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psnet.ahrq.gov/node/46261/psn-pdf
July 18, 2018 - Pilot Testing Fall TIPS (Tailoring Interventions for Patient
Safety): a patient-centered fall prevention … Pilot Testing Fall TIPS (Tailoring Interventions for Patient
Safety): a Patient-Centered Fall Prevention … https://psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall … https://psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall … /perspective/implementing-fall-prevention-program
https://psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
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psnet.ahrq.gov/node/44669/psn-pdf
January 22, 2016 - Safety standards: implementing fall prevention
interventions and sustaining lower fall rates by promoting … Safety Standards: Implementing Fall Prevention Interventions and Sustaining Lower
Fall Rates by Promoting … unit decreased fall rates and sustained this improvement by promoting
a culture of safety. … https://psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates … https://psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates
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psnet.ahrq.gov/node/836925/psn-pdf
April 13, 2022 - Strength of improvement recommendations from
injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall
investigations: a retrospective multi-incident … https://psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-
retrospective-multi … https://psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi … https://psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
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psnet.ahrq.gov/node/842419/psn-pdf
January 11, 2023 - Balancing safety, comfort, and fall risk: an intervention to
limit opioid and benzodiazepine prescriptions … Balancing safety, comfort, and fall risk: an intervention to limit opioid
and benzodiazepine prescriptions … https://psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-
benzodiazepine … determine the proportion of older adults presenting to the emergency room or urgent care due to a fall … https://psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
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psnet.ahrq.gov/node/60727/psn-pdf
July 29, 2020 - A randomized trial of a multifactorial strategy to prevent
serious fall injuries. … A randomized trial of a multifactorial strategy to prevent serious fall
injuries. … https://psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries … The intervention did not result in a significantly lower rate of
serious fall injury compared to usual … https://psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
https
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psnet.ahrq.gov/node/47631/psn-pdf
March 27, 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 science … Assessing the Effectiveness of Engaging Patients and Their
Families in the Three-Step Fall Prevention … -
prevention
Researchers sought to assess the effectiveness of a fall prevention toolkit in engaging … patients and families
in fall prevention.
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psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
February 26, 2025 - Robert Wachter, Editor, AHRQ WebM&M : What have we learned about assessment of fall risk?
Ann L. … RW : What does the best fall assessment program look like? … But whenever the patient's condition changes, they should be reassessed for fall risk. … Everyone is so fearful that the patient may fall but this can actually increase instability. … But they should not receive an injury as a result of a fall.
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psnet.ahrq.gov/node/837672/psn-pdf
July 13, 2022 - Optimizing post-acute care patient safety: a scoping
review of multifactorial fall prevention interventions … Optimizing post-acute care patient safety: a scoping review of
multifactorial fall prevention interventions … https://psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall … https://psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention … https://psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
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psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
November 16, 2022 - September 23, 2020
A randomized trial of a multifactorial strategy to prevent serious fall … March 2, 2016
Fall prevention in hospitals: an integrative review.
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psnet.ahrq.gov/node/836962/psn-pdf
April 20, 2022 - This study explored the impact of the COVID-19 pandemic and the implementation of a fall
prevention … program (focused on human factors and ergonomics principles) on inpatient fall rates at one
hospital … Findings indicate that fall rates significantly increased from pre-COVID to during the
first wave of … The fall prevention program – implemented in July 2020 – led
to a reduction of fall rates, but not to
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psnet.ahrq.gov/node/848110/psn-pdf
April 26, 2023 - Compare five interventions relevant for fall prevention in long-term care settings. … Describe optimal fall prevention care processes in long-term care settings. … She
was not enrolled in a fall prevention program because she was not ambulatory. … Older Adult Fall Prevention. Center for Disease Control and Prevention (CDC). … Fall prevention in hospitals and nursing homes:
clinical practice guideline.
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psnet.ahrq.gov/node/46559/psn-pdf
December 22, 2018 - Effect of promoting high-quality staff interactions on fall
prevention in nursing homes: a cluster-randomized … Effect of Promoting High-Quality Staff Interactions on
Fall Prevention in Nursing Homes: A Cluster-Randomized … https://psnet.ahrq.gov/issue/effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes … staff training intervention designed to promote
improved staff communication and connectivity on a fall … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
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psnet.ahrq.gov/issue/utilizing-quality-improvement-methods-prevent-falls-and-injury-falls-enhancing-resident
September 01, 2021 - September 14, 2022
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS … ) program to engage older adults in fall prevention in a nursing home. … November 27, 2012
Fall prevention in hospitals: an integrative review. … July 8, 2009
WebM&M Cases
Another Fall
April 1, 2003
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psnet.ahrq.gov/node/42099/psn-pdf
March 13, 2013 - Inpatient fall prevention programs as a patient safety
strategy: a systematic review. … Inpatient fall prevention programs as a patient safety strategy: a
systematic review. … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review … This systematic review identified approaches used to
successfully implement fall prevention programs … An
institutional approach to fall prevention is discussed in an AHRQ WebM&M perspective.
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - care needs), reliance on home healthcare workers instead of rehabilitation professionals, and lack of fall … The authors recommend systems-level changes to improve fall prevention practices, such as use of electronic … September 7, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce … July 8, 2009
WebM&M Cases
Another Fall
April 1, 2003
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psnet.ahrq.gov/node/40755/psn-pdf
March 02, 2012 - Fall prevention in hospitals: an integrative review. … Fall Prevention in Hospitals. Clin Nurs Res. 2011;21(1).
doi:10.1177/1054773811418106. … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
Analyzing literature on fall … prevention, this review provides evidence to guide nurse administrators in
developing fall prevention … /fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/node/39987/psn-pdf
September 20, 2011 - Fall prevention in acute care hospitals: a randomized trial. … Fall prevention in acute care hospitals: a randomized trial. … https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
Patient falls are … This randomized controlled trial offers an advance in fall prevention, as it
demonstrated a significant … reduction in falls by using a customized fall prevention strategy.
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psnet.ahrq.gov/node/44556/psn-pdf
December 23, 2016 - Preventing falls and fall-related injuries in health care
facilities. … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
Falls … prevention team, using patient-specific approaches to minimize fall
risk, and conducting a post-fall … The role of the physical environment
as a risk for falls and the use of post-fall huddles are discussed … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
https:
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psnet.ahrq.gov/issue/evaluation-effectiveness-and-safety-pharmacist-independent-prescribers-care-homes-cluster
December 15, 2021 - management in long-term care residents is associated with improved hospital readmission rates and reduced fall … or monitor medications, and this cluster randomized controlled trial evaluated the effect of PIPs on fall … After six months of PIP involvement, fall rates (the primary outcome ) were not statistically different … November 16, 2022
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/node/40598/psn-pdf
August 10, 2011 - An inpatient fall prevention initiative in a tertiary care
hospital. … An inpatient fall prevention initiative in a tertiary care hospital. … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
This study … describes a fall prevention program that successfully reduced falls and fall-related injury rates in … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
https://psnet.ahrq.gov