The purpose of this study is to investigate the main causes of fall accidents and, to pinpoint the factors that influence the risk of falls in the U.S. construction industry. This study employed the Integrated Management Information System (IMIS) data from the Occupational Safety and Health Administration (OSHA) to examine 9,141 fall accidents, recorded for the period of last 20 years. The results show that specialty trade contractors working on low-budget, residential housing and commercial building projects are more susceptible to fall accidents. In terms of fall height, 85% of the fall accidents occurred on heights less than 30 ft., and most of them are not equipped with a fall protection tool. The main contribution of this study is that it has specifically analyzed fall heights and the current state of usage of fall protection using actual accident data. Since there has been hardly any research done in the last decade to study falls in the U.S. construction industry, by examining the IMIS database; this study also presents updated analysis on fall accidents.

Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2016-01-14T06:45:29Z No. of bitstreams: 2 Tese - Renato Alves Sandoval - 2014.pdf: 1257396 bytes, checksum: c144034b5aca26a7346b3a773a63f5f3 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2016-01-14T06:48:11Z (GMT) No. of bitstreams: 2 Tese - Renato Alves Sandoval - 2014.pdf: 1257396 bytes, checksum: c144034b5aca26a7346b3a773a63f5f3 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) / Made available in DSpace on 2016-01-14T06:48:11Z (GMT). No. of bitstreams: 2 Tese - Renato Alves Sandoval - 2014.pdf: 1257396 bytes, checksum: c144034b5aca26a7346b3a773a63f5f3 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2014-09-26 / Fundação de Amparo à Pesquisa do Estado de Goiás - FAPEG / Falls have an average prevalence of 30% with wide distribution in the world population. Should be valued by both the immediate consequences, as the cumulative effect and crippling and costly potential repercussions. Aims: The objectives of this research were to identify the occurrence of falls in non-institutionalized elderly, consequences and to try to understand the association of falls with age, gender, perceived health, lifestyle, cognitionand functionality. Methods: A cross-sectional, population based study was conducted with people aged over 60 years living in a city in central Brazil. There was a sample of 918 elderly, which was calculated assuming an expected fall incidence rate of 30%, a confidence level of 95% and an accept able error of 10%. For analysis we used descriptive statistics and hierarchical logistic regression to verify their association with p<0,05. Results: The study included 349 elderly males (38.1%) and 569 females (61.9%) aged 60-98 (X=71.47±8.33) years. The occurrence of falls in the previous12 months was reported by 319 participants, representing a prevalence of 34.75%; these 172 (53.92%) participants reported having had a fall. For 256 (80.25%) the causes of falls were reported of the extrinsic factors and 165 (51.72%) had injuries or wounds as a result of the fall. An association was found (p=0.000) between the occurrence of falls and women 80 years of age or older, who reported poor or very poor health and had some level of hearing loss and were ADBL patients. Conclusion: The prevalence of falls represented a large magnitude event and the associated factors confirm the findings described in other national and international studies, then reinforcing the problems a global phenomenon, which should be the priority of programs related to the health promotion for the aged and prevention of injuries and complications. The adequate preparation of professionals who belong to eldercare teams is another point to be highlighted as well as the encouragement and support of a healthy lifestyle since childhood and for the longer period possible. / Quedas apresentam prevalência média de 30% com distribuição variada na população mundial. Devem ser valorizadas, tanto pelas consequências imediatas, quanto pelos efeitos cumulativos e repercussões incapacitantes e onerosas em potencial. Objetivos: Os objetivos desta pesquisa foram identificar a ocorrência de quedas em idosos não institucionalizados, suas consequências e investigar a associação de quedas com idade, sexo, percepção de saúde, hábitos de vida, cognição e funcionalidade. Métodos: Foi realizado um estudo transversal de base populacional, com pessoas com idade