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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
April 25, 2016 - Study
Using root cause analysis to reduce falls with injury in community settings.
Citation Text:
Lee A, Mills PD, Neily J. Using root cause analysis to reduce falls with injury in community settings. Jt Comm J Qual Patient Saf. 2012;38(8):366-374.
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - , hemodynamic shifts can lead to transient hypotension (low blood pressure) and dizziness.( 4 ) The fall … risk in hemodialysis patients is higher than in the general population.( 4 ) Assessment of fall risk … the use of neuropsychiatric medications, and avoiding hypotension in dialysis patients may all reduce fall … Falls and fall-related injuries in older dialysis patients.
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psnet.ahrq.gov/periodic-issue/periodic-issue-413
October 31, 2023 - Findings indicate that remote patient monitoring (when combined with standard fall precautions) can reduce … the incidence of falls and fall-related injuries, as well as decrease fall-related expenditures. … Findings indicate that remote patient monitoring (when combined with standard fall precautions) can reduce … the incidence of falls and fall-related injuries, as well as decrease fall-related expenditures.
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psnet.ahrq.gov/issue/internet-things-healthcare-patient-safety-empirical-study
March 18, 2020 - March 29, 2023
Fall prevention with the Smart Socks System reduces hospital fall rates
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psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid
August 03, 2022 - May 1, 2015
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered … fall prevention toolkit.
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psnet.ahrq.gov/issue/outcomes-based-nurse-staffing-during-times-crisis-and-beyond
March 11, 2020 - 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/issue/electronic-intervention-improve-safety-pain-patients-co-prescribed-chronic-opioids-and
March 23, 2022 - 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/node/38715/psn-pdf
February 17, 2011 - Medicare nonpayment, hospital falls, and unintended
consequences.
February 17, 2011
Inouye SK, Brown CJ, Tinetti ME. Medicare nonpayment, hospital falls, and unintended consequences. N
Engl J Med. 2009;360(23):2390-3. doi:10.1056/NEJMp0900963.
https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-uni…
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psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
April 06, 2016 - Newspaper/Magazine Article
How to avoid falling victim to a hospital mistake.
Citation Text:
How to avoid falling victim to a hospital mistake. Cohen E.
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psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
November 15, 2023 - October 18, 2023
Fall prevention with the Smart Socks System reduces hospital fall rates
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psnet.ahrq.gov/issue/complexity-and-challenges-clinical-diagnosis-and-management-long-covid
January 12, 2022 - Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall … September 29, 2021
Evaluation of a patient-centered fall-prevention tool kit to reduce
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psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal
July 29, 2020 - March 8, 2023
Safety standards: implementing fall prevention interventions and sustaining … lower fall rates by promoting the culture of safety on an inpatient rehabilitation unit.
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psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
May 08, 2019 - 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/rates-serious-surgical-errors-california-and-plans-prevent-recurrence
March 09, 2022 - March 9, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … June 1, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
September 08, 2021 - September 8, 2021
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home.
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psnet.ahrq.gov/node/48116/psn-pdf
July 17, 2019 - Awareness and confidence in patient safety topics including medication safety and fall
prevention improved
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psnet.ahrq.gov/node/47508/psn-pdf
October 24, 2018 - Root cause analysis of reported patient falls in ORs in the
Veterans Health Administration.
October 24, 2018
Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the
Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372.
https://psnet.ahrq.go…
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psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
January 22, 2020 - Study
Exploring organizational context and structure as predictors of medication errors and patient falls.
Citation Text:
Mark BA, Hughes LC, Belyea M, et al. Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. J Patient Saf. 2008;4(2). …
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psnet.ahrq.gov/issue/missing-clinical-and-behavioral-health-data-large-electronic-health-record-ehr-system
July 19, 2023 - July 19, 2023
Evaluation of clinical practice guidelines on fall prevention and management … January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/patient-safety-and-image-transfer-between-referring-hospitals-and-neuroscience-centres-could
July 19, 2023 - December 14, 2022
Fall prevention with the Smart Socks System reduces hospital … fall rates.