Development of Fall Risk Assessment Tool to Identify Injurious Falls

• Project/Area Number: 22659099
• Research Category: Grant-in-Aid for Challenging Exploratory Research
• Allocation Type: Single-year Grants
• Research Field: Medical sociology
• Research Institution: Niigata University
• Principal Investigator: TOYABE Shin-ichi 新潟大学, 危機管理本部危機管理室, 教授 (20227648)
• Project Period (FY): 2010 – 2012
• Project Status: Completed (Fiscal Year 2012)
• Budget Amount: ¥2,990,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥390,000); Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2011: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000); Fiscal Year 2010: ¥1,300,000 (Direct Cost: ¥1,300,000)
• Keywords: 転倒・転落 / 骨折 / リスク因子 / 頭蓋内出血 / リスクアセスメント / FRAX

Research Abstract

Falls are the most popular adverse events occurred in a hospital. The aim of this study is to establish a risk assessment tool for injurious falls. The retrospective study of inpatients revealed that the most frequent major injuries were fount to be bone fractures and intracranial hemorrhages. Among various risk factors, risk scores for falls and bone fractures were most closely associated with both bone fractures and intracranial hemorrhages. Risk assessment system established by integration of risk assessment scores for both fall and fracture could detect injurious falls in a reproducible fashion.

Research Products

• [Journal Article] Detecting inpatient falls by using natural language processing of electronic medical records (2012)
  • Author(s): 鳥谷部真一
  • Journal Title: BMC Health Services Research Volume: 12 Pages: 448-448
  • Peer Reviewed
• [Journal Article] Use of risk assessment tool for inpatient traumatic intracranial hemorrhage after falls in acute care hospital setting (2012)
  • Author(s): 鳥谷部真一
  • Journal Title: Global Journal of Health Science Volume: 4 Pages: 64-71
  • Peer Reviewed
• [Journal Article] WorldHealthOrganization fracture risk assessment tool in the assessment of fractures after falls in hospital (2012)
  • Author(s): 鳥谷部真一
  • Journal Title: BMC Health Services Research Volume: 10 Pages: 106-106
• [Journal Article] 診療録に記載されたが、インシデントレポートで報告されなかった転倒事例の特徴 (2012)
  • Author(s): 鳥谷部真一、田代美佐子、五十嵐実花子
  • Journal Title: 医療の質・安全学会誌 Volume: 7 Pages: 303-308
  • NAID: 40019497650
• [Journal Article] Detecting inpatient falls by using natural language processing of electronic medical records (2012)
  • Author(s): Toyabe S
  • Journal Title: BMC Health Services Research Volume: 12 Issue: 1 Pages: 448-455
  • DOI: 10.1186/1472-6963-12-448
  • Peer Reviewed
• [Journal Article] 診療録に記載されたが，インシデントレポートで報告されなかった転倒事例の特徴． (2012)
  • Author(s): 鳥谷部真一，田代美佐子，五十嵐実花子（鳥谷部真一）
  • Journal Title: 医療の質・安全学会誌 Volume: 7
  • NAID: 40019497650
  • Peer Reviewed
• [Journal Article] Use of risk assessment tool for inpatient traumatic intracranial hemorrhage after falls in acute care hospital setting (2012)
  • Author(s): Toyabe, S
  • Journal Title: Global Journal of Health Science Volume: 4(In press)
  • Peer Reviewed
• [Journal Article] World Health Organization fracture risk assessment tool in the assessment of fractures after falls in hospital (2010)
  • Author(s): Toyabe S
  • Journal Title: BMC Health Serv Res Volume: 10
  • Peer Reviewed
• [Presentation] Detecting inpatient falls by using natural language processing of electronic medical records (invited speaker) (2013)
  • Author(s): 鳥谷部真一
  • Organizer: German-Japanese medical information symposium
  • Place of Presentation: 千葉
  • Year and Date: 2013-03-22
• [Presentation] Detecting inpatient falls by using natural language processing of electronic medical records (2013)
  • Author(s): Toyabe S
  • Organizer: German-Japanese medical information symposium
  • Place of Presentation: 千葉
  • Invited
• [Presentation] 重大外傷をアウトカムとした転倒転落リスクアセスメントツールの開発 (2012)
  • Author(s): 鳥谷部真一
  • Organizer: 第32回日本医療情報学連合大会
  • Place of Presentation: 新潟
  • Year and Date: 2012-11-17
• [Presentation] テキストマイニングを用いた電子カルテからのインシデント情報検出 (2012)
  • Author(s): 鳥谷部真一
  • Organizer: 第16回日本医療情報学会春季学術大会
  • Place of Presentation: 函館
  • Year and Date: 2012-06-01
• [Presentation] 頭蓋内出血を伴う転倒イベントのリスク評価 (2011)
  • Author(s): 鳥谷部真一
  • Organizer: 第5回医療の質・安全学会学術集会
  • Place of Presentation: 千葉市
  • Year and Date: 2011-11-27
• [Presentation] テキストマイニングを用いた電子カルテからのインシデント情報検出 (2011)
  • Author(s): 鳥谷部真一
  • Organizer: 第31回医療情報学連合大会
  • Place of Presentation: 鹿児島
  • Year and Date: 2011-11-21
• [Presentation] インシデントレポートで報告されない転倒事例の特徴 (2011)
  • Author(s): 鳥谷部真一
  • Organizer: 第6回医療の質・安全学会
  • Place of Presentation: 東京
  • Year and Date: 2011-11-20
• [Presentation] 頭蓋内出血を伴う転倒イベントのリスク評価 (2010)
  • Author(s): 鳥谷部真一
  • Organizer: 第5回医療の質・安全学会
  • Place of Presentation: 千葉
  • Year and Date: 2010-11-27