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NURS FPX 6414 Assessment 1 Conference Poster Presentation

NURS FPX 6414 Assessment 1 Conference Poster Presentation

Student Name

Capella University

NURS-FPX 6414 Advancing Health Care Through Data Mining

Prof. Name



Healthcare professionals aim to improve patient outcomes by prioritizing and maintaining patient safety, particularly concerning falls, which are the leading cause of unintentional mortality among individuals aged 65 and older in the United States. Approximately 2.8 million elderly individuals seek emergency room treatment annually due to falls. Several factors contribute to this risk, including confusion, mobility limitations, and urgent toileting needs. In hospital settings, between 700,000 and 1 million patients experience falls each year, with an incidence rate ranging from 3.5 to 9.5 falls per 1000 bed days. A study identified 633 individuals at the highest risk of falls due to mental or physical impairments and incontinence. To mitigate this risk, OhioHealth’s informatics team developed the Schmid tool to identify high-risk individuals and implement preventive measures. This study aims to evaluate the Schmid tool’s effectiveness in enhancing patient safety and healthcare outcomes.


Annually, approximately 2.8 million adults seek emergency department care for fall-related injuries, while hospitalized patients face a significant risk of falling, contributing to extended hospital stays and increased healthcare costs. The Schmid tool is utilized to identify high-risk patients by considering mobility, mental status, toileting abilities, history of falls, and medications. Evaluating its effectiveness is crucial for enhancing patient safety and healthcare outcomes.

Analyzing the Use of the Informatics Model

The Schmid fall risk scale categorizes a patient’s fall risk into mobility, cognition, toileting abilities, and medication usage. Mobility includes categories such as mobile, mobile with assistance, unstable, and immobile. Cognition is assessed as alert, occasionally confused, always confused, or unresponsive. Toileting abilities range from completely independent to incontinent, while medication usage is categorized into various medications or none.

Literature Review

In-hospital falls remain a significant concern despite a gradual decline, leading to increased injury and fatality rates and rising healthcare costs. Preventive measures are essential due to Medicare and Medicaid no longer covering fall-related injuries for hospitalization reimbursement. Recent studies highlight the need for social support networks and fall prevention initiatives for older patients, emphasizing the importance of fall prevention strategies.


This study demonstrates a comprehensive approach to reducing hospital falls, observing a significant reduction in fall incidence through the development and utilization of the Schmid tool. Falls remain a leading cause of death in the United States, but employing informatics models for quality improvement shows promise in mitigating this risk.