Cost-effectiveness of Morse Fall Scale assessment in fall prevention care in hospitalized patients.
10.11817/j.issn.1672-7347.2021.200332
- Author:
Xiaofang HUANG
1
,
2
;
Jin YAN
1
,
3
,
4
;
Tubao YANG
5
;
Qifeng YI
1
;
Zhiying SHEN
1
;
Guoli YANG
1
Author Information
1. Department of Nursing, Third Xiangya Hospital, Central South University, Changsha
2. 447520778@qq.com.
3. yanjin0163@
4. com.
5. Xiangya School of Public Health, Central South University, Changsha 410078, China.
- Publication Type:Journal Article
- Keywords:
Morse Fall Scale;
cost effectiveness;
hospitalized patient;
incidence of fall
- MeSH:
Adult;
Cost-Benefit Analysis;
Female;
Humans;
Incidence;
Inpatients;
Male;
Risk Assessment
- From:
Journal of Central South University(Medical Sciences)
2021;46(5):529-535
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:To analyze the cost-effectiveness of the Morse Fall Scale by clinical big data for nurses in the prevention of falls in hospitalized patients.
METHODS:A total of 59 358 hospitalized patients, who came from the Third Xiangya Hospital of Central South University in 1 year before nurses were trained by the Morse Fall Scale, served as a control, including 26 862 males and 32 496 females. While the 66 203 hospitalized patients served as an observation group in 1 year after nurses were trained by the Morse Fall Scale, including 29 881 males and 36 322 females. The time spent by clinical nurses in the fall-risk assessment and the fall number were recorded in the 2 groups, and the relationship was analyzed between the Morse Fall Scale assessment and the clinical ending along with the labor cost of nursing. The cost-effectiveness was analyzed. In addition, the incidence of fall in the observation group was compared between the falling high-risk patients and the non-high-risk patients.
RESULTS:The Morse Fall Scale showed that the incidences of fall in the observation group and the control group were 3.39/100 000 and 3.82/100 000,respectively, there was no significant difference between the 2 groups (
CONCLUSIONS:The evaluation of the Morse Fall Scale has a certain effect, but it is limited in the prevention of falls in adult hospitalized patients, and the cost-effectiveness analysis is not good. It is recommended to implement the intervention measures for high-risk patients after the assessment, which may improve the management level and efficiency of fall prevention.
