Preventing Falls and Fall-related Injuries in Health Care Facilities


Falls with serious injury are consistently listed as one of the Top 10 Sentinel events reported to the Joint Commission Sentinel Event database. While extensive clinical research and evidence-based strategies in fall prevention exist, reducing injurious falls in the hospital environment remains difficult. Several factors contribute to falls such as variation in assessment tools to identify fall risk factors, ineffective communication and handoffs, inadequately individualizing a patient’s plan of care and physical environment.

Literature review shows that close to one-third of falls can be prevented. A high-reliable and sustainable fall prevention program includes:

  • Executive-leadership sponsored interdisciplinary fall reduction committee.
  • An evidence-based comprehensive fall risk assessment tool.
  • Communication and educational plan for all staff.
  • Patient and Family Engagement.
  •  Post Fall Management.

Getting Started

Fall with Injury Prevention Top 10 Best Practices

Organization and Unit Level Gap Analysis Tool

Safety Action Bundle Strategic Planning Tool  

Safety Action Bundle

Hendrich II Fall Risk

Johns Hopkins Evidence-Based Fall Safety Initiative

Johns Hopkins Fall Risk Assessment Tool for Acute Care

Johns Hopkins Fall Risk Assessment Tool for Home Health Care

Morse Fall Assessment User Guide


Post Fall Huddle Tool 

Post Fall Audit Tool


Hester Davis 

Measure Definition

NQF 0202 Measure Definition


For information about the availability of auxiliary aids and services, please visit:


Contact Us

Washington State Hospital Association
999 Third Avenue
Suite 1400
Seattle, WA 98104

Map / Directions

206.281.7211 phone
206.283.6122 fax


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