Operational definitions Term Definition Operational definitions The concept of falls is limited here to patients who have already fallen and been harmed whether minor, moderate, severe or extreme injury, but patients who have tripped or slipped or lost their balance are excluded. patient fall An unplanned descent to the floor with or without injury to the patient. A fall may result in fractures, lacerations, or internal bleeding, leading to increased health care utilization. (AHRQ) Patient safety Main dimension of healthcare quality, considering minimizing, reporting and analyzing incidents that often lead to avoidable adverse effects. fall An event which causes the person coming to rest on the ground or another surface lower than the person, whether or not an injury is sustained. Near Fall Sudden loss of balance with incomplete fall which include slips, stumbles, or strip with ability to control. OVR Occurrence variance report Intrinsic factors lifestyle activities age-related changes such as changes in mobility Personality illness and injury Extrinsic factors Medication: such as sleeping, sedation, painkillers medication and medication with parkinsonian side effects. Environment such as lighting, wet floor, steps, foot wear, distances and spaces.