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The Morse Fall Scale (MFS) is a rapid and simple method of assessing a patient’s likelihood of falling. [1] A large majority of nurses (82.9%) rate the scale as “quick and easy to use,” and 54% estimated that it took less than 3 minutes to rate a patient.
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Glasgow coma scale; Morse Fall Assessment An assessment tool to determine and quantify persons as low, mid, and high risk for falls. Pressure Ulcer Staging Guide, from the Wound Care Institute; National Pressure Ulcer Advisory Panel; Audio recordings of Korotkoff sounds. CETL, Clinical and Communication Skills, Barts and City University of London.
Gait Abnormality Rating Scale (GARS) [1] is a videotape-based analysis of 16 facets of human gait. It has been evaluated as a screening tool to identify patients at risk for injury from falls. [2] and has been used in remote gait evaluation. [3] A modified version was published in 1996. [4]
FOUR score - 17-point scale for the assessment of level of consciousness. Aims to have higher sensitivity and specificity then GCS, applicable in intubated patients. CMM - Cancer Mortality Model [1] specific score to predict outcome of critical cancer patients; MPM - Mortality Probability Model [1] [2] model to assess risk of death at ICU admission
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Insufficient evidence exists that any fall risk screening instrument is adequate for predicting falls. [4] While the strongest predictors of fall risk tend to include a history of falls during the past year, gait, and balance abnormalities, [5] existing models show a strong bias and therefore mostly fail to differentiate between adults that are at low risk and high risk of falling.
Risk is the lack of certainty about the outcome of making a particular choice. Statistically, the level of downside risk can be calculated as the product of the probability that harm occurs (e.g., that an accident happens) multiplied by the severity of that harm (i.e., the average amount of harm or more conservatively the maximum credible amount of harm).