Heterogeneity between studies indicates that the Morse Falls Scale and STRATIFY may still be useful in particular setting s , but that widespread adoption of either is unlikely to generate benefits significantly greater than that of nursing staff clinical judgment
INTRODUCTION Fall risk screening tools are frequently used as a part of falls prevention programs in hospitals .
Design -related bias in evaluations of tool predictive accuracy could lead to overoptimistic results , which would then contribute to program failure in practice .
Validation of the Hendrich II Fall Risk Model: a large concurrent case/control study of hospitalized patients.
This large case/control study of fall and non-fall patients , in an acute care tertiary facility , was design ed to concurrently test the Hendrich Fall Risk Model .  Cases and controls ( 355/780 ) were r and omly enrolled and assessed for more than 600 risk factors ( intrinsic/extrinsic ) . St and ardized instruments were used for key physical attributes as well as clinician assessment s. A risk factor model was developed through stepwise logistic regression . Two-way interactions among the risk factors were tested for significance . The best fitting model included 2 Log L chi square statistic as well as sensitivity and specificity values retrospectively . The result of the study is an easy to use vali date d  Hendrich Fall Risk Model  with eight assessment parameters for high-risk fall identification tested in acute care environments
Heterogeneity between studies indicates that the Morse Falls Scale and STRATIFY may still be useful in particular setting s , but that widespread adoption of either is unlikely to generate benefits significantly greater than that of nursing staff clinical judgment
INTRODUCTION Fall risk screening tools are frequently used as a part of falls prevention programs in hospitals .
Design -related bias in evaluations of tool predictive accuracy could lead to overoptimistic results , which would then contribute to program failure in practice .