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381. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. | PSNet
     psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
     October 19, 2022 - October 19, 2022 Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home.

382. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. | PSNet
     psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
     February 17, 2021 - Download Citation Related Resources From the Same Author(s) Adopting the Fall … Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention

383. Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. | PSNet
     psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
     July 26, 2023 - Book/Report Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Citation Text: Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…

384. Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. | PSNet
     psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
     March 25, 2020 - Study Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. Citation Text: Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42061/psn-pdf
     October 05, 2015 - offers information and resources to guide hospitals through process change to implement and sustain fall

386. The effect of a rapid response team on major clinical outcome measures in a community hospital. | PSNet
     psnet.ahrq.gov/issue/effect-rapid-response-team-major-clinical-outcome-measures-community-hospital
     October 19, 2022 - July 1, 2019 A randomized trial of a multifactorial strategy to prevent serious fall … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall

387. Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. | PSNet
     psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability
     October 19, 2022 - January 31, 2018 6-PACK programme to decrease fall injuries in acute hospitals: cluster … September 18, 2024 Evaluation of clinical practice guidelines on fall prevention and

388. Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial. | PSNet
     psnet.ahrq.gov/issue/effect-medication-reconciliation-hospital-admission-30-day-returns-hospital-randomized
     September 15, 2021 - September 7, 2022 Evaluation of clinical practice guidelines on fall prevention and management … May 19, 2021 Evaluation of a patient-centered fall-prevention tool kit to reduce falls

389. Physical and verbal violence against health care workers. | PSNet
     psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers
     December 23, 2016 - January 25, 2023 Preventing falls and fall-related injuries in health care facilities … September 6, 2017 Preventing falls and fall-related injuries in health care facilities

390. Using root cause analysis to reduce falls with injury in community settings. | PSNet
     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. Copy Citation Format: Goo…

391. Designing a strategy to promote safe, innovative off-label use of medications. | PSNet
     psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
     May 06, 2009 - January 2, 2017 Evaluation of clinical practice guidelines on fall prevention and management … July 20, 2010 A randomized trial of a multifactorial strategy to prevent serious fall

392. Medical error, malpractice and complications: a moral geography. | PSNet
     psnet.ahrq.gov/issue/medical-error-malpractice-and-complications-moral-geography
     August 20, 2018 - August 20, 2018 Evaluation of clinical practice guidelines on fall prevention and management … March 13, 2013 A randomized trial of a multifactorial strategy to prevent serious fall

393. Pro/con debate: color-coded medication labels. | PSNet
     psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels
     December 23, 2008 - October 5, 2022 Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program … to engage older adults in fall prevention in a nursing home.

394. Three Australian whistleblowing sagas: lessons for internal and external regulation. | PSNet
     psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
     August 17, 2005 - August 4, 2021 A randomized trial of a multifactorial strategy to prevent serious fall … July 20, 2011 Evaluation of clinical practice guidelines on fall prevention and management

395. Taking risky business out of the MRI suite. | PSNet
     psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite
     September 12, 2016 - February 20, 2019 A randomized trial of a multifactorial strategy to prevent serious fall … July 29, 2020 Evaluation of clinical practice guidelines on fall prevention and management

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50647/psn-pdf
     November 06, 2019 - ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. November 6, 2019 Bailey M. Kaiser Health News. October 17, 2019. https://psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed Patient falls with harm are a common sentinel event. This news story discuss…

397. Why psychiatry is different--challenges and difficulties in managing a nosocomial outbreak of coronavirus disease (COVID-19) in hospital care. | PSNet
     psnet.ahrq.gov/issue/why-psychiatry-different-challenges-and-difficulties-managing-nosocomial-outbreak-coronavirus
     February 14, 2024 - January 23, 2019 Evaluation of clinical practice guidelines on fall prevention and management … August 20, 2018 A randomized trial of a multifactorial strategy to prevent serious fall

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47901/psn-pdf
     April 10, 2019 - A systematic review of falls in hospital for patients with communication disability: highlighting an invisible population. April 10, 2019 Hemsley B, Steel J, Worrall L, et al. A systematic review of falls in hospital for patients with communication disability: Highlighting an invisible population. J Safety Res. 20…

399. Is evidence guiding practice? Reported versus observed adherence to contact precautions: a pilot study. | PSNet
     psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
     June 28, 2017 - January 3, 2017 Fall prevention implementation strategies in use at 60 United States … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall

400. Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. | PSNet
     psnet.ahrq.gov/issue/interventions-prevent-falls-older-adults-updated-evidence-report-and-systematic-review-us
     November 14, 2018 - Review Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. Citation Text: Guirguis-Blake JM, Perdue LA, Coppola EL, et al. Interventions to prevent falls in older adults: updated evidence report and syst…