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quality

Falls Risk Assessment Audit

Audit fall-risk workflows to confirm assessments are completed on time, scored correctly, and matched with the right prevention steps. Use it to catch gaps before they lead to patient harm.

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Built for: Healthcare ยท Hospitals ยท Long Term Care ยท Skilled Nursing

What's inside this template

Assessment Completion

  • Falls risk assessment completed on admission or transfer (critical ยท weight 4.0)
  • Approved tool used consistently (Morse or Johns Hopkins) (critical ยท weight 4.0)
  • Assessment documented in the correct location in the record (weight 3.0)
  • Assessment completed within required timeframe (critical ยท weight 4.0)
  • Reassessment completed after change in condition or fall event (critical ยท weight 4.0)

Scoring Accuracy

  • Documented score matches observed risk factors (critical ยท weight 5.0)
  • Risk level assigned correctly based on score (critical ยท weight 5.0)
  • Score calculation is accurate and complete (critical ยท weight 5.0)
  • All relevant risk factors were considered (weight 5.0)

Intervention Plan

  • Individualized fall prevention interventions documented (critical ยท weight 5.0)
  • Interventions match identified risk level (critical ยท weight 5.0)
  • Mobility assistance or transfer precautions addressed (weight 5.0)
  • Toileting plan or rounding schedule documented (weight 5.0)
  • Medication-related fall precautions addressed (weight 5.0)

Environmental Controls and Signage

  • Falls risk signage posted per policy (critical ยท weight 4.0)
  • Bed in lowest position with brakes applied (critical ยท weight 4.0)
  • Call light and personal items within reach (weight 3.0)
  • Floor area free of clutter and trip hazards (weight 4.0)

Bed Alarm and Education

  • Bed alarm used when indicated by risk level or policy (critical ยท weight 4.0)
  • Alarm functioning and properly set (weight 2.0)
  • Patient education on fall prevention documented (weight 2.0)
  • Family/caregiver education documented when applicable (weight 2.0)

Common use cases

Hospital inpatient fall-risk chart audits
Skilled nursing facility quality reviews
Post-fall event documentation checks
Admission and transfer compliance audits
Patient safety rounding reviews

Frequently asked questions

Who should use this falls risk assessment audit template?

It is designed for quality, nursing leadership, patient safety, and compliance teams reviewing bedside fall-prevention practices. Use it during chart audits, unit rounds, or incident follow-up reviews.

What does this audit help verify?

It checks that the assessment was completed on time, the correct tool was used, and the score matches the documented risk factors. It also confirms the care plan, signage, alarms, and education align with policy.

Can this template be used for both admission and transfer audits?

Yes. The structure includes assessment completion timing, which makes it useful for admission, transfer, and post-event reassessment reviews. You can adapt the timing fields to match your facility policy.

Does this template support policy-based fall prevention checks?

Yes. It is built to compare documentation and observed practice against your approved fall-prevention policy. That makes it useful for identifying missed interventions, incomplete documentation, and environmental safety issues.

What kinds of findings can this audit capture?

It can capture missing reassessments, inaccurate scoring, absent signage, bed alarm issues, and gaps in patient or family education. It also helps document whether interventions match the assigned fall-risk level.

Related templates

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