United States Health Information Knowledgebase

 

Fall


Form ID: F6
Form Name: Fall
Version: 1.1
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. 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. Narrative detail can be captured on the Healthcare Event Reporting Form (HERF).
Comments: None defined at this time
Description Of Change: Not applicable for this release
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 1.1 03/31/2010 - -
DE195 Fall observed 2 1.1 03/31/2010 - -
DE198 Who observed the fall 3 1.1 03/31/2010 - -
DE201 Injury as result of fall 4 1.1 03/31/2010 - -
DE204 Type of injury as result of fall 5 1.1 03/31/2010 - -
DE207 Patient activity prior to fall 6 1.1 03/31/2010 - -
DE210 Risk assessment prior to fall 7 1.1 03/31/2010 - -
DE213 At risk for fall 8 1.1 03/31/2010 - -
DE216 Intervention(s) used to prevent fall 9 1.1 03/31/2010 - -
DE219 On medication known to increase fall risk 10 1.1 03/31/2010 - -
DE222 Medication contributed to fall 11 1.1 03/31/2010 - -
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: 03/31/2010
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: John C. Moquin
Data Steward: Agency for Healthcare Research and Quality
References: No specific reference at this time
Administrative Status: Final
Administrative Status Date: 03/31/2010
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