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Evaluation of falls by inpatients in an acute care hospital in Korea using the Morse Fall Scale
Authors:Yung Hee Sung PhD RN  Myung Sook Cho PhD RN  In Gak Kwon PhD RN  Yoen Yi Jung PhD RN  Mi Ra Song MSN RN  Kyunghee Kim PhD RN  Sungho Won PhD
Affiliation:1. Graduate School of Clinical Nursing Science, Sungkyunkwan University School of Medicine, , Seoul, Korea;2. Research Institute of Clinical Nursing Science, Samsung Medical Center, , Seoul, Korea;3. Nursing Professional Development, Samsung Medical Center, , Seoul, Korea;4. College of Nursing, Chung‐Ang University, , Seoul, Korea;5. Department of Applied Statistics, The Research Center for Data Science, Chung‐Ang University, , Seoul, Korea
Abstract:The purpose of this study was to determine the cut‐off values of the Korean version of the Morse Fall Scale (MFS‐K) that would be most useful in identifying hospitalized patients at risk of falls in an acute‐care setting in Korea. This study was conducted using the medical records of 66 patients who fell and 100 patients who did not fall (no‐fall patients) sampled from inpatients hospitalized at a tertiary acute‐care hospital in Seoul during the period from 1 January to 30 November 2009. The optimal cut‐off point for the MFS‐K was found to be 45 points, which produced an acceptable sensitivity and a fairly good specificity, negative predictive value and accuracy. The highest peak on the receiver operating characteristic curve was a cut‐off score of 45 points in the MFS‐K. Further research needs to be performed to determine the optimal cut‐off score according to subjects' conditions through daily measurement with the MFS in medical or surgical patients who are relatively homogeneous in terms of individual and disease‐related factors.
Keywords:accidental  falls  inpatients  instruments
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