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psnet.ahrq.gov/node/838252/psn-pdf
October 05, 2022 - 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/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/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/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/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
August 02, 2015 - Commentary
Emerging Classic
Teamwork- Part 1: Divided We Fall … Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10.1056/NEJMms1813427. … Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10.1056/NEJMms1813427.
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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/developing-standard-handoff-process-operating-room-icu-transitions-multidisciplinary
February 06, 2019 - Citation Text:
Lane-Fall MB, Pascual JL, Massa S, et al. … Facebook
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November 19, 2018
Lane-Fall … Linkedin
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Citation Text:
Lane-Fall
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psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
February 06, 2019 - Citation Text:
Lane-Fall MB, Collard ML, Turnbull AE, et al. … Share
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March 15, 2016
Lane-Fall … Linkedin
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Citation Text:
Lane-Fall
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psnet.ahrq.gov/node/837209/psn-pdf
May 25, 2022 - opioids-and-falls-risk-older-adults-narrative-review
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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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 … March 2, 2016
Fall prevention in hospitals: an integrative review.
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psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
January 08, 2020 - No differences in the incidence of falls or fall severity during handovers performed away from patients
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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/836865/psn-pdf
April 06, 2022 - occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
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/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
January 09, 2025 - Care
September 1, 2011
WebM&M Cases
Another Fall
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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/node/61113/psn-pdf
January 01, 2021 - No differences in the incidence of falls or fall severity during handovers performed away from patients
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psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review
July 27, 2022 - 2023
Optimizing post-acute care patient safety: a scoping review of multifactorial fall
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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/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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Citation Text:
Lane-Fall