
<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:title>Decision tree helps standardize reporting of falls event types</dc:title>
  <dc:title>Pennsylvania patient safety advisory</dc:title>
  <dc:creator>Gardner, Lea Anne, author.</dc:creator>
  <dc:creator>Burns, Laurie M., author.</dc:creator>
  <dc:subject>Accidental Falls -- statistics &amp; numerical data</dc:subject>
  <dc:subject>Data Collection -- standards</dc:subject>
  <dc:subject>Decision Support Techniques</dc:subject>
  <dc:description>Toileting-related falls are estimated to account for approximately 50% of inpatient falls; however, in Pennsylvania, in 2012, only 12.8% of reported falls were toileting-related. Falls event reporting through the Pennsylvania Patient Safety Reporting System (PA-PSRS) requires entry of a single falls event category selected from a list of 13 choices. Pennsylvania Patient Safety Authority analysts noted variations in event type reporting: 22.8% of found-on-floor falls event reports and 11.3% of other/unknown (i.e., unspecified) category event reports were determined to be toileting-related falls. To standardize and improve the reliability and validity of reporting the type of patient fall, a PA-PSRS falls event type decision tree was developed and released in 2012 in collaboration with the PA-PSRS falls reporting program. A two-year analysis of hospital Serious Event falls reports submitted by hospitals enrolled in the PA-PSRS falls reporting program before and after release of the decision tree revealed a 5.7% increase in reports of toileting-related falls. This increase may signal that the specificity of falls event reporting can be improved through the use of the decision tree.</dc:description>
  <dc:publisher>[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2014</dc:publisher>
  <dc:contributor>Pennsylvania. Patient Safety Authority, issuing body.</dc:contributor>
  <dc:contributor>ECRI (Organization), issuing body.</dc:contributor>
  <dc:contributor>Institute for Safe Medication Practices, issuing body.</dc:contributor>
  <dc:type>Technical Report</dc:type>
  <dc:format>Text</dc:format>
  <dc:format>Illustrations</dc:format>
  <dc:format>1 online resource (1 PDF file (pages 156-162))</dc:format>
  <dc:identifier>nlm:nlmuid-101648355-pdf</dc:identifier>
  <dc:identifier>101648355</dc:identifier>
  <dc:identifier>http://resource.nlm.nih.gov/101648355</dc:identifier>
  <dc:language>English</dc:language>
  <dc:coverage>Pennsylvania</dc:coverage>
  <dc:coverage>United States</dc:coverage>
  <dc:rights>Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. https://creativecommons.org/licenses/by-nc-nd/3.0</dc:rights>
</oai_dc:dc>
