Retrospective Case Review Abstract

RetrospectiveCase Review


Thepaper explores reflective case review of adult inpatient falls. Itdefines the scope of the problem, risk factors, and potentialinterventions. Keywords: inpatients, accidental falls, adults, review

Adultinpatients in acute settings such as acute care hospitals, emergencyor geriatric departments do face a high risk of falls.The Causes offalls are intricate and given their avertable nature, a scrutiny ofthis issue has followed owing to associated damage due to the fallincreased hospital charges and longer length of stay. Research oncase reviews indicated that in between 2% and 12% of inpatientadmissions, the falls had been found to cause harm to up to 40% ofthe patient.


Aliterature research using Pub Med database brought up articlesconcerning inpatient falls and prevention programs. The keywordscombination (MESH) used terms such as adults, in patients, accidentalfalls, and review in the study and an analysis of all abstractsexcluded articles on the subject of falls in children and outpatientsettings

CaseReview Summary

Thecase study used three fall risk apparatus to recognize patients riskof falling that is the Hendrich Fall Risk Model( HFRM), The MorseFall Scale (MFS) and St Thomas Assessment Tool in Falling ElderlyInpatients(STRATIFY)[CITATION Sim13 l 1033 ].Themescommon to the three tools to indicate increased risk of inpatientfall encompassed, assessment for preceding falls, the presence ofmental distress, misperception, the inevitability for frequenttoileting and altered bearing and movement[CITATION Sim13 l 1033 ].The general population studied and cited as high-risk falls were theolder adult above age 65. Medications such asleep aids,antihypertensive, and anticonvulsants are mentioned as a high-riskdrug that causes falling. Another additional risk factor to fallingis the inability of patients to execute daily activitiesself-reliably.


Finally,the case review identifies several interventions that will helpprevent falls. It proposes a tactful demonstration of the high-riskfactors for falls, patient, and staff education, exercise to thepatients, safety while walking, the guidance of the patient onmedication use and toileting [CITATION Sim13 l 1033 ].


Simpson, J. R. (2013). Inpatient falls: defining the problem and identifying possible solutions. Part I: an evidence-based review.The Neurohopitalist 3.3 (2013): 135-43.