Sensitivity and Specificity of Edmonson Psychiatric Fall Risk Assessment Tool in an Adult Inpatient Psychiatric Unit

2.50
Hdl Handle:
http://hdl.handle.net/10755/603255
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Sensitivity and Specificity of Edmonson Psychiatric Fall Risk Assessment Tool in an Adult Inpatient Psychiatric Unit
Other Titles:
Clinically Relevant Risks [Session]
Author(s):
Bosse, Jordon; LaPointe, Constance; LaPointe, Constance
Lead Author STTI Affiliation:
Beta Zeta-at-Large
Author Details:
Jordon Bosse, RN, jbosse@nursing.umass.edu; Constance LaPointe, RN, BC
Abstract:
Session presented on Saturday, November 7, 2015: Background: Falls are an important issue in hospitals as they can lead to increased lengths of stay, increased cost related to the stay, or increased chance of unplanned admission. The limited literature available about the fall risk for psychiatric patients indicates that they are at a higher risk of falling than medical patients due to unique risks of both their condition and the psychiatric in-patient environment (Allen, de Nesera & Robinson, 2012). Purpose: The goal of this project was to determine whether Edmonson, Robinson & Hughes’ (2011) Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT) was more sensitive and specific than the Johns Hopkins Hospital Fall Risk Fall Assessment Tool when assessing psychiatric patients for risk for falls in a small community based hospital. Methods: In Phase I, a small sample of patient records were reviewed and EPFRAT was used to calculate fall risk score by the two authors to establish inter-rater reliability. In Phase 2, a retrospective chart review of all patients who had experienced a fall during their admission in 2012 was conducted and the EPFRAT score was calculated for the patient in the shift prior to the fall and compared with the Johns Hopkins Score for the same shift; a comparison group was established by matching patients who did not fall and who were similar in age and diagnosis. In Phase 3, staff nurses completed usual Johns Hopkins assessment in the electronic record, and the EPFRAT on paper. The scores were then compared. Staff response regarding ease of use was also considered. Results: Inter-rater reliability for EPFRAT was 83.3%. EPFRAT proved to be more sensitive and specific than the Johns Hopkins. EPFRAT identified twice as many patients who were at risk for falls that the Johns Hopkins during the pilot, and correctly identified 96% of people who did not fall as low-risk. Nurses who took part in the pilot evaluation deemed the EPFRAT to be user-friendly. Implications: Utilization of the EPFRAT fall assessment of behavioral inpatients each shift, when it follows appropriate training on completion of the tool and is combined with evidence-based fall prevention interventions, may help reduce the fall rate in the acute psychiatric in-patient setting.
Keywords:
Adult Psychiatric Inpatient; Assessment Tools; Fall Risk Identification
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15A09
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleSensitivity and Specificity of Edmonson Psychiatric Fall Risk Assessment Tool in an Adult Inpatient Psychiatric Uniten
dc.title.alternativeClinically Relevant Risks [Session]en
dc.contributor.authorBosse, Jordonen
dc.contributor.authorLaPointe, Constanceen
dc.contributor.authorLaPointe, Constanceen
dc.contributor.departmentBeta Zeta-at-Largeen
dc.author.detailsJordon Bosse, RN, jbosse@nursing.umass.edu; Constance LaPointe, RN, BCen
dc.identifier.urihttp://hdl.handle.net/10755/603255en
dc.description.abstractSession presented on Saturday, November 7, 2015: Background: Falls are an important issue in hospitals as they can lead to increased lengths of stay, increased cost related to the stay, or increased chance of unplanned admission. The limited literature available about the fall risk for psychiatric patients indicates that they are at a higher risk of falling than medical patients due to unique risks of both their condition and the psychiatric in-patient environment (Allen, de Nesera & Robinson, 2012). Purpose: The goal of this project was to determine whether Edmonson, Robinson & Hughes’ (2011) Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT) was more sensitive and specific than the Johns Hopkins Hospital Fall Risk Fall Assessment Tool when assessing psychiatric patients for risk for falls in a small community based hospital. Methods: In Phase I, a small sample of patient records were reviewed and EPFRAT was used to calculate fall risk score by the two authors to establish inter-rater reliability. In Phase 2, a retrospective chart review of all patients who had experienced a fall during their admission in 2012 was conducted and the EPFRAT score was calculated for the patient in the shift prior to the fall and compared with the Johns Hopkins Score for the same shift; a comparison group was established by matching patients who did not fall and who were similar in age and diagnosis. In Phase 3, staff nurses completed usual Johns Hopkins assessment in the electronic record, and the EPFRAT on paper. The scores were then compared. Staff response regarding ease of use was also considered. Results: Inter-rater reliability for EPFRAT was 83.3%. EPFRAT proved to be more sensitive and specific than the Johns Hopkins. EPFRAT identified twice as many patients who were at risk for falls that the Johns Hopkins during the pilot, and correctly identified 96% of people who did not fall as low-risk. Nurses who took part in the pilot evaluation deemed the EPFRAT to be user-friendly. Implications: Utilization of the EPFRAT fall assessment of behavioral inpatients each shift, when it follows appropriate training on completion of the tool and is combined with evidence-based fall prevention interventions, may help reduce the fall rate in the acute psychiatric in-patient setting.en
dc.subjectAdult Psychiatric Inpatienten
dc.subjectAssessment Toolsen
dc.subjectFall Risk Identificationen
dc.date.available2016-03-21T16:46:37Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:46:37Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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