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psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
June 19, 2013 - Commentary
Falling through the cracks: the invisible hospital cleaning workforce. … Falling through the cracks: the invisible hospital cleaning workforce. … Falling through the cracks: the invisible hospital cleaning workforce.
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psnet.ahrq.gov/issue/nurses-perceived-skills-and-attitudes-about-updated-safety-concepts-impact-medication
January 03, 2017 - Related Resources From the Same Author(s)
Is it possible to identify risks for injurious falls … December 9, 2020
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
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psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
May 02, 2012 - October 19, 2022
Cost of inpatient falls and cost-benefit analysis of implementation … February 1, 2023
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … September 23, 2020
Root cause analysis of reported patient falls in ORs in the Veterans
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psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
June 22, 2011 - Related Resources
Patient Safety Innovations
Preventing Falls … September 26, 2016
Partnering to prevent falls: using a multimodal multidisciplinary … August 14, 2013
Falls prevention at Mayo Clinic Rochester: a path to quality care.
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psnet.ahrq.gov/issue/identifying-no-harm-incidents-home-healthcare-cohort-study-using-trigger-tool-methodology
January 25, 2023 - The most common incidents identified by the trigger tool were falls without injury, medication management … Home Care
Quality and Safety Professionals
Home Nursing
Administration Errors
Patient Falls
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psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
November 09, 2022 - Opioid use by older adults increases the risk of falls. … May 15, 2024
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic
March 01, 2023 - medications were reviewed according to prespecified criteria resulted in reduced mortality and fewer falls … WebM&M Cases
Failure to Ensure Patient Safety Leads to Patient Falls
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psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
January 12, 2022 - enhanced accreditation procedures in the United Kingdom did not improve rates of either pressure ulcers or falls … single room hospital accommodation associated with differences in healthcare-associated infection, falls
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psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
May 18, 2022 - Falls in hospitalized older adults represent a source of serious preventable patient harm . … Investigators examined 328 falls and found that more than 60% of the older patients who fell had received
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psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
May 18, 2022 - Most of the studies focused on decreasing risk of falls and/or medication errors, mostly in the home … The authors recommend future research focus on safety targets beyond falls and medication safety and
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psnet.ahrq.gov/issue/patient-safety-strategies-psychiatry-and-how-they-construct-notion-preventable-harm-scoping
November 10, 2021 - These strategies primarily target reductions in suicide, self-harm, violence, and falls. … Health Care (Psychiatry and Clinical Psychology)
Psychological and Social Complications
Patient Falls
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psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
September 08, 2021 - survey found that supervisor commitment to safety was associated with lower rates of major injuries from falls … and that environmental safety was associated with lower rates of pressure ulcers, major injuries from falls
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psnet.ahrq.gov/issue/fable-reality-parkland-hospital-impact-evidence-based-design-strategies-patient-safety
September 09, 2020 - to nature, etc.) improved patient satisfaction but did not impact patient outcomes such as length, falls … May 31, 2023
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
January 12, 2022 - employees mechanisms to recommend organizational change, is associated with fewer medication errors and falls … October 21, 2010
Talking about falls: a qualitative exploration of spoken communication
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psnet.ahrq.gov/node/46009/psn-pdf
September 13, 2017 - screening tools are frequently used to assess risk among hospitalized older patients to
prevent harm from falls … long-term-outcomes-medication-intervention-using-screening-tool-older-persons-potentially
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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psnet.ahrq.gov/node/38625/psn-pdf
November 19, 2009 - patient safety program focused on evidence-based guidelines
to reduce the incidence of pressure ulcers, falls … psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
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/accuracy-pressure-ulcer-events-us-nursing-home-ratings
February 05, 2020 - Similar to earlier research on self-reported falls data, correlations between the self-reported and … Resources From the Same Author(s)
Assessment of nursing home reporting of major injury falls
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psnet.ahrq.gov/node/38760/psn-pdf
July 08, 2009 - care facilities are particularly vulnerable to patient safety problems such as
medication errors and falls … incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
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psnet.ahrq.gov/node/41298/psn-pdf
November 27, 2012 - a 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
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psnet.ahrq.gov/issue/no-safety-no-quality-synthesis-research-hospital-and-patient-safety-1996-2007
January 04, 2010 - the Same Author(s)
Relationship between call light use and response time and inpatient falls … January 4, 2010
Innovation in patient safety: a new task design in reducing patient falls … June 25, 2014
Applying root cause analysis to improve patient safety: decreasing falls