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psnet.ahrq.gov/node/866526/psn-pdf
August 14, 2024 - tools are designed to identify specific adverse events or
safety risks (such as medication errors, falls … long-term-care-and-patient-safety
https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - September 7, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … and Quality of Long Term Care
September 1, 2011
Utilization of the Seniors Falls … Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors.
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psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - is important to recognize conditions that lead to injury, such as a wet floor leading to slips and falls … Slips and falls on wet floor
Planned change to microfiber mop
leaving floor drier than string mop … Attendant cleans &
replaces step stools
Trips &
Falls
Tripping and falling on stools
Step stools … lead
Always have a person at each leg
ready to lift together
Secure electrical
cords
Trips &
Falls … Trips/falls
Explore options (other than blankets)
to cover/secure cords
Check & replace
oxygen tank
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psnet.ahrq.gov/node/842419/psn-pdf
January 11, 2023 - balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-
benzodiazepine
Opioid use by older adults increases the risk of falls … balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
https://psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative-review
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psnet.ahrq.gov/node/843054/psn-pdf
January 25, 2023 - The most common types of nursing-sensitive events were falls, pressure injuries, healthcare-associated … staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study
https://psnet.ahrq.gov/primer/nursing-and-patient-safety
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
https:
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psnet.ahrq.gov/node/48085/psn-pdf
June 19, 2019 - The health system sought to prevent
pressure ulcers, adverse drug events, falls with injury, health … 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/860382/psn-pdf
January 10, 2024 - Findings indicate a significant increase in in-hospital falls and healthcare-associated infections (i.e … psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/node/38832/psn-pdf
August 12, 2009 - effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
Implementing an hourly rounding protocol by nurses resulted in a reduction in falls … effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
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psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
November 03, 2021 - Related Resources
Patient Safety Innovations
Preventing Falls … April 15, 2009
Innovation in patient safety: a new task design in reducing patient falls
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psnet.ahrq.gov/issue/keeping-each-patient-safe
September 21, 2005 - These include protecting patients from hospital-acquired infection, minimizing falls and confusion, and … See More About The Topic
Health Care Providers
Nosocomial Infections
Patient Falls
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psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
August 18, 2021 - Related Resources
Patient Safety Innovations
Preventing Falls … Study
The Stoplight Mobility Alert System for safety and prevention of falls … Hospitals
Facility and Group Administrators
Quality and Safety Professionals
Patient Falls
-
psnet.ahrq.gov/issue/comparing-rates-adverse-events-and-medical-errors-inpatient-psychiatric-units-veterans-health
January 30, 2019 - September 19, 2016
Reducing falls and fall-related injuries in mental health: a 1-year … multihospital falls collaborative. … May 5, 2014
Using root cause analysis to reduce falls with injury in the psychiatric
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psnet.ahrq.gov/issue/estimating-economic-cost-nurse-sensitive-adverse-events-amongst-patients-medical-and-surgical
July 11, 2018 - Some adverse events are sensitive to aspects of nursing care , including pressure injuries , falls, … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … single room hospital accommodation associated with differences in healthcare-associated infection, falls
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psnet.ahrq.gov/node/38048/psn-pdf
October 03, 2017 - when the last report was published --
were advanced pressure ulcers, retained foreign objects, and falls … psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/primer/falls
-
psnet.ahrq.gov/node/45289/psn-pdf
May 03, 2017 - physicians, nurses, and pharmacists to rate the severity of harm for specific adverse events including falls … psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
https://psnet.ahrq.gov/primer/falls
-
psnet.ahrq.gov/node/45011/psn-pdf
May 25, 2016 - organizations and how to apply them in health
care settings to address various concerns such as patient falls … becoming-high-reliability-organization-operational-advice-hospital-leaders
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
-
psnet.ahrq.gov/issue/homecare-safety-virtual-quality-improvement-collaboratives
January 24, 2024 - to improve healthcare quality and mitigate and prevent harm from homecare safety incidents such as falls … See More About The Topic
Researchers
Home Care
Educators
Home Nursing
Patient Falls
-
psnet.ahrq.gov/issue/impact-restraint-management-bundle-restraint-use-intensive-care-unit
October 18, 2023 - Although physical restraints may be used to protect patients in intensive care units from falls and … Related Resources From the Same Author(s)
Remote patient monitoring improves patient falls
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psnet.ahrq.gov/node/46451/psn-pdf
September 27, 2017 - The toolkit
focuses on six areas of safety: infections, falls, medication errors, security, injuries … prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
https://psnet.ahrq.gov/primer/falls