igual ou superior a 60 anos, residentes em uma metrópole da região central do Brasil. A amostra foi de 918 idosos, calculada considerando uma frequência esperada de 30% para queda, nível de confiança de 95% e erro aceitável de 10%. Para análise utilizou-se estatística descritiva e para verificação de associação a regressão logística hierarquizada com p<0,05. Resultados: Participaram do estudo 349 idosos do sexo masculino (38,1%) e 569 de sexo feminino (61,9%) com idade variando de 60 a 98 (X=71,47±8,33) anos. A ocorrência de quedas nos últimos 12 meses foi relatada por 319 participantes, representando prevalência de 34,75%; destes, 172 (53,92%) relataram ter sofrido um episódio de queda. Para 256 (80,25%) as causas das quedas relatadas foram extrínsecas, 165 (51,72%) tiveram como consequência da queda contusão ou ferida. Encontrou-se associação (p=0,000) entre ocorrência de queda com sexo feminino, ter 80 anos ou mais, ter auto relato de saúde ruim ou péssima, apresentar déficit auditivo e ser dependente nas atividades básicas de vida diária (ABVD). Conclusão: A prevalência de quedas representou evento de grande magnitude e os fatores associados encontrados corroboram os achados descritos em outros estudos nacionais e internacionais, reforçando a problemática como fenômeno mundial, que deve ser prioridade dos programas voltados à promoção da saúde do idoso e prevenção de agravos e complicações. O preparo adequado de profissionais que integram a equipe de atenção ao idoso e dos cuidadores é outro ponto a ser destacado como também o incentivo e apoio de estilo de vida saudável desde a infância e pelo período mais duradouro possível.

Bakgrund: Fallolyckor bland äldre är vanligt. År 2019 var drygt 5% av vårdskadorna på sjukhus fallolyckor. Fallolyckor får konsekvenser för samhället i form av stora kostnader, men även för den äldre i form av bland annat social isolation. Idag finns många fallpreventiva åtgärder och riskbedömningsinstrument och det är sjuksköterskans ansvar att bedriva säker vård och förhindra fallolyckor som skapar ett vårdlidande hos patienterna. Syfte: Att undersöka faktorer som orsakar fallolyckor bland äldre patienter på sjukhus. Metod: Metoden som användes var en allmän litteraturöversikt av vetenskapliga artiklar med både kvalitativ och kvantitativ ansats som tagits fram genom systematisk artikelsökning i flera databaser.Resultat: Tre huvudkategorier identifierades: inre faktorer, yttre faktorer och mänskliga faktorer. Inre faktorer som orsakar fall är sjukdomar och läkemedel. Yttre faktorer är miljöfaktorer, eller tid, rum och aktivitet där de flesta fall sker nattetid vid förflyttning till badrummet eller i samband vid toalettbesök. Mänskliga faktorer är faktorer orsakat av patient och anhörig, eller på grund av brister i sjuksköterskans omvårdnad i form av brister i riskbedömning, åtgärder och information. Konklusion: Orsaken till fall hos äldre patienter är ofta multifaktoriella men det vanligaste är fall nattetid på väg till toaletten. Den mänskliga faktorn är en stor bidragande faktor till fall. / Background: Fall accidents among older persons are common. In 2019, just over 5% of health care injuries in hospitals were fall accidents. Fall accidents have consequences for the society such as large costs, but also for the older patients who become socially isolated. Today, there are many fall prevention interventions and risk assessment instruments. It is the nurse’s responsibility to provide safe care and to prevent falls that cause patients to suffer. Aim: To investigate factors that cause fall accidents among elderly inpatients.Method: The method used was a general literature review of articles with both a qualitative and quantitative approach, which was found through a systematic article search in several databases.Findings: Three main categories were identified: internal factors, external factors and human factors. Internal factors that cause falls are diagnoses and drug treatments. External factors are environmental factors, or time, space and activity where most falls occur at night when transferring to the bathroom or in near connection to toilet visits. Human factors are factors caused by the patients and relatives, or due to lacks in the nurse's care such as risk assessment, measures and information.Conclusion: Cause of falls in older patients is often multifactorial, but the most common fall is falling at night on the way to the toilet. The human factor is a major contributing factor to falls.

