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psnet.ahrq.gov/node/34036/psn-pdf
March 28, 2005 - National Center for Patient Safety Falls Toolkit 2004. … or
improving falls prevention efforts. … The toolkit provides information on (1) designing a falls prevention and
management program; (2) effective … The web version of the toolkit includes a falls notebook for practitioners implementing a program, media … https://psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
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psnet.ahrq.gov/node/44564/psn-pdf
October 14, 2015 - Reducing falls with a safety spotter program. … Reducing falls with a safety spotter program. … https://psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
Patients at high risk for falls can … commentary describes how a hospital employed "spotters" to watch and
interact with patients at risk for falls … https://psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/node/45592/psn-pdf
October 27, 2016 - Preventing Patient Falls: A Systematic Approach From
the Joint Commission Center for Transforming Healthcare … Falls are a common hazard among both hospitalized and ambulatory patients. … This report summarizes the
results of a collaborative to identify and address the root causes of falls … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
https … ://psnet.ahrq.gov/issue/preventing-falls-injury
https://psnet.ahrq.gov/primer/root-cause-analysis
https
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psnet.ahrq.gov/node/38715/psn-pdf
February 17, 2011 - Medicare nonpayment, hospital falls, and unintended
consequences. … Medicare nonpayment, hospital falls, and unintended consequences. … https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
In October … new policy that withholds
payments for eight preventable complications of care, including hospital falls … between preventing falls and a more important goal of
encouraging patient mobility.
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psnet.ahrq.gov/node/836925/psn-pdf
April 13, 2022 - issue/strength-improvement-recommendations-injurious-fall-investigations-
retrospective-multi
Patient falls … This study retrospectively
reviewed inpatient falls resulting in injury and the strength of the improvement … strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
https://psnet.ahrq.gov/primer/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/impact-built-environment-patient-falls-hospital-rooms-integrative-review
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psnet.ahrq.gov/node/836995/psn-pdf
April 27, 2022 - interventions to reduce duration and
variability in delays to identification of serious injury after
falls … interventions to reduce duration and variability in delays
to identification of serious injury after falls … multifactorial-interventions-reduce-duration-and-variability-delays-identification-
serious
Hospitals employ a variety of strategies to prevent inpatient falls … mapping to identify opportunities to improve timely diagnosis of serious injury resulting
from inpatient falls … inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/issue/preventing-falls-injury
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psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
December 12, 2014 - Review
Interventions for preventing falls in acute- and chronic-care hospitals: a … Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis … This review analyzed relevant literature and determined that the number of patient falls has not been … Interventions for preventing falls in acute- and chronic-care hospitals: a systematic review and meta-analysis
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psnet.ahrq.gov/node/46483/psn-pdf
October 04, 2017 - 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
https … ://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
https://psnet.ahrq.gov … /issue/preventing-falls-hospitals-toolkit-improving-quality-care
https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
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psnet.ahrq.gov/node/39460/psn-pdf
March 23, 2011 - Applying root cause analysis to improve patient safety:
decreasing falls in postpartum women. … Applying root cause analysis to improve patient safety: decreasing falls in
postpartum women. … https://psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-
postpartum-women … This Taiwanese study used root cause analysis to identify causal factors for falls in postpartum women … https://psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
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psnet.ahrq.gov/node/37792/psn-pdf
February 15, 2011 - Exploring organizational context and structure as
predictors of medication errors and patient falls. … Exploring Organizational Context and Structure as Predictors of
Medication Errors and Patient Falls. … psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-
and-patient-falls … Strategies to prevent medication errors and patient falls are a continuing focus of ongoing safety … Investigators discovered that structural
measures had limited impact on medication errors and falls,
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psnet.ahrq.gov/node/46100/psn-pdf
July 11, 2017 - The tension between promoting mobility and preventing
falls in the hospital. … The Tension Between Promoting Mobility and Preventing Falls in the
Hospital. … https://psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
This commentary … https://psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
https:/ … identifying-unintended-consequences-quality-indicators-qualitative-study
https://psnet.ahrq.gov/primer/falls
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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- … quality improvement
intervention in three hospital units demonstrated a decrease in the number of falls … https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
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psnet.ahrq.gov/node/38993/psn-pdf
January 04, 2010 - Relationship between call light use and response time
and inpatient falls in acute care settings. … Relationship between call light use and response time and inpatient falls in acute care
settings. … https://psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls … As hospitals search for effective interventions
to reduce falls, the authors advocate for tracking call … https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
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psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
April 06, 2011 - facilities are particularly vulnerable to patient safety problems such as medication errors and falls … September 1, 2021
Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care. … November 27, 2012
Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care.
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psnet.ahrq.gov/node/836716/psn-pdf
March 09, 2022 - issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-
methods-study
While falls … are common in older adults, there was a 31% increase in death due to falls in the U.S. from
2007-2016 … Interviews with 22 physicians identified patient reluctance to report falls and
inconsistent assessment … , and documentation of falls made it challenging to consider falls when prescribing
medications.
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psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations
January 19, 2022 - patients in Ireland found that they were frequently prescribed medications that increased their risk of falling … December 21, 2022
Opioids and falls risk in older adults: a narrative review. … Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls … Topic
Hospitals
Health Care Providers
Geriatrics
Ordering/Prescribing Errors
Patient Falls
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psnet.ahrq.gov/node/44932/psn-pdf
March 02, 2016 - Special Issue on Falls.
March 2, 2016
Alverzo JP. (ed). Rehabil Nurs. … https://psnet.ahrq.gov/issue/special-issue-falls
Safety challenges in residential care facilities are … Articles in this special issue explore
falls in rehabilitation settings, including nurses' role in managing … fall risks and strategies to prevent falls. … https://psnet.ahrq.gov/issue/special-issue-falls
https://psnet.ahrq.gov/issue/safety-culture-long-term-care-cross-sectional-analysis-safety-attitudes-questionnaire-nursing
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psnet.ahrq.gov/node/37518/psn-pdf
March 13, 2008 - Innovation in patient safety: a new task design in
reducing patient falls. … Innovation in patient safety: a new task design in reducing patient falls. … https://psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
This study … prone position, rather than sitting-standing, when helping
patients transfer out of bed to prevent falls … https://psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
https:/
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psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
March 09, 2022 - September 13, 2023
Opioids and falls risk in older adults: a narrative review. … July 13, 2022
Opioids and falls risk in older adults: a narrative review. … December 27, 2018
Patient education to prevent falls among older hospital inpatients: … Strategies to improve the patient safety outcome indicator: preventing or reducing falls … The Topic
Health Care Providers
Quality and Safety Professionals
Geriatrics
Patient Falls
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psnet.ahrq.gov/issue/prevention-fall-related-injuries-long-term-care-randomized-controlled-trial-staff-education
February 17, 2011 - The authors assessed the efficacy of a staff training program for reducing patient falls but found no … April 30, 2024
Patient Safety Innovations
Preventing Falls … Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … April 6, 2022
Partnering to prevent falls: using a multimodal multidisciplinary team. … Topic
Long-Term Care
Health Care Providers
Quality and Safety Professionals
Patient Falls