Document Type



Orthopaedic Surgery; School of Nursing and Midwifery, Pakistan


Objective: The study aims to assess the fall incidents in past 5 years and fall assessment practices at the Aga Khan University Hospital, Karachi.
Methods: We performed a single-center retrospective audit at Aga Khan University Hospital from October 2019 to December 2019. A list of all patients admitted to Aga Khan University Hospital under the Musculoskeletal and Sports Medicine Service Line was obtained using the Hospital Information Management System (HIMS) from Jan 2017 to June 2018. Data including fall assessment scores was collected retrospectively from medical record files.
Results: A total of 1499 patients were admitted during this time period, of whom 5 patients had a fall incident during their hospital stay. The mean Morse Scale scores of patients who had a fall was 50 ±16 whereas, patients with no fall incidence had mean score of 31±22. Fall assessment was documented in nursing notes for 100% of the patients.
Conclusions: Our findings show that fall policy is implemented strictly within our hospital. In order to reduce the risk of a fall further, more in-depth assessment of high risk patients with involvement of physicians and physiotherapists earlier on in the process for high risk patients may be beneficial.

Publication (Name of Journal)

JPMA. The Journal of the Pakistan Medical Association