Bakgrund: Människan i Sverige lever i högre grad allt längre, vilket genererarenväxande äldre population. Studier visar att fallrisken ökar i takt med stigande ålderoch att allt fler människor behöver söka vård efter en fallolycka. Många fall skullekunna förhindras om multidisciplinära insatser impliceras i högre grad inomfallpreventivt arbete. Syfte: Beskriva det multidisciplinära teamets erfarenheter avfallförebyggande åtgärder för personer över 65 år. Metod: En systematisklitteraturstudie tillämpades för att systematiskt söka, granska och analysera forskningför att besvarastudiens syfte. Resultat: Resultatet utgick från 9 vetenskapliga artiklar.Två teman framkom; positiva faktorer i teambaserat arbete &amp; negativa faktorer iteambaserat arbete. Konklusion: Fler människor kommer behöva vård, därförbehöver kunskapen kring teamsamverkan, kommunikation och preventiva insatserstärkas. Oavsett profession när behovet av utbildning och träning inom samverkan envital faktor för att arbeta preventivt, då multidisciplinära insatser har påvisatreducerad fallrisk / Background: People in Sweden are increasingly living longer, which generates asteady growing elderly population. Studies has showed that the risk of fallingincreases with rising age ant that more and more people need to seek care after a fallaccident. Many cases could be prevented if multidisciplinary efforts are involved to atgreater extent within fall prevention work. Purpose: To describe the multidisciplinaryteam`s experiences of fall prevention measures for people over 65 years of age.Method: A systematic literature study was applied to systematically search, reviewand analyze research to answer the purpose of the study. Result: The result was basedon 9 scientific articles. Two themes emerged: positive factors in team-based work &amp;negative factors in team-based work. Conclusion: More people will need care in thefuture, therefore are need and knowledge around team cooperation, communication,and preventive efforts in need of strengthening. Regardless of profession is the needfor education and training within cooperation a crucial factor for workingpreventively, as multidisciplinary intervention has demonstrated reduced risk of fall.

Each year there is an increasing incidence of slip and fall accidents, especially among the elderly population. Existing evidence has identified several aging effects related to slip and fall accidents, yet, the causes of these accidents with advancing age are still little known. The objective of this research was to investigate the factors influencing the initial phase of unexpected slips and falls in younger and older individuals. More specifically, the relationship between ankle strength, the ankle joint power to transfer the whole body center-of-mass during normal gait, and the likelihood of slip-induced falls was identified. The walking experiment and the ankle strength tests were conducted in the Locomotion Research Laboratory, Virginia Tech. Fourteen old (67-79 years old) and 14 young (19-35 years old) individuals participated in this study (7 male and 7 female for each age group).Within a subsequent 20-minute session of natural walking on a linear track, kinematic and kinetic data were collected synchronously. A slippery surface was introduced to the participant on the purpose of unexpected slip event. The ankle strength tests were performed using a dynamometer. The results indicated that ankle strength degradation in older individuals was related to the outcome of slips (i.e., higher frequency of falls). The results also indicated that older individuals' RCOF was less than their younger counterparts. However, older individuals fell more often than younger individuals. It is concluded that friction demand characteristics may not be a total deterministic factor of fall accidents. Thus, the further research should focus not only on the dynamic of slips, but also on the dynamics of falls.</p> / Master of Science

