Evaluation of the Humpty Dumpty Falls Scale in Predicting Pediatric Patients who Fall

2.50
Hdl Handle:
http://hdl.handle.net/10755/158862
Type:
Presentation
Title:
Evaluation of the Humpty Dumpty Falls Scale in Predicting Pediatric Patients who Fall
Abstract:
Evaluation of the Humpty Dumpty Falls Scale in Predicting Pediatric Patients who Fall
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Fix, Michele, RN BSN
P.I. Institution Name:Children's Mercy Hospital
Contact Address:2401 Gillham, Kansas City, MO, 64108, USA
Contact Telephone:8167014560
Co-Authors:M. Fix, P. Messmer, A. Williams, , Children's Mercy Hospital, Kansas City, MO;
Purpose: This program will examine the accuracy of the Humpty Dumpty Falls Scale (HDFS) tool in predicting pediatric patients at high risk of falling. Background: The JC, IHI and other patient safety organizations have long recognized the importance of decreasing falls in hospitals. Falls are a significant patient safety risk that occurs across the lifespan. A significant body of evidence exists regarding falls in adult populations with Falls Risk tools (Hendrich II, and Morse). However, there is limited validity of these tools in the pediatric population (Razmus, 2006; Hill-Rodriguez, Messmer 2008). The HDFS examines the patient's age, gender, diagnosis, cognitive impairments, environmental factors, response to surgery and medication usage. Patients at high risk have scores above 12 while low risk patients have scores less than 12. Methods: The research examined the sensitivity and specificity of the HDFS Risk Score in 76 patients who fell compared to those that didn't fall. The HDFS risk score was applied to all patients who fell during 2008; control group-random sampling of 150 patients who did not fall during 2008. Results: Preliminary results indicate the HDFS had a sensitivity of 72%; specificity of 42% at a cut-point of 11. A score of 15 gives a sensitivity- 28% and a specificity-80%. HDFS identifies pediatric patients at risk for falling but over-predicts patients at high risk, yet do not fall. This could be due to the implementation of interventions to prevent falling when a patient is identified at high risk. Implications: The HDFS provides a valid and reliable method to identify pediatric patients at high risk for falling. Use of the tool to develop an action plan for prevention of falls is vital to pediatric patient safety.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluation of the Humpty Dumpty Falls Scale in Predicting Pediatric Patients who Fallen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158862-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation of the Humpty Dumpty Falls Scale in Predicting Pediatric Patients who Fall</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Fix, Michele, RN BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Children's Mercy Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2401 Gillham, Kansas City, MO, 64108, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">8167014560</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mfix@cmh.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">M. Fix, P. Messmer, A. Williams, , Children's Mercy Hospital, Kansas City, MO;</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This program will examine the accuracy of the Humpty Dumpty Falls Scale (HDFS) tool in predicting pediatric patients at high risk of falling. Background: The JC, IHI and other patient safety organizations have long recognized the importance of decreasing falls in hospitals. Falls are a significant patient safety risk that occurs across the lifespan. A significant body of evidence exists regarding falls in adult populations with Falls Risk tools (Hendrich II, and Morse). However, there is limited validity of these tools in the pediatric population (Razmus, 2006; Hill-Rodriguez, Messmer 2008). The HDFS examines the patient's age, gender, diagnosis, cognitive impairments, environmental factors, response to surgery and medication usage. Patients at high risk have scores above 12 while low risk patients have scores less than 12. Methods: The research examined the sensitivity and specificity of the HDFS Risk Score in 76 patients who fell compared to those that didn't fall. The HDFS risk score was applied to all patients who fell during 2008; control group-random sampling of 150 patients who did not fall during 2008. Results: Preliminary results indicate the HDFS had a sensitivity of 72%; specificity of 42% at a cut-point of 11. A score of 15 gives a sensitivity- 28% and a specificity-80%. HDFS identifies pediatric patients at risk for falling but over-predicts patients at high risk, yet do not fall. This could be due to the implementation of interventions to prevent falling when a patient is identified at high risk. Implications: The HDFS provides a valid and reliable method to identify pediatric patients at high risk for falling. Use of the tool to develop an action plan for prevention of falls is vital to pediatric patient safety.</td></tr></table>en_GB
dc.date.available2011-10-26T21:28:10Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:28:10Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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