Abstract：
In-hospital falls are a serious threat to patient security and fall risk assessment (FRA) is important to identify high-risk patients. Although sensor-based FRA (SFRA) can provide objective FRA, its clinical use is very limited and research to identify meaningful SFRA methods is required. This study aimed to investigate whether examples of SFRA methods might be relevant for FRA at an orthopedic clinic. Situations where SFRA might assist FRA were identified in a focus group interview with clinical staff. Thereafter, SFRA methods were identified in a literature review of SFRA methods developed for older adults. These were screened for potential relevance in the previously identified situations. Ten SFRA methods were considered potentially relevant in the identified FRA situations. The ten SFRA methods were presented to staff at the orthopedic clinic, and they provided their views on the SFRA methods by filling out a questionnaire. Clinical staff saw that several SFRA tasks could be clinically relevant and feasible, but also identified time constraints as a major barrier for clinical use of SFRA. The study indicates that SFRA methods developed for community-dwelling older adults may be relevant also for hospital inpatients and that effectiveness and efficiency are important for clinical use of SFRA.
摘要：
院内跌倒严重威胁患者的安全，跌倒风险评估（FRA）对于识别高危患者很重要。尽管基于传感器的FRA（SFRA）可以提供客观的FRA，其临床应用非常有限,需要研究以确定有意义的SFRA方法.这项研究旨在调查SFRA方法的例子是否可能与骨科诊所的FRA相关。在与临床工作人员的焦点小组访谈中，确定了SFRA可能协助FRA的情况。此后,在针对老年人开发的SFRA方法的文献综述中确定了SFRA方法。在先前确定的情况下，对这些进行了潜在的相关性筛选。十种SFRA方法被认为在确定的FRA情况下可能相关。十种SFRA方法已提交给骨科诊所的工作人员，他们通过填写问卷提供了对SFRA方法的看法。临床工作人员发现，一些SFRA任务可能是临床相关的和可行的，但也确定时间限制是SFRA临床使用的主要障碍。研究表明，为社区居住的老年人开发的SFRA方法可能也与医院住院患者相关，并且有效性和效率对于SFRA的临床使用很重要。
