Identifying the fall risks of patients for improving the nursing care for fall prevention

Nursing care goals is to maintain or improve patient safety, error has to be prevented, recovered or at least minimized. In the United States, unintentional falls, in the community and health care setting, are the leading cause of nonfatal injury. In 2002, more than 12.800 people over age 65 died and 1.6 millione injured because of falls. For improving the nursing care to prevent the fall in hospital we need for evidence-based information about fall risks. To clarify the patients, fall risks in hospital and identify high-risk persons at admission for further improving of nursing care. Сross section study of 500 adult consecutive inpatients admitted to Second General Hospital and United Family Intermed Hospital from April to October, 2015. The information was collected from clinical records at admission obtained from a structured questionnaire conducted in the form of face-to-face interviews with subjects and fall events were collected from clinical records after discharge. ADL score was used for identifying the patient’s daily activity and need for help with any one of the seven activities was defined as a low level of ADL. Subjects were scored on the Manual Muscle Test (MMT), where impairment was defined as MMT<4. For identifying the level of fall risk for patients we used the Morse Falls Scale. SPSS 21.0 was used for analyses.