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psnet.ahrq.gov/node/41985/psn-pdf
October 26, 2016 - The most common adverse events reported were pressure ulcers and fall-
related injuries or deaths. … /serious-reportable-events-healthcare-2011-update
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
September 14, 2022 - The SMAS was developed as an adjunct to the existing institutional fall prevention bundle and to address … Based on a fall risk assessment and the patient’s locomotion score (walk, wheelchair, crawl), they are … not require assistance
After admission, all patients are placed on a red mobility alert until a fall
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psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
May 08, 2024 - Patient falls are a never event; every fall should be reported and thoroughly investigated.
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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/impact-unit-based-patient-safety-officer
September 19, 2012 - The fall rate among inpatients decreased markedly after the patient safety officer position was begun … September 10, 2013
Inpatient fall prevention: use of in-room Webcams. … October 18, 2011
The cost of serious fall-related injuries at three midwestern hospitals
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psnet.ahrq.gov/node/840172/psn-pdf
November 16, 2022 - The SMAS was developed as an adjunct
to the existing institutional fall prevention bundle and to address … Based on a fall risk assessment and the patient’s locomotion score (walk, wheelchair, crawl), they are … does not require assistance
After admission, all patients are placed on a red mobility alert until a fall
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psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
October 26, 2011 - March 29, 2023
Fall prevention with the Smart Socks System reduces hospital fall … December 23, 2020
Evaluation of a patient-centered fall-prevention tool kit to reduce … December 2, 2020
Patient activation related to fall prevention: a multisite study
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psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
September 09, 2020 - EMERGING INNOVATIONS
Catching those who fall through the cracks: integrating a follow-up process … Citation Text:
Catching those who fall through the cracks: integrating a follow-up process for emergency … URL
Cite
Citation
Citation Text:
Catching those who fall
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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
October 16, 2024 - 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 … November 3, 2021
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety) … : a patient-centered fall prevention toolkit.
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psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
December 02, 2020 - Prior to implementation, the fall rate was 4.9 per 1,000 admissions. … By December 2020, the fall rate was reduced to 0 falls per 1,000 admissions. … February 1, 2023
Fall prevention with the Smart Socks System reduces hospital fall rates
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psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
November 17, 2021 - The author suggests strategies to identify patients at high risk for falls, improve fall-related training
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - Resources
Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention. … March 29, 2023
Patient perception of fall risk and fall risk screening scores. … May 5, 2021
Modification of potentially inappropriate prescribing following fall-related
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psnet.ahrq.gov/node/73660/psn-pdf
September 01, 2021 - Clinical department, rates, and
trends should be considered when implementing fall prevention strategies … hospital-inpatient-falls-across-clinical-departments
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/periodic-issue/periodic-issue-456
September 25, 2024 - Study
ROI for a fall prevention intervention: invest a little, save a lot. … Fall Tailoring Interventions for Patient Safety (Fall TIPS) is an evidence-based program that engages … patients in their own fall prevention program. … Fall Tailoring Interventions for Patient Safety (Fall TIPS) is an evidence-based program that engages … patients in their own fall prevention program.
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psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis
June 15, 2011 - of falls among inpatients in different hospital environments and identified wide variation in both fall … June 6, 2012
Fall prevention in acute care hospitals: a randomized trial. … September 20, 2011
An inpatient fall prevention initiative in a tertiary care hospital
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psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while-preserving-rooming
March 20, 2019 - years after implementation, the hospital achieved one year without any newborn falls and there were no fall-related
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psnet.ahrq.gov/node/837070/psn-pdf
May 11, 2022 - The
author suggests strategies to identify patients at high risk for falls, improve fall-related training … patient-falls-operating-room-setting-analysis-reported-safety-events
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
September 18, 2019 - bed or chair was the most common activity, whereas environmental hazards and poor communication of fall … September 19, 2016
Reducing falls and fall-related injuries in mental health: a 1-year
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psnet.ahrq.gov/node/45980/psn-pdf
January 01, 2020 - issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-
patient-falls
Fall … use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/reducing-falls-hospitalized-children-and-adolescents-cancer-and-blood-disorders-quality
November 16, 2022 - The intervention included enhanced communication with families and staff about fall risks, physical