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Submit by Email Partners HealthCare PHS Morse Fall Scale MFS Competency Request Form The PHS Morse Fall Scale Competency was developed by the Partners HealthCare Fall Prevention Task Force is based on the work of Dr. The PHS Morse Fall Scale Competency is completed on date of hire and annually by all nurses in PHS hospitals. Preventing Patient Falls Establishing a Fall Intervention Program Vol 2. New York Springer 2008. Morse JM Morse RM Tylko SJ. Development of a scale to identify the fall-prone patient. Therefore additional training involving direct assessment of patients is recommended. We ask that you complete this form to gain permission to use the PHS Morse Fall Scale Competency copyright 2011. Jan Morse1 and is intended to assist with competency training of nurses in proper use of the MFS* The psychometric properties of the MFS have been widely published*1-3 You may use the Competency for training purposes provided the content is not altered in any manner. Because some MFS items require direct observation i*e* gait disturbance and mental status they must be estimated when using a case study based competency. Your request will be processed within five business days. Personal Information Name/Title State/Province Institution Zip/Postal Code Address Country City Email Purpose of Use of Competency Population Today s Date Thank you for your interest in this work. We ask that all communications concerning the use of the competency be sent to Patricia C. Dykes Senior Nurse Scientist Center for Nursing Excellence Brigham and Women s Hospital or you can e-mail it to pdykes partners. org. Please submit an executive summary of the findings from your competency work. We wish you success with your research and fall prevention practice endeavors and look forward to reading your results. Please feel free to connect with us regarding any questions you may have. Sincerely Patricia C. Dykes DNSc RN FAAN Sr. Nurse Scientist Program Director Nursing Research Center for Nursing Excellence Brigham Women s Hospital 1 Brigham Circle Boston MA 02120 Morse JM. Canadian Journal on Aging. 1989 8 366-377. Morse JM Tylko SJ Dixon HA. Characteristics of the fall-prone patient. Your request will be processed within five business days. Personal Information Name/Title State/Province Institution Zip/Postal Code Address Country City Email Purpose of Use of Competency Population Today s Date Thank you for your interest in this work. We ask that all communications concerning the use of the competency be sent to Patricia C. Dykes Senior Nurse Scientist Center for Nursing Excellence Brigham and Women s Hospital or you can e-mail it to pdykes partners. We ask that all communications concerning the use of the competency be sent to Patricia C. Dykes Senior Nurse Scientist Center for Nursing Excellence Brigham and Women s Hospital or you can e-mail it to pdykes partners. org. Please submit an executive summary of the findings from your competency work. We wish you success with your research and fall prevention practice endeavors and look forward to reading your results.

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