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psnet.ahrq.gov/node/41554/psn-pdf
January 03, 2017 - Using root cause analysis to reduce falls with injury in
community settings.
January 3, 2017
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.
https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-inj…
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psnet.ahrq.gov/node/45011/psn-pdf
May 25, 2016 - becoming-high-reliability-organization-operational-advice-hospital-leaders
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/node/838916/psn-pdf
October 26, 2022 - Falling through the cracks: the invisible hospital cleaning
workforce.
October 26, 2022
Hacker CE, Debono D, Travaglia J, et al. Falling through the cracks: the invisible hospital cleaning
workforce. J Health Organ Manag. 2022;36(8):981-986. doi:10.1108/jhom-02-2022-0035.
https://psnet.ahrq.gov/issue/falling-throu…
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psnet.ahrq.gov/issue/tall-man-lettering-and-potential-prescription-errors-time-series-analysis-42-childrens
January 12, 2012 - November 12, 2014
A randomized trial of a multifactorial strategy to prevent serious fall … June 7, 2023
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-prescribing-older-people-primary-care-and-its
September 28, 2016 - August 14, 2024
Modification of potentially inappropriate prescribing following fall-related … October 13, 2021
Modification of potentially inappropriate prescribing following fall-related
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psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
February 14, 2017 - Related Resources From the Same Author(s)
6-PACK programme to decrease fall … November 16, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/there-relationship-between-high-quality-performance-major-teaching-hospitals-and-residents
July 21, 2010 - March 18, 2019
Evaluation of clinical practice guidelines on fall prevention and management … November 16, 2022
A randomized trial of a multifactorial strategy to prevent serious fall
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psnet.ahrq.gov/issue/partnered-pharmacist-charting-admission-general-medical-and-emergency-short-stay-unit-cluster
July 06, 2011 - May 28, 2015
A randomized trial of a multifactorial strategy to prevent serious fall … : Topics in Medication Safety
March 31, 2022
6-PACK programme to decrease fall
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psnet.ahrq.gov/node/44872/psn-pdf
February 12, 2016 - https://psnet.ahrq.gov/issue/partnership-patients
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/node/40311/psn-pdf
March 23, 2011 - psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/node/73604/psn-pdf
August 18, 2021 - The effect of providing staff training and enhanced
support to care homes on care processes, safety climate
and avoidable harms: evaluation of a care home quality
improvement programme in England.
August 18, 2021
Damery S, Flanagan S, Jones J, et al. The effect of providing staff training and enhanced support to c…
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psnet.ahrq.gov/node/39650/psn-pdf
June 30, 2010 - Negotiating safety when staffing falls short.
June 30, 2010
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.
https://psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short
This commentary describes strategi…
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psnet.ahrq.gov/node/37825/psn-pdf
April 11, 2011 - The effect of bedrails on falls and injury: a systematic
review of clinical studies.
April 11, 2011
Healey F, Oliver D, Milne A, et al. The effect of bedrails on falls and injury: a systematic review of clinical
studies. Age Ageing. 2008;37(4):368-78. doi:10.1093/ageing/afn112.
https://psnet.ahrq.gov/issue/effect-…
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psnet.ahrq.gov/node/44845/psn-pdf
July 01, 2016 - Is single room hospital accommodation associated with
differences in healthcare-associated infection, falls,
pressure ulcers or medication errors? A natural
experiment with non-equivalent controls.
July 1, 2016
Simon M, Maben J, Murrells T, et al. Is single room hospital accommodation associated with differences i…
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psnet.ahrq.gov/node/35808/psn-pdf
June 19, 2007 - 100K Lives falling short.
June 19, 2007
Robeznieks A.
https://psnet.ahrq.gov/issue/100k-lives-falling-short
This article reports on the progress of the 100,000 Lives Campaign and what has been learned thus far.
https://psnet.ahrq.gov/issue/100k-lives-falling-short
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psnet.ahrq.gov/node/39129/psn-pdf
November 25, 2009 - How to avoid falling victim to a hospital mistake.
November 25, 2009
Cohen E.
https://psnet.ahrq.gov/issue/how-avoid-falling-victim-hospital-mistake
This news story describes an incident of patient misidentification and offers tips to help patients confirm
their care during a hospitalization.
https://psnet.ahrq.g…
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psnet.ahrq.gov/node/850348/psn-pdf
June 14, 2023 - Approaches to improving patient safety in integrated
care: a scoping review.
June 14, 2023
Lalani M, Wytrykowski S, Hogan H. Approaches to improving patient safety in integrated care: a scoping
review. BMJ Open. 2023;13(4):e067441. doi:10.1136/bmjopen-2022-067441.
https://psnet.ahrq.gov/issue/approaches-improving-…
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psnet.ahrq.gov/node/39734/psn-pdf
November 14, 2011 - Man falls off surgical table; St. Joseph's Hospital sued.
November 14, 2011
Smith ML; Wolfe WA.
https://psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
This newspaper article reports on a lawsuit regarding a safety incident that led to injury and subsequent
death of a patient.
https://psnet…
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psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
April 06, 2011 - Study
Nurses' perceptions of safety culture in long-term care settings.
Citation Text:
Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x.
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Format…
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psnet.ahrq.gov/node/44641/psn-pdf
October 26, 2016 - Resident Safety Practices in Nursing Home Settings.
October 26, 2016
Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare
Research and Quality; May 2016. AHRQ Publication No. 16-EHC022-EF.
https://psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
E…