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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/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/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/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/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/50701/psn-pdf
November 26, 2019 - consequences of a hypoglycemic event are really magnified on their cognitive function, their risk for falls … In the health system I’m at right
now, we’re increasingly marrying our falls prevention work with our … Our prior approach to falls was, “if we keep them in bed they won’t fall.” … We don’t want patients falling
and breaking a bone while in the hospital under nurse supervision. … For example, prolonged length of stay, falls, and malnutrition.
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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
-
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/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/issue/harm-free-care
April 15, 2020 - This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls, catheter-associated … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls
-
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/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
-
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/issue/revitalizing-established-rapid-response-team
September 23, 2020 - July 5, 2017
Cost of inpatient falls and cost-benefit analysis of implementation of an … November 16, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls
-
psnet.ahrq.gov/node/837960/psn-pdf
August 31, 2022 - hospital-acquired conditions (i.e., overall medical
error, medication error, diagnostic error, patient falls … impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
https://psnet.ahrq.gov/primer/falls
-
psnet.ahrq.gov/node/837890/psn-pdf
August 24, 2022 - Similar to earlier research on self-reported falls data, correlations between the self-reported and claims … does-nursing-home-compare-reflect-patient-safety-nursing-homes
https://psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
-
psnet.ahrq.gov/node/850159/psn-pdf
June 07, 2023 - nursing home characteristics and reporting patterns
for two measures of nursing home care quality (falls … does-nursing-home-compare-reflect-patient-safety-nursing-homes
https://psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
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psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review
March 04, 2020 - Related Resources
Patient Safety Innovations
Preventing Falls … Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls … May 31, 2016
Applying root cause analysis to improve patient safety: decreasing falls