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Morse Fall Scale

Fall Risk & Balance Assessment Tool

Risk Level Interpretation

  • < 25: Low fall risk
  • 25–45: Moderate fall risk
  • > 45: High fall risk

Note

This tool evaluates fall risk in hospitalized patients. Based on the score, initiate appropriate fall prevention procedures.

References

  • Morse JM, et al. (1989). Development of a scale to identify the fall-prone patient.
  • O'Connell B, Myers H. (2002). The sensitivity and specificity of the Morse Fall Scale.
  • Schwendimann R, et al. Evaluation of the Morse Fall Scale in hospitalized patients.
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Frequently Asked Questions (FAQs)

What does the Morse Fall Scale measure?

It evaluates the likelihood of a patient falling based on six risk factors, such as history of falling, gait, and mental status.

How often should the scale be used?

It should be used at hospital admission, after any change in patient condition, and periodically throughout hospitalization.

Who developed the Morse Fall Scale?

It was developed by Janice Morse in 1989 as a validated tool to quickly assess fall risk in clinical settings.

What is considered a high-risk score?

A total score above 45 indicates high risk and may require immediate fall prevention interventions.

Is this tool suitable for outpatient care?

While primarily used in hospitals, it can support risk screening in long-term or geriatric outpatient care with clinical supervision.

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