Assess patient fall risk using the Morse Fall Scale. Score six evidence-based risk factors to determine the appropriate level of fall prevention interventions.
Morse Fall Score
0 / 125
Risk Level
Low Risk
Implement standard fall prevention interventions.
Low: 0–24 | Moderate: 25–44 | High: ≥45
Falls are one of the most common adverse events in hospitals, leading to injuries, extended stays, and increased healthcare costs. The Morse Fall Scale, developed by Dr. Janice Morse, is one of the most widely used fall risk assessment tools. It provides a quick, reliable way to identify at-risk patients so that appropriate preventive measures can be implemented before a fall occurs.
The Morse Fall Scale (MFS) is an evidence-based tool used to assess a patient's risk of falling in healthcare settings. It evaluates six factors: history of falling, secondary diagnosis, ambulatory aid use, IV/heparin lock, gait/transferring ability, and mental status. Scores range from 0 to 125.
Fall risk should be assessed on admission, at every shift change, upon transfer to a new unit, after a change in patient condition (such as medication changes, surgery, or a fall), and periodically per your facility's policy. Many hospitals require reassessment every 8 to 12 hours.
High-risk interventions include yellow fall-risk wristbands, non-skid footwear, bed alarms, low bed position, frequent rounding (every 1–2 hours), toileting schedules, removal of clutter, adequate lighting, and consideration of 1:1 sitters for the highest-risk patients.
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