Table 3 Components of risk assessment tool and corresponding intervention plan

1. History of falls (Yes/No)

Base plan and I-A

2. Gait deficit (Yes/No)

I-A

3. Dizziness (Yes/No)

I-A

4. Inability to call for nursing assistance due to self-overestimate of ability (Yes/No)

I-B or II

5. Subjective nurse assessment of falling likelihood (Yes/No)

Base plan and I-A

6. Use of sedating medications (Yes/No)

III

·Patients with multiple risk factors provided intervention plan II.