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psnet.ahrq.gov/node/42732/psn-pdf
May 05, 2014 - Reducing falls and fall-related injuries in mental health: a
1-year multihospital falls collaborative … Reducing falls and fall-related injuries in mental health: a 1-year
multihospital falls collaborative … https://psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls … This commentary relates the experience of five hospitals that implemented different fall prevention … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - articles assessing the effectiveness of bedside “sitters” for agitated
patients who appear to be at high fall … In general, the researchers found very-low-certainty evidence
that sitters reduce fall risk in acute … moderate-certainty that alternatives (e.g., video
monitoring) can reduce sitter use without increasing fall … included studies had a least one methodological limitation (such as not defining what
consisted a fall
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psnet.ahrq.gov/issue/evaluation-effectiveness-and-safety-pharmacist-independent-prescribers-care-homes-cluster
December 15, 2021 - management in long-term care residents is associated with improved hospital readmission rates and reduced fall … or monitor medications, and this cluster randomized controlled trial evaluated the effect of PIPs on fall … After six months of PIP involvement, fall rates (the primary outcome ) were not statistically different … November 16, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings
March 13, 2008 - This study found that increased call light use was related to less fall-related patient harm, suggesting … December 15, 2011
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home. … Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation
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psnet.ahrq.gov/node/40181/psn-pdf
September 25, 2011 - The cost of serious fall-related injuries at three
midwestern hospitals. … The cost of serious fall-related injuries at three Midwestern
hospitals. … https://psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
In this study … associated with higher
operational costs and longer lengths of stay, further building an economic case for fall … https://psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/35470/psn-pdf
July 10, 2008 - Prevention of fall-related injuries in long-term care: a
randomized controlled trial of staff education … Prevention of fall-related injuries in long-term care: a randomized
controlled trial of staff education … https://psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff … for reducing patient falls but found no
evidence that the intervention was effective in preventing fall-related … https://psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
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psnet.ahrq.gov/node/46387/psn-pdf
September 06, 2017 - A multicomponent fall prevention strategy reduces falls at
an academic medical center. … A Multicomponent Fall Prevention Strategy Reduces Falls at an
Academic Medical Center. … https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical- … center
Fall prevention remains a patient safety priority. … https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
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psnet.ahrq.gov/node/47778/psn-pdf
March 06, 2019 - Teamwork- Part 1: Divided We Fall; Part 2: Cursed By
Knowledge: Building a Culture of Psychological … Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10.1056/NEJMms1813427. … https://psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture … https://psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety … https://psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
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psnet.ahrq.gov/node/851201/psn-pdf
July 05, 2023 - ‘I felt like I was dying’: how women with postpartum
depression fall through the cracks of U.S. health … https://psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us … https://psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care … https://psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
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psnet.ahrq.gov/node/45231/psn-pdf
February 14, 2017 - 6-PACK programme to decrease fall injuries in acute
hospitals: cluster randomised controlled trial. … February 14, 2017
Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries … https://psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised … Despite successful implementation of the fall prevention bundle, falls occurred just as
frequently on … A
WebM&M commentary discussed a case involving a fall resulting in injury.
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psnet.ahrq.gov/node/40040/psn-pdf
December 21, 2014 - study conducted at two Australian hospitals, cognitively intact patients who
received a multimodal fall … educational materials on falls
and physical therapist follow-up) were significantly less likely to fall … The fall
prevention evidence base was also augmented by a recent study that used an individualized fall … interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial … https://psnet.ahrq.gov/web-mm/another-fall
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psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - Falling Between the Cracks in the Software
Citation Text:
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/issue/100k-lives-falling-short
November 11, 2015 - Newspaper/Magazine Article
100K Lives falling short.
Citation Text:
100K Lives falling short. Robeznieks A.
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - care needs), reliance on home healthcare workers instead of rehabilitation professionals, and
lack of fall … The authors recommend systems-level changes to improve fall
prevention practices, such as use of electronic … issue/using-root-cause-analysis-reduce-falls-injury-community-settings
https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use … -60-united-states-hospitals-descriptive-study
https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use
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psnet.ahrq.gov/node/41886/psn-pdf
April 17, 2013 - Inpatient fall prevention: use of in-room Webcams. … Inpatient fall prevention: use of in-room Webcams. … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
The use of Webcams and virtual … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
https://psnet.ahrq.gov/issue/ … fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - September 14, 2022
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS … ) program to engage older adults in fall prevention in a nursing home. … November 27, 2012
Fall prevention in hospitals: an integrative review. … July 8, 2009
WebM&M Cases
Another Fall
April 1, 2003
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psnet.ahrq.gov/node/46483/psn-pdf
October 04, 2017 - Fall Prevention in Hospitals Training Program. … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
Falls are a primary focus of … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
https://psnet.ahrq.gov/primer … /falls
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … preventing-falls-hospitals-toolkit-improving-quality-care
https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
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psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments
September 15, 2021 - Clinical department, rates, and trends should be considered when implementing fall prevention strategies
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psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
May 24, 2017 - (1) designing a falls prevention and management program; (2) effective interventions for high-risk fall … patients; (3) implementing hip protectors for high-risk fall patients; and (4) educating patients, families … , and staff on falls and fall-injury prevention. … February 8, 2006
WebM&M Cases
Another Fall
April
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psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
November 21, 2014 - November 21, 2014
Evaluation of clinical practice guidelines on fall prevention and management