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Falls with injury

CBE ID
0202
1.5 Project
Endorsement Status
1.0 New or Maintenance
1.1 Measure Structure
Previous Endorsement Cycle
Is Under Review
No
1.6 Measure Description

All documented patient falls with an injury level of minor or greater on eligible unit types in a calendar quarter. Reported as Injury falls per 1000 Patient Days.

(Total number of injury falls / Patient days) X 1000

Measure focus is safety.
Target population is adult acute care inpatient and adult rehabilitation patients.

    Measure Specs
      General Information
      1.7 Measure Type
      1.3 Electronic Clinical Quality Measure (eCQM)
      1.8 Level of Analysis
      1.9 Care Setting
      1.14 Numerator

      Total number of patient falls of injury level minor or greater (whether or not assisted by a staff member) by eligible hospital unit during the calendar month X 1000.

      Included Populations:
      • Falls with Fall Injury Level of “minor” or greater, including assisted and repeat falls with an Injury level of minor or greater
      • Patient injury falls occurring while on an eligible reporting unit

      Target population is adult acute care inpatient and adult rehabilitation patients. Eligible unit types include adult critical care, step-down, medical, surgical, medical-surgical combined, adult rehabilitation in-patient.

      1.15 Denominator

      Denominator Statement: Patient days by Type of Unit during the calendar month.

      Included Populations:
      •Inpatients, short stay patients, observation patients, and same day surgery patients who receive care on eligible inpatient units for all or part of a day on the following unit types:

      •Adult critical care, step-down, medical, surgical, medical-surgical combined, and adult rehabilitation inpatient units.

      •Patients of any age on an eligible reporting unit are included in the patient day count.

      Exclusions

      Excluded Populations: Other unit types (e.g., pediatric, psychiatric, obstetrical, etc.)

      Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Patient Safety Fall Cycle 2020
      Initial Endorsement
      Last Updated
      Removal Date
      Steward Organization
      American Nurses Association
      Steward POC email
      Steward Organization Copyright

      Copyright 2011, American Nurses Association. All Rights Reserved.

              Risk Adjustment
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