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761. Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens. | PSNet
     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

762. Strategies for improving patient safety culture in hospitals: a systematic review. | PSNet
     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

763. Tall Man lettering and potential prescription errors: a time series analysis of 42 children's hospitals in the USA over 9 years. | PSNet
     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

764. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39255/psn-pdf
     February 02, 2011 - The patient who falls: "It's always a trade-off." February 2, 2011 Tinetti ME, Kumar C. The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. doi:10.1001/jama.2009.2024. https://psnet.ahrq.gov/issue/patient-who-falls-its-always-trade Through a case study, this article reviews evidence on risk…

765. Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
     January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: 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:10.10…

766. Psn-Pdf (pdf file)
     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

767. Psn-Pdf (pdf file)
     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

768. Psn-Pdf (pdf file)
     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…

769. Psn-Pdf (pdf file)
     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…

770. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43151/psn-pdf
     April 30, 2014 - https://psnet.ahrq.gov/issue/serious-adverse-events-reports https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review

771. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
     September 01, 2011 - She was found to have a left hip fracture as a result of the fall and underwent an uncomplicated surgical … this Case The events in this case highlight the challenges of nursing home care Unclear if initial fall … Nursing Home Safety Technology systems can identify high-risk patients (e.g., pressure ulcer risk, fall

772. Psn-Pdf (pdf file)
     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…

773. Psn-Pdf (pdf file)
     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…

774. Psn-Pdf (pdf file)
     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-…

775. Psn-Pdf (pdf file)
     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…

776. Psn-Pdf (pdf file)
     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

777. Psn-Pdf (pdf file)
     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…

778. Psn-Pdf (pdf file)
     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…

779. Nurses' perceptions of safety culture in long-term care settings. | PSNet
     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. Copy Citation Format…

780. Psn-Pdf (pdf file)
     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…