STRATIFY Fall Risk Assessment Tool: Predicting Falls
The STRATIFY tool helps nurses identify older hospital patients at risk of falling. It assesses five key factors to predict falls and guide safety plans, ensuring better protection for the elderly.

STRATIFY Fall Risk Assessment Tool
Standing for St Thomas's Risk Assessment Tool in Falling Elderly Inpatients, STRATIFY identifies fall risks in hospitals. It scores five factors, such as agitation and mobility, to predict probability. This helps nurses apply targeted prevention plans, improving patient safety across aged care wards.
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Disease
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What is STRATIFY Fall Risk Assessment Tool
The STRATIFY Fall Risk Assessment Tool is a widely used method for identifying elderly patients likely to fall in hospitals. It helps staff plan care. Developed at St Thomas' Hospital, this simple scale focuses on five specific clinical factors that predict falls. It moves away from complex checklists to look at key indicators. Clinicians assess if a patient has fallen recently, suffers from agitation, or has visual impairments. It also checks if the person needs frequent toileting assistance and evaluates their mobility transfer ability. Each 'yes' adds a point to the total score. Nurses can complete this assessment quickly during admission or when a patient's condition changes. A score of two or higher usually flags a high risk, prompting the team to start preventative measures immediately. It is a practical choice for busy wards needing reliable results without hassle.
The STRATIFY Fall Risk Assessment Tool can be scored using one simple approach based on five clinical risk factors. You will look at areas like past falls, agitation, visual impairment, frequent toileting, and mobility transfer ability. For each risk factor present, you just give a score of 1. If the factor is not there, it is a 0. Add these up for a total between 0 and 5. Generally, a total score of 2 or more suggests the patient is at high risk of falling. It is a quick way for nurses to spot who needs extra help on the ward without getting bogged down in complex maths.
Advantages
Quick completion with minimal burden.
Develops personalised strategies based on assessment data.
Simple to understand and complete for patients.
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