Answered By: Mary Kaye Hooker
Last Updated: Oct 08, 2018     Views: 127

Definition:   Joint Commission



  • Data for the sentinel related events reported to the Joint Commission


 Dept of Health and Human Services  data from hospitals participating in 

  1. Medicare Hospital Compare Web for Hospital Acquired Conditions measures.

 The actual rates of falls with trauma occurring within the hospital may be found on the Medicare data Web site (use filter to restrict reported measures to "Falls and injuries"):


      2. AHRQ (Agency for Healthcare Research and Quality) has this info packed site:


      3.Learn more about ongoing data collection initiatives:


And in building hospital data reports, it provides this

A run chart like the one above can be created using a template available at no cost after free registration at the Institute for Healthcare Improvement Web site:

The template is a downloadable, easy-to-use spreadsheet that allows you to enter your data. The spreadsheet also includes a tab with tips for interpreting your run chart.



For an overview of how to calculate rates, identify trends, and present data:


Quigley P, Neily J, Watson M, et al. Measuring fall program outcomes. Online J Issues Nurs 2007;12(2). Available at: ANAMarketplace/ANAPeriodicals/OJIN/ TableofContents/Volume122007/No2May07/ArticlePreviousTopic/ MeasuringFallProgramOutcomes.aspx  .


Here are some additional articles for your review:


Rutledge, D., Donaldson, N., & Pravikoff, D. (2003). Update 2003: fall risk assessment and prevention in hospitalized patients. Online Journal of Clinical Innovations, 6(5), 1-55.​


Williams, T., King, G., Hill, A., Rajagopal, M., Barnes, T., Basu, A., & ... Kidd, H. (2007). Evaluation of a falls prevention programme in an acute tertiary care hospital. Journal of Clinical Nursing, 16(2), 316-324 9p. doi:10.1111/j.1365-2702.2005.01410.x​


Dempsey, J. (2008). Risk assessment and fall prevention: practice development in action. Contemporary Nurse: A Journal For The Australian Nursing Profession, 29(2), 123-134 12p. doi:10.5172/conu.673.29.2.123​


Groarke, A. (2012). Falls prevention: risk assessment and intervention. World Of Irish Nursing & Midwifery, 20(5), 37-38.​