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psnet.ahrq.gov/node/41628/psn-pdf
January 03, 2017 - it-possible-identify-risks-injurious-falls-hospitalized-patients
Despite limited evidence that hospital fall … prevention programs can decrease them, patient falls have been
deemed a preventable complication that … unable to pinpoint variables that identified patients likely to sustain an injury from a
hospital 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 … wisdom-and-justice-not-paying-preventable-complications
https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
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psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
April 16, 2018 - Findings indicate that remote patient monitoring (when combined with standard fall precautions) can reduce … the incidence of falls and fall-related injuries, as well as decrease fall-related expenditures. … August 9, 2023
Assessment of a wearable fall prevention system at a Veterans Health Administration … December 7, 2022
Fall prevention with the Smart Socks System reduces hospital fall rates … March 16, 2022
Inpatient fall prevention: use of in-room Webcams.
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psnet.ahrq.gov/node/47402/psn-pdf
March 13, 2019 - medicalsurgical-units-four-hospitals-united-
states
This prospective observational study found that patients who experienced a fall … This study lends weight to fall prevention as a patient safety priority. … medicalsurgical-units-four-hospitals-united-states
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/issue/fall-related-injuries-acute-care-reducing-risk-harm
March 28, 2018 - Review
Fall-related injuries in acute care: reducing the risk of harm. … Fall-related injuries in acute care: reducing the risk of harm. … Fall-related injuries in acute care: reducing the risk of harm. … prevention program. … January 25, 2023
Patient activation related to fall prevention: a multisite study
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psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
March 08, 2023 - assessing the effectiveness of bedside “sitters” for agitated patients who appear to be at high fall … In general, the researchers found very-low-certainty evidence that sitters reduce fall risk in acute … All included studies had a least one methodological limitation (such as not defining what consisted a fall … to engage older adults in fall prevention in a nursing home. … January 27, 2021
Fall prevention implementation strategies in use at 60 United States
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psnet.ahrq.gov/node/840172/psn-pdf
November 16, 2022 - The Stoplight Mobility Alert System for safety and
prevention of falls in children with physical and … The SMAS was developed as an adjunct
to the existing institutional fall prevention bundle and to address … Based on a fall risk assessment and the patient’s locomotion score (walk, wheelchair, crawl), they are … does not require assistance
After admission, all patients are placed on a red mobility alert until a fall … https://psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
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psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
May 24, 2017 - The toolkit provides information on (1) designing a falls prevention and management program; (2) effective … interventions for high-risk fall patients; (3) implementing hip protectors for high-risk fall patients … ; and (4) educating patients, families, and staff on falls and fall-injury prevention. … April 6, 2011
Incidence, patterns, and prevention of wrong-site surgery. … February 8, 2006
WebM&M Cases
Another Fall
April
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psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
December 24, 2008 - offers information and resources to guide hospitals through process change to implement and sustain fall … prevention efforts. … December 27, 2014
Inpatient fall prevention programs as a patient safety strategy: a
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psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
October 26, 2011 - March 29, 2023
Fall prevention with the Smart Socks System reduces hospital fall … March 24, 2021
Improving hospital safety culture for falls prevention through interdisciplinary … December 23, 2020
Evaluation of a patient-centered fall-prevention tool kit to reduce … December 2, 2020
Patient activation related to fall prevention: a multisite study
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psnet.ahrq.gov/issue/understanding-challenges-and-successes-implementing-hybrid-interventions-healthcare-settings
October 23, 2024 - Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … Improving Diagnostic Safety and Quality
April 26, 2023
Patient perception of fall … risk and fall risk screening scores. … Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … February 17, 2021
Patient activation related to fall prevention: a multisite study
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Various strategies are used for fall prevention in the hospital. … Many institutions may face financial or personnel constraints that make implementation of fall prevention … The absence of compelling evidence for different strategies hinders the adoption of formal fall prevention … The number and variety of potential interventions should make fall prevention in the hospital a
fruitful … Do hospital fall prevention programs work? A systematic review.
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psnet.ahrq.gov/node/837675/psn-pdf
July 13, 2022 - dashboard-design-identify-and-balance-competing-risk-multiple-hospital-
acquired-conditions
Many interventions targeting healthcare-acquired condition reduction and prevention … dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions
https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings
March 13, 2008 - This study found that increased call light use was related to less fall-related patient harm, suggesting … December 15, 2011
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home. … 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/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/34036/psn-pdf
March 28, 2005 - Patient Safety created the Falls Toolkit to assist VA facilities in implementing or
improving falls prevention … The toolkit provides information on (1) designing a falls prevention and
management program; (2) effective … interventions for high-risk fall patients; (3) implementing hip protectors
for high-risk fall patients … ; and (4) educating patients, families, and staff on falls and fall-injury prevention.
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psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
September 23, 2020 - 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 … January 30, 2013
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety) … : a patient-centered fall prevention toolkit.
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psnet.ahrq.gov/node/41113/psn-pdf
February 01, 2012 -
https://psnet.ahrq.gov/issue/elderly-falls
This special issue explores fall prevention, including … strategies, literature reviews, and progress reports
from organizations involved in fall prevention
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psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
October 16, 2024 - 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 … January 24, 2024
Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety) … : a patient-centered fall prevention toolkit.
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psnet.ahrq.gov/issue/perianesthesia-nurses-role-prevention-opioid-related-sentinel-events
May 05, 2021 - Commentary
The perianesthesia nurse's role in the prevention of opioid-related sentinel … The perianesthesia nurse's role in the prevention of opioid-related sentinel events. … The perianesthesia nurse's role in the prevention of opioid-related sentinel events. … Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention.
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psnet.ahrq.gov/node/45980/psn-pdf
January 01, 2020 - issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-
patient-falls
Fall … prevention is a critical patient safety activity. … use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial