STRATIFY: Answer Yes/No to 5 risk factors. Score 1 point for every Yes. A total score of 2 or more indicates high risk.
Assess 5 Risk Factors
1. Past Falls
Did the patient present to hospital with a fall, or have they fallen since admission?
2. Agitation
Is the patient agitated (hyperactive delirium, wandering)?
3. Visual Impairment
Is the patient visually impaired to the extent that everyday function is affected?
4. Frequent Toileting
Is the patient in need of especially frequent toileting (e.g., urgency, diuretics, diarrhea)?
5. Transfer and Mobility
Does the patient have a transfer and mobility score of 3 or 4 (unable or requires major help)?
Guidelines & Evidence
Verified
Last Review: 2026
Last Comprehensive Review: 2026
