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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851196/psn-pdf
    July 05, 2023 - Patient falls while under supervision: trends from incident reporting. July 5, 2023 Roberts M. … Patient falls while under supervision: trends from incident reporting. … https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting Preventing … inpatient falls is a patient safety target. … https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-reporting https://
  2. psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
    September 09, 2020 - sensors that detect when a patient is trying to stand up – reduced fall rates among patients at risk of falls
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855106/psn-pdf
    November 08, 2023 - Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among … https://psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and- hospitalization-among … Falls are a persistent threat to patient safety and effective reporting of this adverse event can assist … This report examines the incidence of Medicare home health patients experiencing falls with major injury … resulting in hospitalization that were not reported as required. 55% of falls were not documented thusly
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866280/psn-pdf
    July 10, 2024 - Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital … Visitor restrictions during the COVID-19 pandemic and increased falls with harm at a Canadian hospital … https://psnet.ahrq.gov/issue/visitor-restrictions-during-covid-19-pandemic-and-increased-falls-harm- … researchers examined the relationship between visitor restrictions during the COVID-19 pandemic and falls … that only the most severe restrictions (no visitors permitted) were associated with an increase in falls
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837209/psn-pdf
    May 25, 2022 - Opioids and falls risk in older adults: a narrative review. … Opioids and falls risk in older adults: a narrative review. … https://psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative-review Preventing falls is … This article summarizes the relationship between prescription opioids and risk of falls among older … /issue/preventing-falls-and-fall-related-injuries-health-care-facilities https://psnet.ahrq.gov/primer
  6. psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
    July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … to identify which nursing handover interventions result in improved patient outcomes (i.e., patient falls … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure
  7. psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
    August 17, 2022 - Patient falls are considered a never event and can result in serious injury . … This study retrospectively reviewed inpatient falls resulting in injury and the strength of the improvement … Study The Stoplight Mobility Alert System for safety and prevention of falls … interventions to reduce duration and variability in delays to identification of serious injury after falls … More About The Topic Hospitals Long-Term Care Quality and Safety Professionals Patient Falls
  8. psnet.ahrq.gov/issue/falls-prevention-mayo-clinic-rochester-path-quality-care
    January 22, 2017 - Commentary Falls prevention at Mayo Clinic Rochester: a path to quality care. … Falls prevention at Mayo Clinic Rochester: a path to quality care. … Falls prevention at Mayo Clinic Rochester: a path to quality care. … September 27, 2016 Special Issue on Falls. … January 6, 2016 Partnering to prevent falls: using a multimodal multidisciplinary team
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866728/psn-pdf
    September 18, 2024 - https://psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot Falls and falls … This study showed  that after implementing the Fall TIPS program, falls and falls with injury decreased … roi-fall-prevention-intervention-invest-little-save-lot https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes … pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall https://psnet.ahrq.gov/issue/evaluation-patient-centered-fall-prevention-tool-kit-reduce-falls-and-injuries-nonrandomized
  10. Psn-Pdf (pdf file)

    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 … :e947-e952 https://psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children … Children with physical or cognitive disabilities can be at higher risk for patient safety events, such as falls … One year after SMAS implementation, the research team documented a 60% decrease in the rate of total falls … follow-up from 2015 to 2022, as well as a 33% decrease in falls due to intrinsic factors.
  11. 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]. … Falling Between the Cracks in the Software. PSNet [internet]. … Falling Between the Cracks in the Software. PSNet [internet].
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836865/psn-pdf
    April 06, 2022 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … occupational-therapy-utilization-veterans-dementia-retrospective-review-root- cause-analyses Patient falls … This study explored the causes of falls resulting in harm among patients with dementia receiving or … The authors conclude that earlier OT evaluation may decrease the frequency of falls among older adults … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
  13. psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
    December 02, 2020 - , traumatic brain injury, or stroke) are particularly vulnerable to patient safety events, such as falls … along a cognition continuum, make proactive changes to the care plan, and decrease the risk of patient falls … and use corresponding interventions to improve care planning, patient safety, and reduce the risk of falls … By December 2020, the fall rate was reduced to 0 falls per 1,000 admissions. … December 15, 2021 Do falls and other safety issues occur more often during handovers
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837863/psn-pdf
    August 17, 2022 - The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. …   https://psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide … Patient falls are common sentinel events. … The latest revision of this toolkit shares insights on applying the tenets of root cause analysis to falls … https://psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide https
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851051/psn-pdf
    June 28, 2023 - The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource … The impact of safety culture, quality of care, missed care and nurse staffing on patient falls: a multisource … https://psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls … , and lower rates of self-reported missed care were associated with a lower incidence of inpatient falls … https://psnet.ahrq.gov/issue/impact-safety-culture-quality-care-missed-care-and-nurse-staffing-patient-falls-multisource
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50862/psn-pdf
    February 05, 2020 - Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare … Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare … https://psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement … This study compared falls with injury data self-reported by nursing homes against those identified in … Medicare claims data and found that falls with injury were substantially underreported by nursing homes
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61113/psn-pdf
    January 01, 2021 - Do falls and other safety issues occur more often during handovers when nurses are away from patients … Do falls and other safety issues occur more often during handovers when nurses are away from patients … https://psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when- … This retrospective study examined the incidence of falls during nursing handovers performed in designated … No differences in the incidence of falls or fall severity during handovers performed away from patients
  18. psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
    August 04, 2021 - ten health care systems to evaluate the effectiveness of a multifactorial intervention to prevent falls … December 16, 2020 Evaluation of a patient-centered fall-prevention tool kit to reduce falls … November 15, 2018 Cost of inpatient falls and cost-benefit analysis of implementation … November 16, 2022 Potentially inappropriate medications and their effect on falls during … perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls
  19. psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
    February 01, 2023 - Patient falls are among the preventable complications of hospital care for which hospitals no longer … Experts in the field have questioned the wisdom of this policy; even though falls are common, little … controlled trial offers an advance in fall prevention, as it demonstrated a significant reduction in falls … Download Citation Related Resources From the Same Author(s) Cost of inpatient falls … November 23, 2016 Patient education to prevent falls among older hospital inpatients:
  20. psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
    March 15, 2016 - Review The effect of bedrails on falls and injury: a systematic review of clinical … The effect of bedrails on falls and injury: a systematic review of clinical studies. … The effect of bedrails on falls and injury: a systematic review of clinical studies. … March 15, 2016 Falls in English and Welsh hospitals: a national observational study based … January 7, 2009 Talking about falls: a qualitative exploration of spoken communication

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