“Benefits: Pediatric specific, evidenced based and ease of use. Outcomes: Our fall rate has remained less the 0.01 since implementation- this is per patient volume not days as it includes ED and inpatient. So, the program has been successful.”

- Martha Gurzick MSN, RN, CCNS, CEN
Pediatric Clinical Nurse SpecialistDepartment of Nursing Professional and Clinical Development
Frederick Memorial Hospital, Frederick, MD

“We have used the Humpty Dumpty program at Catskill Regional Medical Center for the past 6 years.  We have had no pediatric falls since implementation.”

- Karen McKoy
Catskills Regional Medical Center, Harris, NY

“Since implementation of the Humpty Dumpty, we have seen a 20.1% reduction in our reported inpatient falls.”

- Cherilyn Ashlock
All Children’s Hospital, St. Petersburg, FL- 


“CECH at BHMC implemented the Humpty Dumpty Falls Prevention program in 2012. It has been a great tool and resource for our children’s hospital. I know we feel competent in supporting a fall program that is evidence based and nationally recognized. You have always been a great resource for us and the collaboration is beneficial to all the children whom we serve.”

- Nicole Sant’Elia RN MSN ARNP CCRN, Nurse Manager
Pediatric Hematology Oncology Unit, Pediatric Outpatient Infusion Center, Child Life & Music Therapy Programs,
Broward Health Medical Center, Chris Evert Children’s Hospital, Ft. Lauderdale, FL

“My organization is an adult hospital with a small 8-bed pediatric unit. We incorporated the Humpty Dumpty several years ago. The staff appreciates having a scale that recognizes that boys can be a higher fall risk. Our unit serves patients age 0-20 and we use Humpty Dumpty on all of our patients. Last year when The Joint Commission was here and questioned the use of this scale on a 19 year old Nicklaus Children's Hospital provided documentation regarding evidence based practice and TJC approval for patients up to 21 years of age. It was awesome to share with the surveyors that the scale we were using had tested and approved. It is rare for us to have any falls. Over the past two years there have maybe been 2.”

- Julie Bowen, RN, BSN, Clinical Supervisor Pediatrics
Community Regional Medical Center, Fresno, CA

“Prior to adopting the Humpty Dumpty Falls Prevention Program, we reviewed the literature for a validated pediatric fall risk assessment tool.  We found the Humpty Dumpty sensitivity to be better than our current tool based on internal quality improvement work. Participating in the current research study conducted by Nicklaus Children’s which examines the psychometrics of the Humpty Dumpty tool will allow us to re-evaluate the sensitivity and specificity of the tool one year post implementation and allow us to explore potential gaps in reliability. While inputting study data, we have already uncovered gaps in the functionality of our EHR in capturing information needed to complete the tool accurately. We have used this opportunity to engage our nursing informatics team in discovering solutions to better capture fall risk factors for our patients here at CHOP.”

- Kimberly DiGerolamo
Children’s Hospital of Philadelphia

“Our users much prefer it over the scale we previously used. The feedback is that this scale takes into consideration more unique elements of childhood. Yes, more patients score “at risk,” but the truth is that the hospitalized child is at risk for falls due to the identified factors – growth and development, medications, procedures, diagnosis, etc.”

- Sandy Johnson,Nursing Informatics
Children's of Alabama

“The General Hospital of Itapecerica da Serra, Sao Paulo, Brazil has experienced a decline in pediatric patient falls after implementing the Humpty Dumpty Falls Preventions Program from a rate of 1.16 per 1000 patient days in 2013 to 0.89 per 1000 patient days in 2014.”

- Lisiane Valdez Gaspar, Qualidade, Gerente da Qualidade e Segurança
Hospital Geral de Itapecerica da Serra