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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/issue/assessment-patients-ability-review-electronic-health-record-information-identify-potential
July 27, 2022 - 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/outbreak-investigation-covid-19-among-residents-and-staff-independent-and-assisted-living
October 19, 2022 - August 17, 2016
A randomized trial of a multifactorial strategy to prevent serious fall … Organization's Approach
October 1, 2007
Evaluation of clinical practice guidelines on fall
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psnet.ahrq.gov/issue/differences-donor-heart-acceptance-race-and-gender-patients-transplant-waiting-list
January 12, 2022 - Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall … August 4, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/electronic-health-record-nudges-and-health-care-quality-and-outcomes-primary-care-systematic
March 09, 2022 - February 5, 2020
Fall prevention implementation strategies in use at 60 United States … December 9, 2020
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/association-default-electronic-medical-record-settings-health-care-professional-patterns
February 12, 2020 - May 17, 2023
Balancing safety, comfort, and fall risk: an intervention to limit opioid … Journal Article
Study
Catching those who fall
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psnet.ahrq.gov/issue/implementing-survey-patients-provide-safety-experience-feedback-following-care-transition
January 08, 2020 - with diabetes being discharged from hospital
October 16, 2019
The impact of post-fall … huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a
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psnet.ahrq.gov/issue/significant-reduction-preanalytical-errors-nonphlebotomy-blood-draws-after-implementation
May 29, 2019 - 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/statewide-nicu-central-line-associated-bloodstream-infection-rates-decline-after-bundles-and
September 23, 2020 - February 15, 2017
Balancing safety, comfort, and fall risk: an intervention to limit … November 3, 2015
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
September 29, 2021 - October 6, 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/42061/psn-pdf
October 05, 2015 - offers information and resources to guide hospitals through process change to implement and
sustain fall
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psnet.ahrq.gov/issue/safe-use-health-information-technology
December 23, 2016 - Citation
Related Resources From the Same Author(s)
Preventing falls and fall-related … February 8, 2017
Preventing falls and fall-related injuries in health care facilities
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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…
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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…
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psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
April 24, 2018 - March 6, 2013
Evaluation of clinical practice guidelines on fall prevention and management … August 7, 2019
Fall prevention in hospitals: an integrative review.
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psnet.ahrq.gov/node/50862/psn-pdf
February 05, 2020 - Assessment of nursing home reporting of major injury
falls for quality measurement on Nursing Home Compare.
February 5, 2020
Sanghavi P, Pan S, Caudry D. Assessment of nursing home reporting of major injury falls for quality
measurement on nursing home compare. Health Serv Res. 2020;55(2):201-210. doi:10.1111/1475-…
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psnet.ahrq.gov/node/837863/psn-pdf
August 17, 2022 - The Nursing Home Expert Panel’s Falls Investigation
Guide Toolkit: How-To Guide.
August 17, 2022
Portland, OR: Oregon Patient Safety Commission; 2022.
https://psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
Patient falls are common sentinel events. The latest revis…
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psnet.ahrq.gov/issue/clinical-uncertainty-primary-care-challenge-collaborative-engagement
December 23, 2008 - December 21, 2017
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/issue/physician-quality-officer-new-model-engaging-physicians-quality-improvement
May 03, 2017 - September 14, 2016
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/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
August 29, 2011 - August 19, 2020
Evaluation of clinical practice guidelines on fall prevention and management … July 13, 2010
A randomized trial of a multifactorial strategy to prevent serious fall