The main objective of this work is to address the growing concern of balance loss and falls in the aging population. The initial aspect looks at balance control in a dynamic environment. Observation of age and gender influence on motor control will be made related to a new dynamic balance testing platform (DBTP). The topic of focus in the second portion relates to reaction time in an unstable environment. Research has found that balance improves when physical activity is a part of daily life for seniors. Physical activity influence on reaction time will be investigated with a new approach to exercise classes for seniors. Finally, an understanding of motor control and balance may be acquired and physical activity incorporated into the life of an elderly individual, however this will never fully prevent falls from taking place. A novel approach to injury prevention due to falls is explored in the final portion of this thesis. Study One - Using a newly constructed dynamic balance testing platform (DBTP), balance ability of three age groups was observed in two visual conditions and in relation to gender. Center of Gravity excursion (COGex) was observed to determine the differences between age groups and gender. Platform response patterns were also observed to asses the functionality of the DBTP as a new tool for balance testing. Three things were found: 1) Age differencesrelated to platform movement suggested that balance decreased with age in both visual conditions. 2) Gender differences between COGex found that males covered the most distance in both visual conditions when compared to females. 3) Gender differences between platform characteristics showed that females balanced longer and had lower platform movement rate than males, in both visual conditions. In order to consider the DBTP as a new tool for determination of balance ability, more refined tests are necessary. Study Two - Using pre- and post-training tests, the effects of a Fitball® exercise program on performance in eight subjects was documented. The exercise program focused on improving dynamic balance and postural stability of seniors. To evaluate progress-related changes, pre and post-tests in a dynamic environment were applied. Center of gravity (COG) excursion, catch success rate, and balance success rate were quantified, and synchronized data collection of 3D motion capture (VICON v8i) and ground reaction force (2 KISTLER platforms) was analyzed. During pre- and post-tests, participants stood in a walk-like stance and were asked to catch a weighted ball, which dropped unexpectedly. Results showed no significant changes in balance success rate. Significant improvements were found, however, in both COG control and catch success rate following training (p 0.05). Study Three - Falls in the elderly are inevitable so it is necessary to take precautions. This study looks at falls in relation to velocity characteristics of various locations on the trunk, and contrasts them to activities of daily living (ADL) in 13 individuals. A threshold level was established to be 2.0m/s, a value that exceeded all maximum resultant velocities for ADL, but was superseded by all fall activity resultant velocities. This suggests that a life vest, which responds similar to a vehicle airbag, may be created and worn that will deploy past a threshold of 2.0m/s with the incidence of a fall. / xiii, 91 leaves : ill. ; 29 cm. --

Due to its hazardous nature, occupational injuries are unavoidable in the construction industry. Although many precautions are taken and educations are given to the laborers and employers, zero occupational injury rate could not be achieved, but a decrease in the number of injuries and fatalities could be maintained. The conventional studies conducted so far, usually focused on the prevention and causation models. The approach of the researchers was, either proactive or reactive about the accidents which offered preventive or protective precautions. However, after the occurrence of an injury, these precautions become useless and from this point on, determination of the fault rates for the parties being involved in that injury becomes the critical issue. Mostly, it is difficult to reach an objective and correct conclusion at the phase of determining fault rates and decisions achieved may display great fluctuations from one expert to another. The aim of this study is to develop an expert system that reflects the knowledge of occupational safety experts for the determination of fault rates. In order to facilitate this research, required data were collected from related organizations and experts. These data were compiled and classified, the significant factors were determined and all of these factors were evaluated within a quantitative approach. In addition to this evaluation, questionnaires were submitted to the experts / at which they were asked to rate the factors which were determined by the researcher of this study. The expert system is based on these ratings and factors obtained from questionnaires.

Orientador: Marilisa Berti de Azevedo Barros / Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-25T22:21:36Z (GMT). No. of bitstreams: 1 Rodrigues_IaraGuimaraes_D.pdf: 6310603 bytes, checksum: d1eea070e0d48052f60f6e77c1870433 (MD5) Previous issue date: 2014 / Resumo: Objetivo: Analisar a prevalência e os fatores associados à osteoporose autorreferida, à ocorrência de quedas, bem como a associação das quedas com a QVRS através do SF-36 em idosos residentes em Campinas/SP. Método: Trata-se de um estudo de corte transversal de base populacional, que utilizou informações provenientes do Inquérito de Saúde do município de Campinas/SP (IsaCAmp 2008), realizado entre Fevereiro/2008 a Abril/2009, com amostra representativa da população de idosos (60 anos e mais) de Campinas/SP. Foram estimadas as prevalências de osteoporose autorreferida e ocorrência de quedas nos últimos 12 meses segundo variáveis sociodemográficas, morbidades, condições e problemas de saúde e a associação entre ocorrência de queda e os domínios do SF-36 segundo sexo, faixa etária e escolaridade. Utilizou-se das razões de prevalência brutas e ajustadas por sexo e/ou idade e/ou comorbidades por meio de regressão múltipla de Poisson e modelo de regressão linear simples e múltipla para cada dominio do SF-36. Aplicou-se o comando svy a fim de incorporar as ponderações decorrentes do processo amostral. Todas as análises foram realizadas utilizando o software Stata 11.0 (StataCorp, Colégio Station, Estados Unidos). Resultados: A população total estudada foi de 1520 idosos, com média de idade de 69,5 anos, 57,2% do sexo feminino e 55,9% com 60 a 69 anos. A prevalência encontrada de osteoporose autorreferida e de ocorrência de quedas foram de 14,8% e 6,5%. Dentre os fatores associados à osteoporose destacaram-se o reumatismo/artrite/artrose, asma/bronquite/enfisema, distúrbios do sono e sobrepeso. Em relação a ocorrência de quedas, a tontura, insônia, asma/bronquite/enfisema foram os que se ressaltaram. A associação entre as quedas e QVRS, foi existente em praticamente todos os domínios do SF-36, com destaque para o maior impacto das quedas na QVRS dos idosos do sexo masculino. Conclusão: Por meio da identificação da prevalência e dos fatores associados à osteoporose, ocorrência de quedas e da associação das quedas na QVRS nos idosos, o presente estudo, sinaliza os segmentos de idosos mais susceptíveis a estes eventos. Considera-se que os resultados apresentados possam contribuir para o planejamento de melhores políticas públicas, programas voltados ao controle da osteoporose e da ocorrência de quedas, bem como a promoção do envelhecimento saudável e com qualidade de vida / Abstract: Objective: Analyze the prevalence and factors associated with self-referred osteoporosis, the occurrence of falls, as well as the association of falls with HRQoL through the SF-36 in elderly people living in Campinas/SP. Method: This is a cross-sectional population-based study, which used information from the Health Survey in the municipality of Campinas/SP (IsaCamp 2008), carried out between February/2008 and April 2009, with representative sample of the elderly population (60 years old and over) of Campinas/SP. The prevalence of self-referred osteoporosis and the occurrence of falls in the last 12 months were estimated according to sociodemographic variables, morbidities, health conditions and problems and the association between the occurrence of falls and the SF-36 domains, according to sex, age, and educational level. It was used crude and adjusted prevalence ratios, by sex and/or age and/or comorbidities, using Poisson multiple regression and simple and multiple linear regression model for each SF-36 scale. Svy command was applied to incorporate the weightings resulting from the sampling process. All analyzes were performed using Stata 11.0 software (Stata Corp Station College, USA). Results: The total studied population was of 1520 elderly people, with a mean age of 69.5 years, 57.2% female and 55.9% were 60 to 69 years old. The prevalence found of self-referred osteoporosis and occurrence of falls were of 14.8% and 6.5%. Among the factors associated with osteoporosis the most important were rheumatism/arthritis/osteoarthritis, asthma/bronchitis/emphysema, sleep disorders and overweight. Regarding the occurrence of falls, those underscored were dizziness, insomnia, asthma/bronchitis/emphysema. The association between falls and HRQoL was found in virtually all SF-36 domains, highlighting the greatest impact of falls on HRQoL of elderly men. Conclusion: Through the identification of the prevalence and factors associated with osteoporosis, the occurrence of falls and the association of falls on HRQoL of elderly people this study indicates the segments of elderly people more susceptible to these events. We believe that the results presented can contribute to the planning of improved public policies, programs aimed at the control of osteoporosis and the occurrence of falls, as well as promoting healthy aging and quality of life / Doutorado / Epidemiologia / Doutora em Saúde Coletiva

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2016-10-19T17:35:10Z No. of bitstreams: 1 Luiz Contarine Neto.pdf: 1229785 bytes, checksum: d01b3d65130b3845d8269b6e26f6fd8b (MD5) / Made available in DSpace on 2016-10-19T17:35:10Z (GMT). No. of bitstreams: 1 Luiz Contarine Neto.pdf: 1229785 bytes, checksum: d01b3d65130b3845d8269b6e26f6fd8b (MD5) Previous issue date: 2016 / Mestrado Profissional Ensino na Saúde / As quedas destacam-se como um dos principais fatores que acometem a saúde do idoso, sendo responsáveis pela perda da independência funcional e da sua qualidade de vida. Desse modo, os objetivos do presente estudo foram verificar a prevalência de quedas e seus fatores de riscos nos idosos frequentadores do projeto Centro Qualidade de Vida (CQV) do Instituto Federal Fluminense (IFF) Campus Campos Centro; desenvolver uma experiência de Educação Permanente entre os profissionais de Educação Física e elaborar uma proposta de intervenção para a prevenção de quedas. A problemática que levou ao desenvolvimento desta pesquisa surgiu a partir da observação dos autores, na prática, do absenteísmo dos idosos nas atividades práticas devido a problemas de saúde, em consequência de acidentes relacionados a quedas. Trata-se de um estudo descritivo e exploratório, com abordagem metodológica quantitativa, realizado no período de fevereiro a março de 2015, no IFF Campos. Os sujeitos foram 50 idosos de 60 anos ou mais, de ambos os sexos, e os profissionais de Educação Física (EF) que participam do projeto CQV. Os dados foram coletados em duas etapas: na primeira etapa com os idosos, foi aplicado um questionário para investigação do evento queda. Na segunda etapa, para o desenvolvimento da oficina de Educação Permanente, trabalhou-se com nove profissionais de EF, sendo que cinco desses atuam diretamente no projeto. Os dados do questionário foram tabulados a partir da análise estatística por distribuição percentual. A prevalência de quedas entre os idosos foi de 50%. Entre os que sofreram quedas, 40% tiveram uma única queda em 12 meses e a maior parte ocorreu na residência (68%). A prevalência de quedas associou-se à idade entre 70 a 79 anos (60%), sendo a maioria do sexo feminino (80%). Em relação aos fatores de riscos, destaca-se a presença de piso irregular nas residências (32%), escadas sem corrimão (42%), ausência de tapetes de borracha ou piso antiderrapante nos banheiros (52%), ruas e calçadas com buracos (68%) e piso irregular (72%). Como produto desse estudo, foi elaborada uma cartilha com informações sobre os fatores de riscos e 'dicas' para a prevenção de quedas, além da proposta de implantação da Educação Permanente na Educação Física. Esses dados chamam a atenção para a necessidade de ações educativas e preventivas que favoreçam a identificação dos fatores de riscos, já que só a partir do seu conhecimento é possível estabelecer um programa de prevenção eficiente / Falls are highlighted as one of the main factors that affect the health of the elderly person, and they are responsible for the loss of functional independence and quality of life. Accordingly, the objectives of this study were to check the prevalence of falls and their risk factors in elderly people who attend the Quality of Life Center project (QOLC), which belongs to the Fluminense Federal Institute (IFF, as per its acronym in Portuguese), Center-Campos Campus; to develop an experience of Continuing Education among Physical Education professionals; to draw up an intervention proposal for preventing falls. The issue that led to the development of this research emerged from the observation of the authors, in practice, of the absenteeism of elderly people in practical activities due to health problems as a result of accidents related to falls. This is a descriptive and exploratory study, with quantitative and methodological approach, held from February to March 2015, at the IFF Campos. Participants were 50 elderly people aged 60 years or over, of both sexes, and Physical Education professionals (PE) who take part in the QOLC project. Data were collected in two steps: in the first stage with the elderly people, a questionnaire for investigating the events related to falls was applied. In the second step, in order to develop the workshop about Continuing Education, we worked with nine PE professionals, five of these work directly in the project. The questionnaire data were tabulated from the statistical analysis by percentage distribution. The prevalence of falls among the elderly people was 50%. Among those who suffered falls, 40% had a single fall in 12 months and most occurred at home (68%). The prevalence of falls was associated with age between 70 and 79 years (60%), and most were females (80%). Regarding the risk factors, one should highlight the presence of irregular floor in their houses (32%), stairs without handrail (42%), lack of rubber carpets or anti-slip floors in the bathrooms (52%), streets and sidewalks with holes (68%), and uneven floor (72%). As a product of this study, we have drawn up a guidebook with information about the risk factors and tips for preventing falls, as well as the proposal for implementing the Continuing Education in Physical Education. These data draw attention to the need for educational and preventive actions that foster the identification of risk factors, since only their knowledge is capable of allowing the establishment of an effective prevention program

A temática da segurança do paciente é uma preocupação antiga, porém, só assumiu relevância nos últimos anos com a divulgação de dados sobre incidentes no cuidado em saúde e suas consequências. Um desses eventos, denominado evento adverso, corresponde à queda. As quedas são eventos não planejados quem levam o paciente ao solo, com ou sem lesão, sendo responsáveis por sofrimento aos pacientes e suas famílias, maior tempo de internação, custos aos sistemas de saúde e até mesmo óbitos. Vários fatores podem levar o paciente ao solo, porém, o foco dos estudos se concentra na população com mais de 65 anos, principalmente em unidades de internação. Embora os padrões de morbimortalidade tenham provocado mudanças na configuração do atendimento em saúde, elevando consideravelmente os casos de urgência e a complexidade da assistência, pouco ainda se sabe sobre quedas em ambientes não hospitalares, especialmente na atenção primária. As alterações nos fluxos de atendimento provocaram transformações nos cenários de trabalho da atenção básica, especialmente para a enfermagem, que realiza a maior parte das ações de cuidado. Estresse, insegurança e falhas estruturais são alguns fatores que contribuem para o comprometimento da segurança do paciente, especialmente na identificação de risco para quedas. Este estudo busca mapear os fatores de risco de quedas identificados por enfermeiros do serviço de urgência pré-hospitalar fixo, profissionais responsáveis pela elaboração, implementação e avaliação de processos para prevenção de incidentes, a partir de importantes instrumentos, como linguagem padronizada em escala mundial North American Nursing Diagnosis Association International (NANDA-I) e a Escala de Quedas de Morse (MFS) / The issue of patient safety is an old concern, but it has only become relevant in recent years with the dissemination of data on incidents in health care and its consequences. One of these events, called an adverse event, corresponds to the fall. Falls are unplanned events that take the patient to the ground, with or without injury, being responsible for suffering to patients and their families, longer hospitalization, costs to health systems and even death. Several factors can lead the patient to the ground, however, the focus of the studies is concentrated in the population over 65, mainly in hospitalization units. Although morbidity and mortality patterns have caused changes in the configuration of health care, considerably increasing urgency and complexity of care, little is known about falls in non-hospital settings, especially in primary care. Changes in care flows have led to changes in the work scenarios of primary care, especially for nursing, which performs most of the care actions. Stress, insecurity and structural failures are some factors that contribute to compromising patient safety, especially in identifying a risk for falls. This study seeks to map the risk factors for falls identified by nurses in the fixed prehospital emergency department, professionals responsible for the design, implementation and evaluation of processes for incident prevention, using important instruments such as standardized language on a global scale North American Nursing Diagnosis Association International (NANDA-I) and the Morse Falls Scale (MFS)