Divesting from a Scored Hospital Fall Risk Assessment Tool (FRAT): A Cluster Randomized Non-Inferiority Trial.

ABSTRACT:

Background/objectives

We investigated the impact of ceasing routine falls risk assessment tool (FRAT) completion and instead used clinical reasoning to select fall mitigation strategies.

Design

Two-group, multi-site cluster-randomized active-control non-inferiority trial.

Setting

Hospital wards.

Participants

Adult inpatients admitted to participating hospitals (n = 10 hospitals, 123,176 bed days).

Intervention

Hospitals were randomly assigned (1:1) to a usual care control group that continued to use a historical FRAT to assign falls risk scores and accompanying mitigation strategies, or an experimental group whereby clinicians did not assign risk scores and instead used clinical reasoning to select fall mitigation strategies using a decision support list

SUBMITTER: Morris ME 

PROVIDER: S-EPMC8518986 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature