Clinical Relevance of the Humpty Dumpty Falls Scale in a Pediatric Specialty Hospital.

The Joint Commission requires pediatric hospitals to implement fall prevention programs and evaluate the efficacy of such programs. The Humpty Dumpty Falls Scale (HDFS), a seven-item assessment scale used to document age, gender, diagnosis, cognitive impairments, environmental factors, response to s...

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Publicado en:Pediatric Nursing Vol. 40; no. 3; pp. 137 - 143
Autores principales: Pauley, Barbara J., Houston, L. Susan, Dunlei Cheng, Johnston, Darla M.
Formato: questionnaire/scale research tables/charts Journal Article
Publicado: Jannetti Publications, Inc. May/Jun2014
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May/Jun2014
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        atl: Clinical Relevance of the Humpty Dumpty Falls Scale in a Pediatric Specialty Hospital.
      aug:
        au:
          Pauley, Barbara J.
          Houston, L. Susan
          Dunlei Cheng
          Johnston, Darla M.
        affil: Nurse Educator Specialist, Our Children's House, Dallas, TX
      sug:
        subj:
          Accidental Falls Prevention and Control
          Risk Assessment In Infancy and Childhood
          Accidental Falls Risk Factors
          Clinical Assessment Tools In Infancy and Childhood
          Human
          Hospitals, Pediatric
          Scales
          Sensitivity and Specificity
          Hospitals, Special
          Nonexperimental Studies
          Retrospective Design
          Case Control Studies
          Record Review
          Predictive Value of Tests
          Replication Studies
          Infant
          Child, Preschool
          Child
          Adolescence
          Female
          Male
          Inpatients
          ROC Curve
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Female
          Male
      ab: The Joint Commission requires pediatric hospitals to implement fall prevention programs and evaluate the efficacy of such programs. The Humpty Dumpty Falls Scale (HDFS), a seven-item assessment scale used to document age, gender, diagnosis, cognitive impairments, environmental factors, response to surgery/ sedation, and medication usage, is one of several instruments developed to assess fall risk in pediatric patients. To determine the specificity and sensitivity of the HDFS in predicting falls in children hospitalized for pediatric specialty care, a team at a pediatric specialty hospital conducted a nonexperimental retrospective study that used a matched case-control design and chart review analysis. The discoveries suggest that the HDFS lacks accuracy in pediatric specialty patients. Using the HDFS cut-off score of 12 and above to indicate a high risk for falls in these children yields a high false-positive rate. Investigators and staff at pediatric specialty hospitals need to continue their pursuit of valid instruments and tools that contribute to fall reduction.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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