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Preventing Patient Falls Establishing a Fall Intervention Program

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ISBN-10: 0826103898

ISBN-13: 9780826103895

Edition: 2nd 2009

Authors: Janice M. Morse

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A highly updated and revised edition, this book combines a practical, how-to approach with a research context. It describes the process for developing and maintaining a fall prevention program in institutions and outlines the Morse Fall Scale and information for understanding how the scale works.
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Book details

Edition: 2nd
Copyright year: 2009
Publisher: Springer Publishing Company, Incorporated
Binding: Paperback
Pages: 192
Size: 6.00" wide x 8.75" long x 0.50" tall
Weight: 0.594

Janice M. Morse, PhD (Nurs), PhD (Anthro), FAAN is a professor and Presidential Endowed Chair at the University of Utah College of Nursing, and Professor Emeritus, University of Alberta, Canada., from 1991-1996, she also held a position as professor at The Pennsylvania State University. From 1997-2007, she was the founding Director and Scientific Director of the International Institute for Qualitative Methodology, University of Alberta, founding editor for the International Journal of Qualitative Methods, and Editor of the Qual Press monograph series. She remains the founding editor for Qualitative Health Research, (now in Volume 2, Sage1), is currently editor for the monograph series…    

Preface
Acknowledgments
Preventing Patient Falls
Creating a Fall Intervention Program: An Overview
The Problem of Patient Falls
Identifying Types of Falls
Collecting Baseline Data
Planning a Fall Intervention Program
Institutional Coordination for Fall Prevention
Creating a Safe Environment: Preventing Accidental Falls
Ensuring a Safe Environment
The Walkthrough
Structural Features as a Threat to Patient Safety
Conducting Equipment Safety Checks
Patient Safety Care Practices
Monitoring Falls in the Institution
Recording Fall Rates
The Injury Rate
Classifying Injuries
Common Errors in Reporting
Establishing Baseline Data
Institutional Monitoring
Predicting Physiological Anticipated Falls
Assessing Fall Risk: Patient Assessment
The Morse Fall Scale
Scoring the Morse Fall Scale
Determining Level of Risk
Using the MFS
Preparing to Implement a Fall Prevention Program
The Interdisciplinary Consultation Team
Pediatric Falls
Intervention: Fall Prevention and Protection
Routine Fall Intervention Strategies
Unanticipated Physiological Falls
Physiological Anticipated Falls
Interventions as Prevention Strategies and Protection Strategies
Monitoring Individuals Who Fall: Identifying Patterns
The Fall
Conducting a Fall Assessment
Components of a Fall Assessment
Evaluating the Effectiveness of the Program
How Do You Know If Your Fall Program Is Working?
How Do You Know If the Morse Fall Scale (MFS) Is Working In Your Setting?
Does the MFS Have Norms?
Benchmarking
Appendices: Researching Patient Falls
Development of the Morse Fall Scale
The Establishment of a Database
Identifying Significant Variables
Obtaining Scale Weights for Each Item
Determining the Level of Risk
Computer Testing of the Scale
Estimation of Reliability
Establishment of Validity
The Morse Fall Scale: Determining Level of Risk
Calculating Risk
Valuing the Cost of an Incorrect Decision
A Comparison of Methods for Calculating Fall Rates
Patient Fall Rates
The Number of Patients at Risk
The Number of Patients Who Fell
The Number of Falls per Bed
The Probability of Falling
Prospective Testing of the Morse Fall Scale
Method
Results
Discussion
Problems in Evaluating Fall Risk Scales
Methods of Scale Development
Models Used to Evaluate Fall Risk Scales
Inappropriate Design Used for Clinical Testing
Errors in Evaluation
Invalid Design of Clinical Testing
Clinical Errors When Using the Scale
Discussion: So What? What Is at Risk?
Translations of the Morse Fall Scale
Danish Version
Spanish Version
German Version
French Version
Japanese Version
Korean Version
Mandarin Version
Filipino Version
Persian Version
Index