-
psnet.ahrq.gov/node/35470/psn-pdf
July 10, 2008 - Prevention of fall-related injuries in long-term care: a
randomized controlled trial of staff education … Prevention of fall-related injuries in long-term care: a randomized
controlled trial of staff education … https://psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff … for reducing patient falls but found no
evidence that the intervention was effective in preventing fall-related … https://psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
-
psnet.ahrq.gov/node/46387/psn-pdf
September 06, 2017 - A multicomponent fall prevention strategy reduces falls at
an academic medical center. … A Multicomponent Fall Prevention Strategy Reduces Falls at an
Academic Medical Center. … https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical- … center
Fall prevention remains a patient safety priority. … https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
-
psnet.ahrq.gov/node/47778/psn-pdf
March 06, 2019 - Teamwork- Part 1: Divided We Fall; Part 2: Cursed By
Knowledge: Building a Culture of Psychological … Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10.1056/NEJMms1813427. … https://psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture … https://psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety … https://psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-part-2-cursed-knowledge-building-culture-psychological-safety
-
digital.ahrq.gov/ahrq-funded-projects/portals-inpatient-care-evaluating-usability-use-and-patient-experience/citation/exploration
January 01, 2023 - Perspect Health Inf Manag. 2019 Oct 1;16(Fall):1i. eCollection 2019 Fall. PMID: 31908632.
-
psnet.ahrq.gov/node/851201/psn-pdf
July 05, 2023 - ‘I felt like I was dying’: how women with postpartum
depression fall through the cracks of U.S. health … https://psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us … https://psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care … https://psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
-
digital.ahrq.gov/sites/default/files/docs/transforming-guidelines-action-slides-06152023.pdf
June 15, 2023 - *Advancing Fall ASsessment and Prevention PatIent-Centered Outcomes
REsearch Findings into Diverse … • Today fall risk screening is routinely done, but there
is often no CDS to address fall risk when … A Randomized Trial of a Multifactorial Strategy to Prevent Serious Fall Injuries. … ✓ Step 1: Confirm the details of patients fall risk factors based on patient’s data in EHR … o Targets common fall risk factors that can be addressed in the context of a visit.
-
psnet.ahrq.gov/node/45231/psn-pdf
February 14, 2017 - 6-PACK programme to decrease fall injuries in acute
hospitals: cluster randomised controlled trial. … February 14, 2017
Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries … https://psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised … Despite successful implementation of the fall prevention bundle, falls occurred just as
frequently on … A
WebM&M commentary discussed a case involving a fall resulting in injury.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverviewmaterialspacket.pdf
June 02, 2025 - Fall Date Date 10/4/13 1/16/14 2/11/14 2/27/14 3/6/14 4/17/14
Fall Day Day of week Saturday Thursday … Tuesday Thursday Thursday Thursday
Fall Time Time or “not known” 6:35 a.m. 5:35 a.m. 7:15 a.m. 6:50 … Shift Shift N N D E N N
Fall Witnessed? Yes/no N N Y Y N N
If yes, who witnessed? … Location Fall location: room; bathroom; hallway; dining room;
activities; therapy; beauty parlor; … Walking Walking Toileting Toileting
Potential Causes of Fall Unknown
Behavior – agitation
-
hcup-us.ahrq.gov/reports/statbriefs/sb80.pdf
October 01, 2009 - ■ The cost of hospital care following
an ED visit for an injurious fall
among the elderly totaled … Gait variability and fall risk in community-living
older adults: a 1-year prospective study. … an even higher percentage of ED visits for fall-related fractures (75.2 percent). … ED, a fall that occurred in the hospital, or an untreated
fall admitted by a physician.
2 … fall-related injury seen in the ED among the elderly was
fracture (41.0 percent of injurious fall-related
-
psnet.ahrq.gov/node/40040/psn-pdf
December 21, 2014 - study conducted at two Australian hospitals, cognitively intact patients who
received a multimodal fall … educational materials on falls
and physical therapist follow-up) were significantly less likely to fall … The fall
prevention evidence base was also augmented by a recent study that used an individualized fall … interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial … https://psnet.ahrq.gov/web-mm/another-fall
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/highrisk.html
October 01, 2017 -
Mental: Unsafe Behaviors
Mental: Cognitive Impairment
Gait and Balance Instability
Fall … : 8-30 Days
Fall: 31-180 Days
Psychoactive Medications
Other High-Risk Medications
Resident … Status Change
Behavior:
New Unsafe
New Gait/
Balance
or
Device Order
New Fall
-
psnet.ahrq.gov/web-mm/falling-between-cracks-software
March 09, 2011 - Falling Between the Cracks in the Software
Citation Text:
Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX En…
-
psnet.ahrq.gov/issue/100k-lives-falling-short
November 11, 2015 - Newspaper/Magazine Article
100K Lives falling short.
Citation Text:
100K Lives falling short. Robeznieks A.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
…
-
psnet.ahrq.gov/node/72670/psn-pdf
January 27, 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 … issue/using-root-cause-analysis-reduce-falls-injury-community-settings
https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use … -60-united-states-hospitals-descriptive-study
https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use
-
psnet.ahrq.gov/node/41886/psn-pdf
April 17, 2013 - Inpatient fall prevention: use of in-room Webcams. … Inpatient fall prevention: use of in-room Webcams. … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
The use of Webcams and virtual … https://psnet.ahrq.gov/issue/inpatient-fall-prevention-use-room-webcams
https://psnet.ahrq.gov/issue/ … fall-prevention-acute-care-hospitals-randomized-trial
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
June 02, 2025 - neurological/psychological, gastrointestinal/genitourinary,
endocrine/nutritional/metabolic, wound and skin, fall-related … and non-fall-related injury,
musculoskeletal, other changes not specified elsewhere, or treatment not … diabetes
Wound & Skin
Cellulitis
Edema
Infected wound or decubitus
Jaundice
Rash
Fall-Related … Injury
Major injury
Minor injury
Non-Fall-Related Injury
Major injury
Minor injury
Musculoskeletal … Dehydration
Dementia
Depression
Diabetes
Dysrhythmias
Electrolyte imbalance
Fever
Fall
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 02, 2025 - neurological/psychological, gastrointestinal/genitourinary,
endocrine/nutritional/metabolic, wound and skin, fall-related … and non-fall-related injury,
musculoskeletal, other changes not specified elsewhere, or treatment not … diabetes
Wound & Skin
Cellulitis
Edema
Infected wound or decubitus
Jaundice
Rash
Fall-Related … Injury
Major injury
Minor injury
Non-Fall-Related Injury
Major injury
Minor injury
Musculoskeletal … Dehydration
Dementia
Depression
Diabetes
Dysrhythmias
Electrolyte imbalance
Fever
Fall
-
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
-
psnet.ahrq.gov/node/46483/psn-pdf
October 04, 2017 - Fall Prevention in Hospitals Training Program. … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
Falls are a primary focus of … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
https://psnet.ahrq.gov/primer … /falls
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … preventing-falls-hospitals-toolkit-improving-quality-care
https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
-
psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments
September 15, 2021 - Clinical department, rates, and trends should be considered when implementing fall prevention strategies