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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

JONA: The Journal of Nursing Administration: May 2014 - Volume 44 - Issue 5 - p 263–269
doi: 10.1097/NNA.0000000000000065

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.

Author Affiliations: Evidence-Based Practice Consultant (Dr Corley), Evidence-Based Practice Coordinator (Dr Brockopp), Nursing Director (Ms McCowan), Magnet/Nursing Special Projects Coordinator (Ms Merritt), Evidence-Based Practice Consultant (Dr Moe), Patient Care Technician (Ms Hall), Baptist Health Lexington, Kentucky; Executive Nursing Director (Ms Cobb), Baptist Health Corbin, Kentucky; Infection Control Nurse and Patient Safety Officer (Ms Johnson), Baptist Health La Grange, Kentucky; Nursing Director (Ms Stout) Baptist Health Louisville, Kentucky.

The editor-in-chief of Journal of Nursing Administration is the chief operating officer/CNO of Baptist Health Lexington. John Welton, PhD, RN, professor and senior scientist, University of Colorado, College of Nursing, served as the editor of this submission.

The authors declare no conflicts of interest.

Correspondence: Dr Brockopp, Baptist Health Lexington, 1740 Nicholasville Rd, Lexington, KY 40503 (

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins