Child Health Nurs Res.  2021 Apr;27(2):137-145. 10.4094/chnr.2021.27.2.137.

An electronic medical record-based fall risk assessment tool for pediatric inpatients in South Korea: Improved sensitivity and specificity

• Kim EJ
• Lim JY
• Kim GM
• Min J

• KMID: 2515419
• DOI: http://doi.org/10.4094/chnr.2021.27.2.137

Abstract

Purpose
To develop a fall risk assessment tool to predict fall risk in pediatric inpatients.
Methods
Three tools widely used in clinical practice (Humpty Dumpty Fall Scale, General Risk Assessment for Pediatric Inpatient Falls, and Seoul National University Hospital Pediatric Fall Risk Scale) were examined, and assessment items were extracted. Employing a case-control design, 29 children who experienced falls during hospital stays were selected as the "fall" group, and a control group (93 children) was selected based on age and sex matching. The sensitivity, specificity, and positive and negative predictive values of the newly developed tool ("Newfs-PI") were analyzed.
Results
The Newfs-PI consisted of seven items: age, activity, history of falls, length of hospital stay, and medication. The total score ranged from 0 to 15. Its sensitivity and specificity were 62.07% and 74.19%, respectively.
Conclusion
The Newfs-PI has high specificity and sensitivity, which are essential for a fall risk assessment tool that complements existing tools. These values are high relative to those of existing assessment tools and satisfy both sensitivity and specificity criteria. As the EMR enables monitoring of the components of the Newfs-PI, the tool can be used as a fall risk assessment and prevention scale for pediatric inpatients.

Keyword

Pediatric hospitals; Inpatients; Falls; Instruments