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dc.contributor.authorWebster, Joan
dc.contributor.authorCourtney, Mary
dc.contributor.authorMarsh, Nicole
dc.contributor.authorGale, Catherine
dc.contributor.authorAbbott, Belynda
dc.contributor.authorMackenzie-Ross, Anita
dc.contributor.authorMcRae, Prue
dc.date.accessioned2017-10-10T12:30:24Z
dc.date.available2017-10-10T12:30:24Z
dc.date.issued2010
dc.date.modified2012-07-24T22:40:12Z
dc.identifier.issn0895-4356
dc.identifier.doi10.1016/j.jclinepi.2009.02.003
dc.identifier.urihttp://hdl.handle.net/10072/35777
dc.description.abstractObjective To compare the effectiveness of the STRATIFY falls tool with nurses' clinical judgments in predicting patient falls. Study Design and Setting A prospective cohort study was conducted among the inpatients of an acute tertiary hospital. Participants were patients over 65 years of age admitted to any hospital unit. Sensitivity, specificity, and positive predictive value (PPV) and negative predictive values (NPV) of the instrument and nurses' clinical judgments in predicting falls were calculated. Results Seven hundred and eighty-eight patients were screened and followed up during the study period. The fall prevalence was 9.2%. Of the 335 patients classified as being "at risk" for falling using the STRATIFY tool, 59 (17.6%) did sustain a fall (sensitivity = 0.82, specificity = 0.61, PPV = 0.18, NPV = 0.97). Nurses judged that 501 patients were at risk of falling and, of these, 60 (12.0%) fell (sensitivity = 0.84, specificity = 0.38, PPV = 0.12, NPV = 0.96). The STRATIFY tool correctly identified significantly more patients as either fallers or nonfallers than the nurses (P = 0.027). Conclusion Considering the poor specificity and high rates of false-positive results for both the STRATIFY tool and nurses' clinical judgments, we conclude that neither of these approaches are useful for screening of falls in acute hospital settings
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent188093 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom109
dc.relation.ispartofpageto113
dc.relation.ispartofissue1
dc.relation.ispartofjournalJournal of Clinical Epidemiology
dc.relation.ispartofvolume63
dc.rights.retentionY
dc.subject.fieldofresearchMathematical sciences
dc.subject.fieldofresearchBiomedical and clinical sciences
dc.subject.fieldofresearchcode49
dc.subject.fieldofresearchcode32
dc.titleThe STRATIFY tool and clinical judgment were poor predictors of falling in an acute hospital setting
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Nursing and Midwifery
gro.rights.copyright© 2010 Elsevier. This is the author-manuscript version of this paper. Reproduced in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version
gro.date.issued2010
gro.hasfulltextFull Text
gro.griffith.authorWebster, Joan
gro.griffith.authorMarsh, Nicole M.


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