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psnet.ahrq.gov/node/867747/psn-pdf
March 12, 2025 - Falls and delays in diagnosis, treatment, or surgery were the most
common adverse events related to … malpractice-risks-communication-failures-2015-annual-benchmarking-report
https://psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
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psnet.ahrq.gov/node/42099/psn-pdf
March 13, 2013 - inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
Considered a never event for hospitalized patients, falls … inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/primer/never-events
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … perspective/implementing-fall-prevention-program
https://psnet.ahrq.gov/issue/patient-education-prevent-falls-among-older-hospital-inpatients-randomized-controlled-trial … https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
https://
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psnet.ahrq.gov/node/837672/psn-pdf
July 13, 2022 - /optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-
prevention
Patient falls … This scoping review discusses
common post-acute care intervention domains to reduce falls for older … optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/74239/psn-pdf
January 12, 2022 - evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing … https://psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review
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psnet.ahrq.gov/web-mm/dangerous-dialysis
June 12, 2024 - patients have impaired ambulation and/or poor functional status, and thus there is a higher risk of falls … reuse entirely.( 9 ) Considering the risks for errors associated with dialyzer reuse programs and the falling … Patient Falls and Medication Errors
In addition to errors with the dialyzer or dialysis solution, a … Renal Physicians Association survey revealed that medication errors and patient falls can also be safety … Falls and fall-related injuries in older dialysis patients.
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psnet.ahrq.gov/issue/effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes-cluster
July 13, 2010 - Falls represent a significant cause of patient injury in the hospital setting, and evidence suggests … January 17, 2024
Patient Safety Innovations
Preventing Falls … February 17, 2021
Partnering to prevent falls: using a multimodal multidisciplinary team … See More About The Topic
Long-Term Care
Health Care Providers
Geriatrics
Patient Falls
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psnet.ahrq.gov/issue/preventable-or-potentially-inappropriate-psychotropics-and-adverse-health-outcomes-older
November 20, 2013 - take potentially inappropriate medications (PIM) are at increased risk of adverse events such as falls … These studies investigated the association with PIP use association of falls , mortality, negative impact … Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls … September 28, 2022
Opioids and falls risk in older adults: a narrative review.
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psnet.ahrq.gov/node/39734/psn-pdf
November 14, 2011 - Man falls off surgical table; St. Joseph's Hospital sued.
November 14, 2011
Smith ML; Wolfe WA. … https://psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
This newspaper article … https://psnet.ahrq.gov/issue/man-falls-surgical-table-st-josephs-hospital-sued
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psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
October 21, 2020 - Falls and delays in diagnosis, treatment, or surgery were the most common adverse events related to … 14, 2023
Patient Safety Innovations
Preventing Falls … June 15, 2016
Partnering to prevent falls: using a multimodal multidisciplinary team.
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psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-
wrong-thing
Falls … Investigators examined 328 falls and found that more than 60% of the older
patients who fell had received … incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … 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/open-better-care
January 28, 2015 - The initiative aims to build collaborative programs across New Zealand to reduce falls , health care–associated … December 22, 2021
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/issue/enhancing-patient-safety-and-outcomes-safe-patient-handling-connection
September 23, 2021 - This virtual session will summarize current evidence and highlight best practices to prevent falls … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … See More About
Online Education
Nursing
Latent Errors
Pressure Ulcers
Patient Falls
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psnet.ahrq.gov/node/42061/psn-pdf
October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving
Quality of Care. … https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
This toolkit … https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
https://psnet.ahrq.gov
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psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
June 21, 2010 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … September 14, 2022
View More
Related Resources
Patient falls while … July 5, 2023
Do falls and other safety issues occur more often during handovers when … October 17, 2012
Influence of unit-level staffing on medication errors and falls in military … See More About The Topic
Hospitals
Nurses
Nurse Managers
Nurse Care
Patient Falls
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psnet.ahrq.gov/issue/underreporting-quality-measures-and-associated-facility-characteristics-and-racial
August 09, 2023 - nursing home characteristics and reporting patterns for two measures of nursing home care quality ( falls … August 24, 2022
Assessment of nursing home reporting of major injury falls for quality … July 15, 2020
Assessment of nursing home reporting of major injury falls for quality
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psnet.ahrq.gov/issue/optimizing-post-acute-care-patient-safety-scoping-review-multifactorial-fall-prevention
January 12, 2022 - Patient falls can be reduced through effective quality and safety strategies. … This scoping review discusses common post-acute care intervention domains to reduce falls for older … About The Topic
Long-Term Care
Quality and Safety Professionals
Geriatrics
Patient Falls
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
October 01, 2010 - Falls and fall-related injuries in older dialysis patients. … *
Falls at Dialysis Centers
Falls are common–nearly 50% of patients had a fall in 190.5 person-years … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204. … *
Preventing Falls
There have been multiple recommendations to prevent falls at dialysis centers … Falls and fall-related injuries in older dialysis patients. Clin J Am Soc Nephrol. 2006;1:1197-1204.
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psnet.ahrq.gov/issue/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention
February 19, 2020 - July 18, 2018
Cost of inpatient falls and cost-benefit analysis of implementation of … February 1, 2023
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … June 12, 2019
In-hospital sequelae of injurious falls in 24 medical/surgical units in … March 5, 2010
Relationship between call light use and response time and inpatient falls
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psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
March 30, 2022 - Lewin Group: Falls Church, VA; March 2005. … Facebook
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April 3, 2012
Lewin Group: Falls … Lewin Group: Falls Church, VA; March 2005. … February 12, 2020
National Center for Patient Safety Falls Toolkit 2004.
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psnet.ahrq.gov/node/40181/psn-pdf
September 25, 2011 - cost-serious-fall-related-injuries-three-midwestern-hospitals
In this study, hospitalized patients experiencing serious injuries from falls … cost-serious-fall-related-injuries-three-midwestern-hospitals
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
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