What
The Fall risk management report shows how often residents fall in your community. You see fall counts, fall rates, and how quickly care staff intervene. You can view falls by day, time of day, location, cause, resident and department.
Why
Falls often follow a pattern, for example at night, in the bathroom, or with the same few residents. This report shows you those patterns. You see where extra attention may help most, and can follow whether your fall rate goes down over time.
Who can see this report
Users with the Manager role on the community can see this report. Users and technicians cannot.
The report is in the menu of the Nobi web application on a computer. It is not in the menu on a phone.
Open the report
- Go to Insights > Resident wellbeing.
- The Fall risk management tab opens first.
In the top right corner, there are two buttons:
- Export Excel: click to download the report with your currently applied filters.
- Print / PDF: open your browser’s print window to print or save as PDF. The printout shows your community, filters and time period.
Before you start
- The report is always up to date. Nobi recalculates every figure each time you open the Fall risk management report. When someone corrects a fall later, for example the cause or the resident, the figures of past months change too.
- Days and hours follow your community’s time zone. For example, a fall at 23:30 counts on that day, in the community’s local time.
- You can choose dates from the first month with enough data. Nobi measures this in resident-days. The earliest date you can choose is the first day of the first month with at least 100 resident-days, for example 4 residents monitored for a full month. Later months stay selectable, also when they have fewer than 100 resident-days. A new community may not see data straight away.
Filter the report
You can set your filters at the top. The report will apply these automatically when you select them.
| Filter | What it does | Default |
|---|---|---|
| Department | Choose all departments or one department type, such as Memory care or Assisted living. Departments without a type show as “No department type”. | All departments |
| From / To | Choose the time period you want to view data for. If you pick a date outside the available data, the report moves it to the closest available date. If the From date is after the To date, the report switches them around. | The last four complete months |
| Group by | Choose if you would like to view the results per Month, Week, or Day. Weeks start on Monday and are numbered 1 to 52 through the year. For example, WK23 is the 23rd week of the year. | Month |
| Falls Checked by | Choose who decides that a fall escalation is a real fall: Nobi or Care staff. See below. | Nobi |
Falls Checked by: Nobi vs care staff
This filter changes every figure in the report. The same community and the same month can show a different number of falls, depending on your choice.
| Nobi | Care staff | |
|---|---|---|
| Who checks the fall escalation | Nobi reviews every fall escalation. | Your care staff analyze the fall escalation upon closing, or the escalation is classified as a fall later from the escalation overview. |
| What counts as a fall | A fall escalation that Nobi labeled as a real fall. | A fall escalation closed as actual fall. This includes your own fall causes that count as a real fall. |
| What does not count | Fall escalations that Nobi labeled otherwise, for example as a false alarm or a duplicate. | Fall escalations closed as not a fall, and fall escalations that are not analyzed yet. |
| Months left out | None. | Months where less than 95% of the fall escalations are analyzed. |
| “What causes a fall” section | Not shown. | Shown. |
How care staff analyze a fall. When care staff close a fall escalation, they choose one of these options under “The reason for this fall escalation was”:
- no idea, analysis is required: the fall escalation is not analyzed yet. It does not count as a fall.
- actual fall: the fall counts. In a shared space, they also choose the resident who fell.
- not a fall: the fall escalation does not count as a fall.
If care staff select actual fall, they can then add a fall cause, when your community has set up its own fall causes. Adding a cause is an extra step after choosing actual fall, not a separate option.
Not analyzed falls. When Care staff is selected in the Falls Checked by filter, the report tells you how many fall escalations are still waiting for analysis. These escalations are not included in the count. Fall escalations that are still open are also not analyzed.
The 95% rule. Without analysis and confirmation as an actual fall, a fall escalation is not included in the count. A month where care staff analyzed only half of the fall escalations would look much quieter than it is. That is why Nobi checks each calendar month:
(all fall escalations − fall escalations not yet analyzed) ÷ all fall escalations
If the result is less than 95%, that month is left out of every figure in the report: the summary, the tables, the charts, the hours, the locations, the departments, the causes, the residents, and the intervention times. A warning above “Falls over time” tells you how many months were left out.
Important: with “Care staff”, an empty month does not always mean a month without falls. It can also be a month that was left out. Read the warning first. In doubt? Switch the Falls Checked by filter to Nobi for a fuller picture of that month, since Nobi reviews every fall escalation, including those your care staff have not analyzed yet.
The summary
At the top of the page, you see three figures.
| Figure | What it shows |
|---|---|
| Checked falls | The number of checked falls in your period and department. With “Care staff”, you also see how many fall escalations are not analyzed yet. |
| Falls per 1,000 resident-days | The fall rate: (checked falls ÷ resident-days) × 1,000. Below it, you see the number of resident-days. With fewer than 100 resident-days, you see “—”, because the rate would not be reliable. |
| Median intervention time | The middle intervention time. Below it, you see the average intervention time. |
Falls over time
In the report, the title of this section follows your Group by choice: Falls month by month, Falls week by week, or Falls day by day.
Total falls by month, week, or day: A bar chart with the number of checked falls per period. It follows your Group by choice.
Busiest day: Under the section description, your busiest day is highlighted, with the number of falls that occurred on that day. It always looks at single days, even when you group by month. A day is only named if it has at least 2 falls. When days are tied, the report can name up to three of them. If there are four or more tied days, none of them are named.
Falls per 1,000 resident-days: A line chart with the fall rate over time.
- With Group by: Day, this chart shows weeks. A single day almost never has 100 resident-days, so a daily rate says little.
- With All departments, you see a line for the total and a line per department type.
- A department type with too few resident-days gets no line. Its name shows below the chart.
The table: Per period: falls, resident-days, fall rate, and median and average intervention time. A period with fewer than 100 resident-days shows “—” for the rate.
When and where falls happen
Total falls by time of day. Falls per hour, from 00:00 to 23:00, in your community’s time zone. All 24 hours are shown, also hours without falls.
- Peak hour: the hour with the most falls. It follows the same rule as the busiest day: at least 2 falls, and up to three tied hours.
- Overnight: the share of falls between 22:00 and 06:00.
Falls by location. Falls per room type: Bathroom, Bedroom, Bedroom - Secondary, Dining room, Garage, Hallway, Hobby room, Kitchen, Living room, Porch, Storage room, or Toilet. A room without a type shows as “Unknown”. The room type with the most falls is at the top.
Good to know: this chart groups rooms by type, not by housing unit. A bathroom in a common area and a bathroom in a resident’s own housing unit are in the same bar.
How falls vary by department
You see this section when there is more than one department or department type to compare. It has two blocks:
- By department type: only with “All departments” selected and more than one department type.
- By department: when there is more than one department. With one department type selected, you only see the departments of that type.
Each block has two charts and a table.
| Chart | What it shows |
|---|---|
| Fall rate | Falls per 1,000 resident-days per department. This corrects for size. A department with fewer than 100 resident-days is not in this chart. |
| Share of falls | How all falls are spread across the departments. |
Read the two charts together. A large department has more residents, so it often has the largest share of falls. Its fall rate can still be the lowest. The share shows where most falls happen. The rate shows where the risk is highest.
The table. Per department: falls, resident-days, fall rate, and median and average intervention time. The department with the most falls is at the top.
Common areas. A common area, such as a hallway or a shared bathroom, belongs to a department too. A fall in a common area counts for the department of that common area, not for the department where the resident lives.
What causes a fall
You see this section only with Falls Checked by: Care staff. The cause comes from what care staff choose when they close the fall escalation.
- A chart and a table show the falls per cause, with their share.
- A cause is one of your community’s own fall causes.
- A checked fall without a cause shows as Unknown, at the bottom. So the shares always add up to 100%.
You may see two notes:
- No fall causes set up yet: then you see a note instead of the chart.
- Heads up: more than 5% of the checked falls have no cause. The breakdown then shows only part of the picture.
Good to know: a fall closed as “actual fall” without a cause still counts in all other figures. Only in this section, it shows as “Unknown”.
Who falls the most
A ranked list of every resident with a checked fall. You see their number of falls and their share. The resident with the most falls is at the top.
- Nobi links the fall to a resident automatically when only one resident was in the housing unit. In a shared space, care staff choose the resident when they close the fall escalation.
- A fall without a resident still counts in all other figures, but not in this list. So this list can add up to less than Checked falls.
- Residents who moved out stay in the list with their falls.
- If someone changes the resident on a fall later, the list changes too.
Export to Excel
Export Excel downloads the report with your current filters. The file has these tabs: Overview, Over time, By day, By time of day, By location, By resident, By department type, and By department.
The causes are not in the Excel file.
Definitions
Fall escalation: a fall that the Nobi light detected and sent as an escalation.
Checked fall: a fall escalation that counts as a real fall, based on your “Falls Checked by” choice.
Setup mode: the light detects falls, but does not send fall escalations.
Learning period: 14 days, from the learning period start date set at community level. The lights are in setup mode, and Nobi reviews every fall the lights detect. These falls are not in this report.
Resident-day: one day for one resident with smart monitoring on, linked to a housing unit where at least one light is out of setup mode, for most of that day (in your community’s time zone).
Why resident-days: a larger community has more falls simply because more residents live there. Resident-days correct for that. This lets you compare periods and departments of different sizes fairly.
Falls per 1,000 resident-days: (checked falls ÷ resident-days) × 1,000. A rate shows only with at least 100 resident-days. Otherwise you see “—”.
Intervention time: the time from the start of the fall escalation until a second person enters the room, shown as h:mm:ss. Nobi determines this on a best-effort basis. Only times up to 4 hours are included. When Nobi cannot reliably tell when help arrived, for example when the resident crawls out of the room, that fall has no intervention time. The fall still counts in all other figures.
Median: the middle value. Half of the times were faster, half were slower. A few very long times do not pull it up. Look at the median first.
Average: all times added up and divided by their number. A few very long times can pull it up.
Overnight: from 22:00 to 06:00.
Times show as h:mm:ss.
Keep in mind
- Only fall escalations count. Falls detected in setup mode, also during the learning period, are never in this report.
- Check the filter before you compare. Two reports with a different “Falls Checked by” choice show different numbers.
- An empty month is not always a quiet month. With “Care staff”, a month can be left out by the 95% rule.
- “—” means too little data, not zero. A rate needs at least 100 resident-days.
- Past months can change. The report is calculated again each time. A correction to a fall also changes the months you already looked at.
Tips
- Analyze your fall escalations regularly, so every month counts with “Care staff”.
- Set up your fall causes and choose a cause when you close a fall escalation.
- Give every department a department type, so the department charts stay clear.