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psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
September 07, 2022 - March 14, 2018
Evaluation of clinical practice guidelines on fall prevention and management … Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention.
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psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
August 04, 2021 - , and used the findings to design a quality improvement intervention that significantly reduced the fall
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psnet.ahrq.gov/issue/intraoperative-sentinel-events-era-surgical-safety-checklists-results-national-survey
August 04, 2021 - September 23, 2020
A randomized trial of a multifactorial strategy to prevent serious fall … July 29, 2020
Fall prevention implementation strategies in use at 60 United States hospitals … June 3, 2020
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/understanding-facilitators-and-barriers-care-transitions-insights-project-achieve-site-visits
September 23, 2020 - February 21, 2018
Potentially harmful medication dispenses after a fall or hip fracture … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall … July 1, 2020
WebM&M Cases
Another Fall
April 1, 2003
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psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
May 11, 2022 - mixed methods study of 11 health services across Victoria, Australia, found that skin integrity and fall … February 1, 2012
Fall prevention in acute care hospitals: a randomized trial.
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psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
December 24, 2008 - offers information and resources to guide hospitals through process change to implement and sustain fall … December 27, 2014
Inpatient fall prevention programs as a patient safety strategy: a
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psnet.ahrq.gov/web-mm/raise-bar
May 29, 2024 - After hearing the fall, the nurse came quickly to evaluate and, given complaints of acute neck pain, … , low adverse-effect profile, and excellent surgical anesthesia and postoperative analgesia.( 2,3 ) Fall … All of this makes foot placement, pivoting, balance correction, and fall recovery more difficult.( 5 … Fall prevention strategies in perianesthesia include teaching patients about precautions, bed alarms, … Thou shalt not fall!
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psnet.ahrq.gov/node/41682/psn-pdf
September 19, 2012 - The fall rate among inpatients decreased markedly after the patient
safety officer position was begun … https://psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short
October 19, 2022 - Commentary
Negotiating safety when staffing falls short.
Citation Text:
Zolnierek CD, Steckel CM. Negotiating Safety when Staffing Falls Short. Crit Care Nurs Clin North Am. 2010;22(2). doi:10.1016/j.ccell.2010.03.014.
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psnet.ahrq.gov/node/866352/psn-pdf
July 24, 2024 - psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
Patient falls are a never event; every fall
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psnet.ahrq.gov/node/866857/psn-pdf
October 02, 2024 - The intervention included enhanced communication with families and staff about fall
risks, physical
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psnet.ahrq.gov/issue/safe-home-care-intervention-study-implementation-methods-and-effectiveness-evaluation
July 19, 2023 - improvement following the nurse manager visit was improved access into the home and a reduction in trip and fall … April 24, 2018
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
June 22, 2010 - Hospital Readmissions and Improve Health Outcomes
March 29, 2023
Adopting the Fall … Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … February 17, 2021
Effect of promoting high-quality staff interactions on fall prevention
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psnet.ahrq.gov/node/44564/psn-pdf
October 14, 2015 - psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
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psnet.ahrq.gov/node/45592/psn-pdf
October 27, 2016 - preventing-patient-falls-systematic-approach-joint-commission-center-transforming-healthcare
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … ://psnet.ahrq.gov/primer/root-cause-analysis
https://psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
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psnet.ahrq.gov/node/41241/psn-pdf
June 15, 2012 - bed or chair was the
most common activity, whereas environmental hazards and poor communication of fall … using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
https://psnet.ahrq.gov/primer/root-cause-analysis
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
January 22, 2017 - The authors share their experiences with implementing a fall prevention/reduction program at a large … July 25, 2012
Fall prevention in hospitals: an integrative review.
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psnet.ahrq.gov/issue/workplace-violence-pervasiveness-perioperative-environment-multiprofessional-survey
November 11, 2020 - Citation Text:
Lin DM, Lane-Fall MB, Lea JA, et al. … Facebook
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November 13, 2024
Lin DM, Lane-Fall … Copy URL
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Lin DM, Lane-Fall
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psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety
March 29, 2023 - Citation Text:
Lane-Fall MB, Davis JJ, Clapp JT, et al. … Share
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July 18, 2018
Lane-Fall … Linkedin
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Lane-Fall
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psnet.ahrq.gov/issue/impact-state-nurse-practitioner-regulations-potentially-inappropriate-medication-prescribing
March 24, 2021 - October 19, 2022
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home. … October 21, 2020
A randomized trial of a multifactorial strategy to prevent serious fall