Effectiveness of an Automated Falls-Risk Screening and Referral Tool in the Emergency Department (ED)

Conditions

• Falls-Risk

Eligibility Criteria

Sex

ALL

Age

65 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Falls-Risk Clinical Decision Support (CDS) Tool — OTHER
  CDS in the Electronic Health Record (EHR) to screen patients at high-risk for future falls enabling referrals to the UW Health Mobility and Falls clinic.

Study Details

The purpose of this retrospective cohort study is to evaluate the effectiveness of an EHR-based clinical decision support system (CDS) for automatically screening older adult ED patients for risk of future falls and providing ED clinicians opportunity to place referrals orders to the UW Health Mobility and Falls Clinic for those at highest risk prior to discharge. This CDS tool has already been implemented at the UW Hospital ED, and as a QI initiative will be implemented in a staged process at two other UW Health-affiliated emergency departments (The American Center and Swedish American Hospital).

Key Dates

Start date

Feb 22, 2022

Status verified

Feb 2026

Primary completion

Aug 31, 2026

Completion

Aug 31, 2026

Study Design

Enrollment

30,000 participants (estimated)

Arms

• Arm: Discharged ED Patients prior to Intervention
  Patients aged 65 and older who are in the emergency department and subsequently discharged (not admitted)
• Arm: Discharged ED Patients after Intervention
  Patients aged 65 and older who are in the emergency department and subsequently discharged (not admitted)

Primary Outcome Measure

Number of Falls and Fall-Related Injuries [ Time Frame: during the period 12 months prior to ED visit to 6 months post ED visit (18 month period) ]

Central Contacts

• Dann Hekman, MS
  (608) 265-3178
  [email protected]

Locations (3)

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