, Senior Director of National University Hospital Ambulatory Service Administration for support, and Lin Qianqian for assistance with data collection.

The authors declare no conflict of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: February 7, 2016

Published ahead of print: March 18, 2016

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