@article{oai:u-ryukyu.repo.nii.ac.jp:02016898,
 author = {Higaonna, Miki and Odo, Sumie and Kajiki, Yorie and Iramina, Mika},
 issue = {1-4},
 journal = {琉球医学会誌 = Ryukyu Medical Journal},
 note = {Falls remain a significant concern for the safety of hospitalized patients internationally. We developed a short form of the modified Japanese Nursing Association’s fall-risk assessment tool to assess inpatients’ fall risks. We conducted a retrospective cohort study to evaluate the predictive validity of two brief versions of a fall-risk assessment tool in 7-, 14-, 21-, and 28-day observation periods. The study was conducted at a Japanese university hospital. Among 11,333 patients (median age: 61years, 51.3% women), 123 patients fell within 28 days of admission. Neither the modified Japanese Nursing Association’s fall-risk assessment tool nor the short-form version 1 achieved sensitivity and specificity of＞.70; therefore, we developed a 2ndversion by eliminating two items (i.e., bone/joint problems and laxatives) and adding two items (i.e., impaired extremities and decreased strength). The second version exhibited good predictive validity used as a brief assessment of fall risks: sensitivity＝.76,specificity＝.78, positive likelihood ratio＝3.47, negative likelihood ratio＝.30, and the area under the receiver operating characteristics curve of .83 in a 7-day observation sample. We recommend that the study hospital implements the short-form (version 2) with careful monitoring of patients’ fall rate and collects feedback from clinical nurses., 論文},
 pages = {29--39},
 title = {A short form of the modified Japanese Nursing Associationʼs fall-risk assessment tool},
 volume = {37}
}