Johns Hopkins Fall Risk Assessment Tool (JHFRAT)

The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) is a systematic approach for evaluating a patient’s risk of falling.

It is used in clinical settings to help healthcare providers identify patients at high risk for falls and implement preventive measures.

Below is a recreation of the tool for educational purposes:

---

Johns Hopkins Fall Risk Assessment Tool (JHFRAT)

Patient Information

• Nom:
• Date:
• Unit:
• Room Number:
• Assessed By:

Scoring Criteria

1. Age
   • 60-69 years = 1
   • 70-79 years = 2
   • 80+ years = 3
2. Fall History
   • No falls in the past 6 months = 0
   • One to two falls or a single injury fall = 5
   • Three or more falls or multiple injury falls = 10
3. Elimination, Bowel and Urine
   • Independent/no assistance = 0
   • Uses assistive devices/urinary incontinence = 2
   • Incontinence (urine and/or stool) = 4
   • Urinary catheter = 2
4. Medications: Multiple, CNS, and/or High Risk
   • None of the below = 0
   • 1-2 High risk medications (e.g., sedatives, hypnotics) = 3
   • 3 or more High risk medications = 5
   • CNS medications (e.g., anticonvulsants, antidepressants) = 5
5. Patient Care Equipment
   • None = 0
   • One device (e.g., IV line) = 1
   • Two or more devices (e.g., Foley catheter, O2) = 2
6. Mobility
   • Normal/bedrest/immobile = 0
   • Requires assistance/supervision = 2
   • Unsteady gait = 3
7. Cognition
   • Oriented to own ability = 0
   • Overestimates/forgets limitations = 2

Total Score Calculation

Criterion	Score
Age
Fall History
Elimination
Medications
Patient Care Equipment
Mobility
Cognition
Total Score

Risk Level Interpretation

• 0 – 5: Low Risk
• 6 – 13: Moderate Risk
• 14 and above: High Risk

Recommended Interventions

Based on the risk level, appropriate interventions should be implemented to prevent falls. These might include:

• Low Risk:
  • Basic safety measures (e.g., call bell within reach, non-slip footwear)
• Moderate Risk:
  • More frequent monitoring
  • Assistance with ambulation
  • Review and modification of medications
• High Risk:
  • Continuous supervision
  • Bed alarms
  • Environmental modifications (e.g., removing hazards, ensuring adequate lighting)

Comments and Follow-up Plan

---

Note: This form is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult with qualified healthcare providers for accurate assessments and appropriate care plans.

---

The JHFRAT is a comprehensive tool that helps identify patients at risk for falls and allows for the implementation of targeted interventions to reduce fall risk.