| ARCHETYPE ID | openEHR-EHR-OBSERVATION.stratify_no.v1 |
|---|---|
| Concept | STRATIFY Falls Risk Assessment Tool |
| Description | Assessment tool for identifying falls risk in elderly patients admitted to hospital or other 24h healthcare institutions. This version of the tool is based on a modified Norwegian translation, which has been deployed by the The Norwegian Patient Safety Programme. |
| Use | To be used for risk assessment of all patients over the age of 65 and other adults with neurological or cognitive conditions or significant visual impairment, within 24h of being admitted to a healtchare institution. The dataelements 'Transfer' and 'Mobility' under the cluster 'Transfer + Mobility' was in the original STRATIFY collected from the Barthel ADL Index. As STRATIFY and Barthel has diverged, is this archetype made independent of the Barthel archetype. The final score can either be calculated manually (entered by the clinician) or automatically (automatic calculation based on the values recorded). |
| Purpose | For screening for falls risk in patients over 65 years of age, and other adults with neurological or cognitive conditions or significant visual impairment. |
| References | Oliver D, Britton M, Seed P, Martin FC , Hopper A H. Development and evaluation of evidence based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall: case-control and cohort studies. BMJ 1997;315:1049 Sekretariatet for nasjonalt pasientsikkerhetsprogram, Helsedirektoratet. Forebygging av fall i helseinstitusjoner [Internett]; [sitert 17.06.2015]. Tilgjengelig fra: http://www.pasientsikkerhetsprogrammet.no/no/I+trygge+hender/Innsatsomr%C3%A5der/Forebygging+av+fall+i+helseinstitusjoner.453.cms |
| Copyright | © Nasjonal IKT HF |
| Authors | Author name: Micaela Thierley Organisation: Helse Bergen HF, Seksjon for e-helse Email: micaela.thierley@helse-bergen.no Date originally authored: 2014-07-04 |
| Other Details Language | Author name: Micaela Thierley Organisation: Helse Bergen HF, Seksjon for e-helse Email: micaela.thierley@helse-bergen.no Date originally authored: 2014-07-04 |
| Other Details (Language Independent) |
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| Keywords | risk, fall, balance |
| Lifecycle | published |
| UID | 3c48f220-460b-4aa4-9f91-7ac0beb0e3f8 |
| Language used | en |
| Citeable Identifier | 1246.145.2845 |
| Revision Number | 1.0.1 |
| data | |
| Falls during the last three months | Falls during the last three months: Has the patient fallen during the last 3 months? Score 0 for False/no, Score 1 for True/yes. 0: No [The patient hasn't had any falls during the last 3 months.] 1: Yes [The patient has had falls during the last 3 months.] |
| Visual impairments | Visual impairments: Is the patient visually impaired to the extent that everyday function is affected? Score 0 for False/no, Score 1 for True/yes. 0: No [The patient doesn't have significant visual impairments.] 1: Yes [The patient has significant visual impairments.] |
| Agitation | Agitation: Does the patient show agitated, desoriented or confused behaviour? Score 0 for False/no, Score 1 for True/yes. 0: No [The patient doesn't show agitated behaviour.] 1: Yes [The patient shows agitated behaviour.] |
| Frequent toileting | Frequent toileting: Do you think the patient is in need of especially frequent toileting? Score 0 for False/no, Score 1 for True/yes. 0: No [The patient isn't in need of frequent toileting.] 1: Yes [The patient is in need of frequent toileting.] |
| Transfer + Mobility | Transfer + Mobility: The sum of the scores from the elements 'Transfer' and 'Mobility' are used in 'Points', which is then used in the 'Total score'. |
| Transfer | Transfer: Describe the patient's level of independence in transfer from bed to a chair. 0: Unable to move [**(nb)(nb)] 1: Needs major help [**(nb)(nb)] 2: Needs minor help [**(nb)(nb)] 3: Independent with or without aids [**(nb)(nb)] |
| Mobility | Mobility: Describe the patient's level of independent mobility. 0: Immobile [**(nb)(nb)] 1: Independent in a wheelchair [**(nb)(nb)] 2: Uses a walking aid or walks with help of one person [**(nb)(nb)] 3: Independent [**(nb)(nb)] |
| Points | Points: The points from "Transfer" and "Mobility" are added together. If the sum is 0-2 or 5-6, 0 points are given. If the sum is 3-4, 1 point is given. min: >=0; max: <=1 |
| Total score | Total score: Sum of the scores from all the elements. 0 = low risk, 1 = moderate risk, >2 = high risk. min: >=0; max: <=5 |
| events | |
| Any event | Any event: Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time. |
| Other contributors | Anne Pauline Anderssen, Helse Nord RHF, Norway Vebjørn Arntzen, Oslo universitetssykehus HF, Norway Silje Ljosland Bakke, Nasjonal IKT HF, Norway (Nasjonal IKT redaktør) Lars Bitsch-Larsen, Haukeland University Hospital, Bergen, Norway Lisbeth Dahlhaug, Helse Midt - Norge IT, Norway Kåre Flø, DIPS ASA, Norway Einar Fosse, UNN HF, Norwegian Centre for Integrated Care and Telemedicine, Norway Bente Gjelsvik, Helse Bergen, Norway Nina Hauge, Helse Fonna, Norway Ingrid Heitmann, Oslo universitetssykehus HF, Norway Erling Are Hole, Helse Bergen, Norway Lars Morgan Karlsen, DIPS ASA, Norway Sabine Leh, Helse-Bergen, Norway Heather Leslie, Ocean Informatics, Australia Siv Marie Lien, DIPS ASA, Norway Hallvard Lærum, Oslo Universitetssykehus HF, Norway Lars Ivar Mehlum, Helse Bergen HF, Norway Hugo Nilssen, UNN HF K3K/Tromsø, Norway Bjørn Næss, DIPS ASA, Norway Rune Pedersen, Universitetssykehuset i Nord Norge, Norway Micaela Thierley, Helse Bergen, Norway John Tore Valand, Haukeland Universitetssjukehus, Norway (Nasjonal IKT redaktør) |
| Translators |