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Evaluating the Effectiveness of a Fall Risk Screening Tool Implemented in an Electronic Medical Record System

Yokota, Shinichiroh, RN; Tomotaki, Ai, MS, RN; Mohri, Ohmi, RN; Endo, Miyoko, MS, CNA, RN; Ohe, Kazuhiko, PhD, MD

doi: 10.1097/NCQ.0000000000000315

We investigated the effect of using a fall risk screening tool in an electronic medical record system by using data for 25 039 patients in 24 general wards of a single institution. The probability of the occurrence of falls decreased after the tool was implemented, but using the tool did not reduce the actual occurrence of falls. This indicates that we must improve not only the assessment of the risk of falls but also the interventions to prevent falls.

Departments of Healthcare Information Management (Messrs Yokota and Mohri) and Nursing (Ms Endo), The University of Tokyo Hospital, Tokyo, Japan; National College of Nursing Japan, Tokyo, Japan (Ms Tomotaki); and Department of Biomedical Informatics, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan (Dr Ohe).

Correspondence: Shinichiroh Yokota, RN, Department of Healthcare Information Management, The University of Tokyo Hospital, Hongo 7-3-1, Bunkyo-ku, Tokyo 113-8655, Japan (

Parts of this study were supported by JSPS KAKENHI grant no. 16K20977. The authors thank Dr Kosuke Kashiwabara (University of Tokyo), for his advice about the analysis, and members of the Medical Safety Management Center (University of Tokyo Hospital), for their cooperation.

The authors declare no conflicts of interest.

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Accepted for publication: November 4, 2017

Published ahead of print: December 21, 2017

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