Project Information

Engaging Parents in Pediatric Fall Prevention

Project Description: Prevention of inpatient pediatric falls is both an important and challenging goal for those hospital units that care for pediatric patients. In reviewing the monthly pediatric fall data in our own hospital, UF Health Shands Childrens Hospital, from July of 2013 to June of 2016 it was noted that 145 pediatric falls occurred. Our hospital uses the Graf-PIF risk assessment tool to determine pediatric patients who are at high risk for falling and for these patients, fall prevention bundle interventions are implemented. Upon review of current literature on pediatric fall risk scales, the findings demonstrate that the fall scales currently available, including the Graf-PIF, do not have the precision and accuracy to adequately identify the patients at risk for falling (Ryan-Wenger, 2012; Ryan-Wenger, 2013; Jamerson, 2014; Kramlich, 2016; & Messmer, 2013). Of the145 pediatric patients who fell, 124 were scored with the Graf PIF fall scale (validated for children 1 to 17 years old). Of those 124 children who fell, only 57 (46%) were scored as high risk for falling (a score of 2 or greater on the Graf-PIF). Of the 145 pediatric patients who fell, 104 (72%) fell in their hospital room. Staff completing the patient safety reports documented as to whether family was present at the time of the patient’s fall for 133 patients and of these 133, family being present at the time of the fall occurred for 87 (65%) of these patients. Current literature supports that they majority of pediatric patients fall in their room with a family member present (Razmus, 2012; Fujita, 2013; Jamerson, 2014). As such, the children’s hospital will be implementing a targeted in-hospital fall risk education intervention for both parents/caregivers and nursing staff.

QPI: Jeanette, Green, (

Collaborators: Sheryl, Curtis, (


UF Health Big Aims: Zero Harm None

MeSH Keywords: Accidental Falls