Fall Database and Reporting Application
Web Form Multiple Audit
Hospital System
A Demo
A Demo LD
Appleton Area Health
Aspirus
Astera Health
Atrium
Atrium ED
Avera
CentraCare
Craig Hospital
Demo System
Edgerton
Emory
First Health
Grady
Henry Ford
Houston Methodist
KP Mid Atlantic
KP SCALHI
KP Washington
LCMC
Mary Greeley
Mercy Southeast
Mosaic Life Care
Overlake Medical Center
Parkland
Riverside Medical Center
Rochester
SIH
SSM Health
Swift County Benson Health Services
UAMS
University of Illinois Chicago
University of Washington
UPenn
UT Southwestern
VCU
Weatherford
WellSpan
White River
Willis Knighton
Hospital Name
Unit Name
Data Type
Inpatient
Maternal
Audit Date
Audit Type
HDS Assessment Scoring Audits
HD Intervention Audits
Program Audit
Was the HDS Score Correct?- Yes Count
Was the HDS Score Correct?- No Count
Fall ID on patient (arm band, yellow gown or yellow socks)- Yes Count
Fall ID on patient (arm band, yellow gown or yellow socks)- No Count
Patient/Family Education Documented- Yes Count
Patient/Family Education Documented- No Count
Protocol (Care Plan) Individualized to HDS Score - Yes Count
Protocol (Care Plan) Individualized to HDS Score - No Count
Correct Fall Sign Outside Room - Yes Count
Correct Fall Sign Outside Room - No Count
Acute Data Type
Mats in place-MODERATE >=2 (Mental Status/Mobility) - Yes Count
Mats in place-MODERATE >=2 (Mental Status/Mobility) - No Count
Mats in place-HIGH - Yes Count
Mats in place-HIGH - No Count
Alarm in place and activated to correct zone -MODERATE >=2 (Mental Status/Mobility) - Yes Count
Alarm in place and activated to correct zone -MODERATE >=2 (Mental Status/Mobility) - No Count
Alarm in place and activated to correct zone- HIGH - Yes Count
Alarm in place and activated to correct zone- HIGH - No Count
Maternal Data Type
Mats in place-MODERATE >=3 (Mental Status) - Yes Count
Mats in place-MODERATE >=3 (Mental Status) - No Count
Mats in place-HIGH - Yes Count
Mats in place-HIGH - No Count
Alarm in place and activated to correct zone -MODERATE >=3 (Mental Status) - Yes Count
Alarm in place and activated to correct zone -MODERATE >=3 (Mental Status) - No Count
Alarm in place and activated to correct zone- HIGH - Yes Count
Alarm in place and activated to correct zone- HIGH - No Count
Scoring Audit
Mobility - Correct Count
Mobility - Incorrect Count
Medications - Correct Count
Medications - Incorrect Count
Mental Status/LOC/Awareness - Correct Count
Mental Status/LOC/Awareness - Incorrect Count
Toileting - Correct Count
Toileting - Incorrect Count
Volume/Electrolyte Status - Correct Count
Volume/Electrolyte Status - Incorrect Count
Communication Sensory - Correct Count
Communication Sensory - Incorrect Count
Behavioral - Correct Count
Behavioral - Incorrect Count
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