RN Education on the Morse Fall Scale
Jacqueline Williams, RN; BSN, MM/HRM, MSN(c)
Problem Statement Practice Innovation Evaluation Method Conclusions
Inpatient falls continue to be a major problem and account for Setting: Community hospital Evidence based education on the
Design: A quantitative,
up to 70% of accidents in the inpatient setting. in southern California with 700 Morse Fall Scale increased RN
evidence based 15 item pre
acute care beds. knowledge and scoring accuracy.
Falls result in increased lengths of stay, increased costs, and posttest questionnaire
poor quality of life, early admission to long term care Target Participants: A design.
facilities, and serious emotional and physical injuries. convenience sample of 44 staff Retrospective chart audits
RNs on 3 acute care floors. were also utilized pre and post
In 2005, inadequate patient assessment was identified as the Final sample of 27 RNs. intervention to measure Implications for
root cause in >70% of patient falls in the inpatient setting.
Changes in regulations regarding reimbursement for hospital
Intervention: 10 minute changes in scoring accuracy. Clinical Practice
evidence based educational Analysis: Descriptive
acquired conditions such as fall related injuries means Regular education on fall risk
inservice on the MFS to statistics were used to measure
increased costs for organizations. assessment tools used by staff RNs is
increase RN knowledge and for changes in knowledge and
PICO Question: Does providing evidence based (EB) accuracy in scoring of the MFS. scoring accuracy. needed to reinforce knowledge and
education on the Morse Fall Scale (MFS) to RNs in acute increase scoring accuracy.
care settings increase knowledge and accuracy in scoring of Accurate fall risk assessment leads to
the Morse Fall Scale? earlier identification of at risk patients.
Results When accurate fall risk assessment is
linked with the appropriate interventions,
many falls can be prevented in at risk
Evidence (n = 27) populations.
Accurate fall risk assessment is the first step in fall 100 88
85.1 Provide MFS education during nursing
% of correct scores
and/or unit orientations, annually, and
78% of all falls are anticipated physiological falls and are
Mental Status when practice problems are identified.
therefore preventable. 0 Conduct monthly chart audits and
Pretest Posttest tracers to monitor practice.
The MFS is a reliable & valid tool which can identify 80% of
patients likely to fall when used correctly.
National Patient Safety Goal 9 requires the implementation Scoring Accuracy
of a fall reduction program to include staff education on Chart Reviews (N = 49)
patient fall risks, risk reduction strategies, and interventions 40
to reduce patient fall risks.
. Secondary D x
QuickTime™ an d a
20 decompres sor
Knowles Adult Learning Theory asserts that adult learners 12 2
ar e need ed to s ee this p icture .
10 8.1 8.1
H istory of Falls
are autonomous and self-directed. Therefore, educational 4 4
programs need to be relevant, goal-oriented, practical, and Pre Post
draw on the participant’s life experiences and knowledge.
Acknowledgement and thanks to Rhonda Amber, RN; MSN, CNS