Other Screening Tools Continued

Promising tools that need ED validation


  • Did the patient present to the hospital with a fall or has he or she fallen on the ward since admission?
  • Is the patient agitated?
  • Is the patient visually impaired to the extent that everyday function is affected?
  • Is the patient in need of especially frequent toileting?

Hester Davis Fall Risk Scale

Being used as a screening tool in EPIC

Hendrick II

Hendrick II looks at confusion, male sex, altered elimination, benzodiazepines or anti-epileptic drugs given, agitation or confusion with a get up and go test: “rising from a chair”


ED, emergency department.