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psnet.ahrq.gov/node/50905/psn-pdf
February 19, 2020 - Tailoring Interventions for Patient Safety) program has been shown to be effective in
preventing inpatient falls … access to the Fall TIPS program are more engaged and feel more
confident in their ability to prevent falls
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psnet.ahrq.gov/node/47597/psn-pdf
August 07, 2019 - The authors explore areas of impact, including patient satisfaction, falls, and hospital-acquired pressure … intentional-rounding-integrative-literature-review
https://psnet.ahrq.gov/primer/nursing-and-patient-safety
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/846157/psn-pdf
March 15, 2023 - https://psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores
Falls in inpatient … psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/issue/implementation-participatory-organizational-change-long-term-care-improve-safety
February 01, 2012 - on identifying and reducing musculoskeletal disorder hazards for employees, including slips, trips, falls … Related Resources From the Same Author(s)
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/patient-safety-culture-and-association-safe-resident-care-nursing-homes
September 19, 2018 - structure ( safety culture ), a process (use of physical restraints), and an outcome (incidence of falls … statistically significant association between higher safety culture scores, lower use of restraints, and fewer falls … WebM&M Cases
Failure to Ensure Patient Safety Leads to Patient Falls
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Considered a never event for hospitalized patients, falls that result in serious injury remain relatively … May 26, 2016
Sitters as a patient safety strategy to reduce hospital falls: a systematic … May 13, 2021
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
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psnet.ahrq.gov/node/44388/psn-pdf
October 14, 2015 - The study
looked at four nursing-sensitive adverse outcomes: pressure ulcers, falls with injuries, catheter-associated … Rural hospitals had significantly fewer
of these hospital-acquired conditions, except for patient falls … medicares-policy-not-pay-treating-hospital-acquired-conditions-impact
https://psnet.ahrq.gov/issue/preventing-falls-injury
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psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
June 28, 2017 - June 28, 2017
Is it possible to identify risks for injurious falls in hospitalized patients … November 30, 2022
In-hospital sequelae of injurious falls in 24 medical/surgical units … March 13, 2019
Effects of an intervention to increase bed alarm use to prevent falls … October 19, 2022
Cost of inpatient falls and cost-benefit analysis of implementation
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psnet.ahrq.gov/node/866344/psn-pdf
January 01, 2025 - Rates of three
nurse sensitive indicators - falls, healthcare associated pressure injuries, and healthcare … psnet.ahrq.gov/issue/sources-nurse-sensitive-inpatient-safety-improvement
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/866115/psn-pdf
June 12, 2024 - to address polypharmacy, with studies
covering a wide range of aims (e.g., reducing ADEs or patient falls … medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission
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psnet.ahrq.gov/node/844759/psn-pdf
September 18, 2019 - advanced electronic health
records experienced fewer adverse events, mostly notably medication errors, falls … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/47574/psn-pdf
November 21, 2018 - This narrative review
examines how care facility design can reduce health care–associated infections, falls … understanding-role-facility-design-acquisition-and-prevention-healthcare-associated
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/837728/psn-pdf
July 27, 2022 - events, hospital-acquired infections, postoperative adverse events, hospital-acquired pressure ulcers,
falls … national-priorities-and-goals-aligning-our-efforts-transform-americas-healthcare
https://psnet.ahrq.gov/primer/health-care-associated-infections
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/838011/psn-pdf
January 01, 2023 - sensors that detect when a patient is trying to stand up – reduced fall rates among patients at risk
of falls … /issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
June 19, 2024 - Related Resources
Patient Safety Innovations
Preventing Falls … Safety and Quality
April 26, 2023
Root cause analysis of reported patient falls … July 16, 2015
Effects of an intervention to increase bed alarm use to prevent falls in
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psnet.ahrq.gov/node/48116/psn-pdf
July 17, 2019 - https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/50536/psn-pdf
October 16, 2019 - of post-fall huddles on inpatient fall rates and found that huddles
may reduce the risk of repeat falls … impact-post-fall-huddles-repeat-fall-rates-and-perceptions-safety-culture-quasi-experimental
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/60846/psn-pdf
January 01, 2021 - found that supervisor commitment to safety was associated with lower rates of major injuries
from falls … that environmental safety was associated with lower rates of pressure
ulcers, major injuries from falls
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psnet.ahrq.gov/node/47239/psn-pdf
October 24, 2018 - characteristics such as safety
culture were associated with risks of medication administration errors and falls … improving-patient-safety-identifying-side-effects-introducing-bar-coding-medication
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/47096/psn-pdf
November 14, 2018 - The most common incidents
were falls and delayed response to clinical deterioration. … error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
https://psnet.ahrq.gov/primer/falls