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psnet.ahrq.gov/node/46100/psn-pdf
July 11, 2017 - The authors suggest that immobilizing
patients is not the answer to fall prevention and advocate for … /falls
https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … 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/73660/psn-pdf
September 01, 2021 - Clinical department, rates, and
trends should be considered when implementing fall prevention strategies … hospital-inpatient-falls-across-clinical-departments
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc
January 12, 2022 - Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall … prevention and management for older adults: a systematic review. … 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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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - -
related injuries.3
Newer evidence on fall prevention is based on
elderly patients in residential … often shorter and
the diverse organizational structures of hospitals
impose unique challenges to prevention … prevention and intervention strategies in hospitals. … (DE201)
■ Type of Injury as a Result of Fall (DE204)
■ Patient Activity Prior to Fall (DE207)
■ Risk … Activity Prior to Fall
Risk Assessment Prior to Fall
Risk Factor(s) Prior to Fall
Conclusions
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3b.html
October 01, 2014 - Falls Prevention
Appendix 1-A. Suggested Slides for Module 1
Appendix 1-B. … because of fear of another fall. … Which of the following should be reported as a fall or near-fall? … because of fear of another fall. … Answer: d
Which of the following should be reported as a fall or near-fall?
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psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
November 09, 2022 - Study
Balancing safety, comfort, and fall risk: an intervention to limit opioid and … Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions … determine the proportion of older adults presenting to the emergency room or urgent care due to a fall … Innovations
Preventing Falls Through Patient and Family Engagement to Create Customized Prevention … April 27, 2022
Potentially harmful medication dispenses after a fall or hip fracture:
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psnet.ahrq.gov/issue/chronic-kidney-disease-adversely-influences-patient-safety
July 29, 2020 - the Same Author(s)
A randomized trial of a multifactorial strategy to prevent serious fall … January 31, 2024
Evaluation of clinical practice guidelines on fall prevention and management … November 2, 2011
Fall prevention in acute care hospitals: a randomized trial.
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psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
January 12, 2022 - Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall … prevention and management for older adults: a systematic review. … January 12, 2022
A randomized trial of a multifactorial strategy to prevent serious fall … February 3, 2015
Inpatient fall prevention programs as a patient safety strategy: a systematic
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission
January 12, 2022 - for Healthcare Research and Quality study, an estimated 700,000 to 1 million hospitalized patients fall … Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall … prevention and management for older adults: a systematic review. … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … December 8, 2021
A randomized trial of a multifactorial strategy to prevent serious fall
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www.ahrq.gov/sites/default/files/2024-07/morse-merryweather-report.pdf
January 01, 2024 - We targeted the points at which fall mechanisms are initiated during a
fall risk episode (FRE) and explored … developing fall prevention
strategies. … Key Words: elderly, fall risk assessment, fall prevention, fall biomechanics
2
2 PURPOSE (OBJECTIVES … imbalance
to prevent a fall. … The timing of these FREs highlights the need for improvements in fall prevention
strategies specifically
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psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
January 12, 2022 - Related Resources From the Same Author(s)
Evaluation of clinical practice guidelines on fall … prevention and management for older adults: a systematic review. … Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention.
-
digital.ahrq.gov/principal-investigator/lucero-robert-j
January 01, 2023 - Usability testing of an interoperable computerized clinical decision support tool for fall risk management … Usability testing of an interoperable computerized clinical decision support tool for fall risk management … Project Name
Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall … Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices
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psnet.ahrq.gov/issue/tubing-safety-obstetric-setting-preventing-medication-errors
November 04, 2020 - systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened … April 24, 2018
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program … to engage older adults in fall prevention in a nursing home. … Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention
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psnet.ahrq.gov/issue/user-centered-collaborative-design-and-development-inpatient-safety-dashboard
July 24, 2017 - November 16, 2022
A randomized trial of a multifactorial strategy to prevent serious fall … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall … prevention program. … February 1, 2023
Evaluation of a patient-centered fall-prevention tool kit to reduce … August 4, 2021
Selected medication safety risks that can easily fall off the radar screen—part
-
psnet.ahrq.gov/node/36864/psn-pdf
August 29, 2011 - Falls prevention at Mayo Clinic Rochester: a path to
quality care. … Falls prevention at Mayo Clinic Rochester: a path to quality care. … https://psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
The authors share … their experiences with implementing a fall prevention/reduction program at a large
specialized medical … https://psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
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psnet.ahrq.gov/issue/prevention-opioid-overdose
July 18, 2018 - Review
Emerging Classic
Prevention of opioid overdose. … Prevention of opioid overdose. N Engl J Med. 2019;380(23):2246-2255. doi:10.1056/NEJMra1807054. … Prevention of opioid overdose. … February 17, 2011
A randomized trial of a multifactorial strategy to prevent serious fall … March 6, 2019
Prevention of prescription opioid misuse and projected overdose deaths
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psnet.ahrq.gov/issue/safe-administration-medication-school-policy-statement
May 31, 2023 - Same Author(s)
Effect of an emergency department process improvement package on suicide prevention … January 3, 2017
Comparing catheter-associated urinary tract infection prevention programs … 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/node/846763/psn-pdf
March 29, 2023 - https://psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
https://psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
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psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
December 12, 2014 - relevant literature and determined that the number of patient falls has not been reduced by hospital fall … prevention programs, although similar efforts appear to be more successful in long-term care settings … April 11, 2018
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
September 07, 2022 - March 14, 2018
Evaluation of clinical practice guidelines on fall prevention and management … Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention.