Other Screening Tools Continued
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Promising tools that need ED validation
STRATIFY
- 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”
Abbreviations
ED, emergency department.