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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866352/psn-pdf
    July 24, 2024 - Patient falls in the operating room: why is this still a problem in 2024? … Patient falls in the operating room: why is this still a problem in 2024? … https://psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024 Patient falls are a … This commentary describes the challenges of using national falls databases to learn from falls occurring … prevention of falls in and around the operating room.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866857/psn-pdf
    October 02, 2024 - Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement … https://psnet.ahrq.gov/issue/reducing-falls-hospitalized-children-and-adolescents-cancer-and-blood- … disorders-quality Falls with injury are a never event. … This article describes a multipronged improvement effort to reduce falls in a pediatric hospital. … risks, physical therapy to reduce deconditioning, and completion of apparent cause analysis for all falls
  3. psnet.ahrq.gov/issue/effects-intervention-increase-bed-alarm-use-prevent-falls-hospitalized-patients-cluster
    January 03, 2017 - Study Effects of an intervention to increase bed alarm use to prevent falls in hospitalized … Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster … In this randomized controlled trial, use of a standardized bed alarm system did not reduce falls in … Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster … January 3, 2017 In-hospital sequelae of injurious falls in 24 medical/surgical units
  4. 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 … Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. … This quality improvement project applied the method to patient falls in Veterans Health Administration … Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. … March 8, 2017 Using root cause analysis to reduce falls with injury in the psychiatric
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837070/psn-pdf
    May 11, 2022 - Patient falls in the operating room setting: an analysis of reported safety events. … Patient falls in the operating room setting: an analysis of reported safety events. … falls are a common patient safety event and can have serious consequences. … Falls represented 1% of all safety reports between 2014 and 2020 and most commonly involved falls from … ://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
  6. psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after
    August 18, 2021 - Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls … Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls … Inappropriate medications can increase the risk of falls among older adults. … evaluated the impact of medication reconciliation that targets high-risk medications to reduce future falls … Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865677/psn-pdf
    April 24, 2024 - The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. … The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. … inpatients Inpatient falls are a persistent patient safety challenge. … The researchers found that patients admitted after VM implementation had a lower risk of falls. … https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
  8. psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
    January 04, 2010 - Study Innovation in patient safety: a new task design in reducing patient falls. … Innovation in patient safety: a new task design in reducing patient falls. … prone position, rather than sitting-standing, when helping patients transfer out of bed to prevent falls … Innovation in patient safety: a new task design in reducing patient falls. … October 19, 2011 Insights into the climate of safety towards the prevention of falls
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866156/psn-pdf
    June 20, 2024 - Interventions to prevent falls in older adults: updated evidence report and systematic review for the … Interventions to prevent falls in older adults: updated evidence report and systematic review for the … Falls are a leading cause of injury and death in adults aged 65 years and older, and prevention is … This review of interventions to prevent falls in community-dwelling older adults was conducted for the … https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855098/psn-pdf
    November 08, 2023 - Innovative approaches to analysing aged care falls incident data: International Classification for Patient … Innovative approaches to analysing aged care falls incident data: international classification for patient … - classification Patients in long-term or residential care facilities are at high risk of falls. … Falls requiring hospitalization more often occurred in residents’ bedrooms or communal areas. … //psnet.ahrq.gov/primer/falls
  11. psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
    September 13, 2017 - Falls and falls with injury are significant sources of morbidity and mortality and can have substantial … This study showed  that after implementing the Fall TIPS program, falls and falls with injury decreased … July 10, 2024 Visitor restrictions during the COVID-19 pandemic and increased falls with … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … View More See More About The Topic Hospitals Nurse Care Patient Falls
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856592/psn-pdf
    January 01, 2024 - Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals … Talking about falls: a qualitative exploration of spoken communication of patients’ fall risks in hospitals … https://psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall … - risks Reducing or preventing inpatient falls is a common focus of patient safety improvement efforts … https://psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/issue/it-possible-identify-risks-injurious-falls-hospitalized-patients
  13. psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
    April 05, 2017 - Platform Model as a framework for implementing patient safety initiatives and apply the model to a falls … January 22, 2016 Reducing falls and fall-related injuries in mental health: a 1-year … multihospital falls collaborative. … May 5, 2014 Partnering to prevent falls: using a multimodal multidisciplinary team. … falls: enhancing resident safety in long-term care.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73660/psn-pdf
    September 01, 2021 - Hospital inpatient falls across clinical departments. … Hospital inpatient falls across clinical departments. … https://psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments Patient falls resulting … In this analysis of falls within one hospital, rates and trends varied across six clinical departments … /primer/falls https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836776/psn-pdf
    March 23, 2022 - Potentially inappropriate medications and their effect on falls during hospital admission. … Potentially inappropriate medications and their effect on falls during hospital admission. … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital … This study assessed the impact of potentially inappropriate medications (PIM) on falls in older adults … and compared the impact of three deprescribing tools on inpatient falls.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854625/psn-pdf
    January 01, 2024 - Remote patient monitoring improves patient falls and reduces harm. … Remote patient monitoring improves patient falls and reduces harm. … https://psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm Inpatient … falls are a persistent patient safety concern. … //psnet.ahrq.gov/primer/falls https://psnet.ahrq.gov/perspective/remote-patient-monitoring
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843324/psn-pdf
    February 01, 2023 - Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention … https://psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based … - fall-prevention Patient falls are associated with poorer clinical outcomes, and increased costs to … Results show the Fall TIPS program reduced falls by 19%, avoiding over $14,000 of costs per 1,000 patient
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73168/psn-pdf
    April 21, 2021 - Patient safety incidents describing patient falls in critical care in North West England between 2009 … Patient safety incidents describing patient falls in critical care in North West England between 2009 … - england-between Patient falls represent a serious source of preventable harm. … Harm to patient or staff occurred in 22% of falls. … /issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838252/psn-pdf
    October 05, 2022 - A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in … A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in … https://psnet.ahrq.gov/issue/longitudinal-study-multifaceted-intervention-reduce-newborn-falls-while- … preserving-rooming Newborn falls or drops are receiving increasing attention as a patient safety issue … Three years after implementation, the hospital achieved one year without any newborn falls and there
  20. psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
    November 13, 2024 - Falls are a persistent problem for hospitalized oncology patients , despite protocols to help prevent … engage care teams in fall prevention, including educating patients and families about the risk of falls … Resources Perspective The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls … Hospitals Health Care Providers Family Members and Caregivers Medical Oncology Patient Falls

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