Fall prevention
Morse Fall Risk Assessment
The Morse Fall Scale (MFS) is a validated tool for predicting falls in hospitalized patients. Complete all six items to generate a score from 0 to 125 points. Higher scores indicate greater fall risk and the need for targeted interventions.
History of falling (immediate or within 3 months)
Secondary diagnosis
Ambulatory aid
IV therapy / heparin lock
Gait / transferring
Mental status
Total Morse Fall Scale score
25
Moderate fall riskImplement standard fall prevention bundle, ensure non-slip footwear, review medications.
How to Use This Calculator
Review fall history and diagnoses
Check the chart and interview patient/caregivers for falls and coexisting conditions.
Assess gait, mobility aids, and mental status
Observe transfers, note assistive devices, and evaluate orientation to safety limitations.
Implement prevention strategies based on score
Use low, moderate, or high-risk protocols to reduce fall incidence and document the plan of care.
Formula
Total MFS score = Sum of weighted items:
- History of falling: 25 if yes
- Secondary diagnosis: 15 if yes
- Ambulatory aid: 0–30 points
- IV therapy / heparin lock: 20 if yes
- Gait/transferring: 0–20 points
- Mental status: 15 if forgets limitations
Risk categories: 0–24 low, 25–44 moderate, ≥45 high.
Full Description
Falls cause morbidity, mortality, and healthcare costs in hospitalized and long-term care patients. The Morse Fall Scale provides a quick bedside assessment to stratify risk and trigger prevention protocols. It is validated across settings including acute care, rehab, and geriatric units.
Use the MFS alongside clinical judgement and other factors (orthostatic hypotension, medications, visual impairment). Document interventions and reassess after falls or status changes.
Frequently Asked Questions
How often should the Morse score be reassessed?
At admission, every shift (per policy), after any fall, and with significant changes in mobility or mental status.
Does a lower score mean no interventions?
No. Maintain standard fall precautions for all patients, regardless of score.
Can non-ambulatory patients still be high risk?
Yes—evaluate transfers, mental status, and IV therapy. Even bedbound patients may fall during repositioning or toileting.
Is MFS validated in pediatrics?
No. Use pediatric-specific fall risk tools for children and adolescents.