United States Health Information Knowledgebase

 

Fall


Form ID: F6
Form Name: Fall
Version: 1.2
Form Short Name: Fall
Synonym: Fall
Definition: A fall is a sudden, unintended, uncontrolled, downward displacement of a patient's body to the ground or other object.
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Guide For Use: Use this form to report details of a fall. For purposes of patient safety, a fall is a sudden, unintended, uncontrolled, downward displacement of a patient's body to the ground or other object (e.g., onto a bed, chair, or bedside mat). This definition includes unassisted falls and assisted falls (i.e., when a patient begins to fall and is assisted to the ground by another person). This definition excludes near falls (loss of balance that does not result in a fall) and falls resulting from a purposeful action or violent blow (e.g., a patient pushes another patient). Narrative detail can be captured on the Healthcare Event Reporting Form (HERF).
Comments: None defined at this time
Description Of Change: Not Applicable
Data Element ID Sort Data Element Name Sort Question Number Sort Version Sort Effective Date Sort Until Date Sort
DE192 Unassisted or assisted fall 1 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE195 Fall observed 2 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE198 Who observed the fall 3 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE201 Injury as result of fall 4 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE204 Type of injury as result of fall 5 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE207 Patient activity prior to fall 6 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE210 Risk assessment prior to fall 7 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE213 At risk for fall 8 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE212 Risk factors prior to fall 9 Hospital Version 1.2 04/03/2012 - -
DE216 Intervention(s) used to prevent fall 10 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE219 On medication known to increase fall risk 11 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE222 Medication contributed to fall 12 Hospital Version 1.1, Hospital Version 1.2 03/31/2010 - -
DE220 Physical devices contributing to fall 13 Hospital Version 1.2 04/03/2012 - -
Effective Date: 04/01/2012
Until Date: - -
Update Date: 04/24/2013
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: - -
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: Amy Helwig, MD, MS
Data Steward: Agency for Healthcare Research and Quality
References: Not Applicable
Administrative Status: Final
Administrative Status Date: 01/24/2014
Downloads
PDF
Download as a PDF file.
[Download PDF Reader Exit Disclaimer]
Download as an MS Excel™ spreadsheet.
[Download Excel Reader Exit Disclaimer]
Scroll To Top