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The Baptist Health High-Risk Falls Assessment: One Assessment Fits All

Bugajski, Andrew BSN, RN; Lengerich, Alex MS; McCowan, Denise MSN, RN; Merritt, Sharon MSN, RN; Moe, Krista PhD; Hall, Brittany BSN, RN, AASB; Nelson, Debbie MSN, RN, CRRN, NEA-BC; Brockopp, Dorothy PhD, RN

doi: 10.1097/NCQ.0000000000000220

Assessing high risk for falling among psychiatric inpatients is particularly challenging in that assessments with strong sensitivity and specificity are not available. The purpose of this study was to determine the sensitivity, specificity, and diagnostic odds ratio of the Baptist Health High Risk Falls Assessment (BHHRFA), a medical-surgical fall risk assessment, in a psychiatric inpatient population. Data collected on 5910 psychiatric inpatients using the BHHRFA showed acceptable sensitivity, specificity, and diagnostic odds ratio (0.68/0.70/4.964).

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Baptist Health Lexington, Lexington, Kentucky (Messrs Bugajski and Lengerich, Mss McCowan, Merritt, and Hall, and Drs Moe and Brockopp); and Mental Health Inpatient Unit at Baptist Health Louisville, Louisville, Kentucky (Ms Nelson).

Correspondence: Andrew Bugajski, BSN, RN, Research Consultant/Doctoral Fellow, Baptist Health Lexington, 1740 Nicholasville Rd, Lexington, KY 40503 (

The authors declare no conflicts 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: June 17, 2016

Published ahead of print: August 1, 2016

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