Abstract
To examine the pattern of underreporting of fall incidents in a general psychiatric hospital in Japan. All fall incidents were analyzed and stratified by ward. A discrepancy in fall rates was found in acute psychiatric and dementia wards. The following indicators were suggestive of underreporting: "zero fall/1,000 patient-days," "proportion of falls without injury," and "proportion of falls identified as occurring in the bedroom as a fall location during certain time periods." Ward-specific fall rates, with further stratifications by time and location of the fall, were useful for identifying a pattern of underreporting.
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