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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
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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
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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/46559/psn-pdf
December 22, 2018 - psnet.ahrq.gov/issue/effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes-
cluster
Falls … effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes-cluster
https://psnet.ahrq.gov/primer/falls
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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
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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/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
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psnet.ahrq.gov/node/43201/psn-pdf
May 21, 2014 - to the US Department of Health and Human Services regarding rates of
adverse drug events, patient falls … medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/primary-care-relevant-interventions-prevent-falling-older-adults-systematic-evidence-review
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psnet.ahrq.gov/node/43068/psn-pdf
May 29, 2014 - interdisciplinary-team-members
Examining patient safety in home hospice care, the authors found that falls … identification-serious-and-reportable-events-home-care-delphi-survey-develop-consensus
https://psnet.ahrq.gov/issue/primary-care-relevant-interventions-prevent-falling-older-adults-systematic-evidence-review
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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/periodic-issue/periodic-issue-459
October 30, 2024 - Study
Reducing falls in hospitalized children and adolescents with cancer and blood … Falls with injury are a never event. … This article describes a multipronged improvement effort to reduce falls in a pediatric hospital. … WebM&M Cases
A Tale of Two Falls Victoria Jackson, DNP, RN, PHN, FNP-C, PA-C and Anna Satake … during their care, despite recognition of risk factors including previous ground-level falls.
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psnet.ahrq.gov/periodic-issue/periodic-issue-445
May 29, 2024 - RSS Feed
Review
Interventions to prevent falls … Falls are a leading cause of injury and death in adults aged 65 years and older, and prevention is a … This review of interventions to prevent falls in community-dwelling older adults was conducted for the … Multifactorial and exercise interventions were associated with reduced falls, with exercise interventions … Review
Interventions to prevent falls in older adults: updated evidence report
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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/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/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
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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/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/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
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