-
psnet.ahrq.gov/node/33597/psn-pdf
April 10, 2024 - by the OIG found that 22% of
Medicare beneficiaries in SNFs experienced an adverse event (delirium, falls … A WebM&M commentary highlights falls that occur in SNF
patients in more detail and gives evidence-based … computerized-provider-order-entry
https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes … the proportion of patients who experience a health
care–associated infection, pressure injuries, and falls … These
require SNFs to have measures in place to prevent specific clinical harms (such as falls, pressure
-
psnet.ahrq.gov/issue/use-temporary-nurses-and-nurse-and-patient-safety-outcomes-acute-care-hospital-units
March 24, 2021 - However, both patient falls and injuries among nurses increased with higher levels of temporary staffing … February 10, 2015
Influence of unit-level staffing on medication errors and falls in
-
psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
September 01, 2021 - bedside rounds reduced patient use of call lights, increased their satisfaction with care, and reduced falls … Related Resources
Patient Safety Innovations
Preventing Falls
-
psnet.ahrq.gov/issue/negligence-genuine-error-and-litigation
July 10, 2024 - May 22, 2013
Minnesota Hospital Association Statewide Project: SAFE from FALLS. … September 20, 2011
Medicare nonpayment, hospital falls, and unintended consequences.
-
psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - safety,
facilitating clinician communication, as well as preventing hospital-associated infections, falls … A nursing care center goal includes preventing falls in patients and nursing home residents by
identifying … individuals at risk for falls, such as those taking medications that could result in weakness,
dizziness … The goal additionally includes taking steps to prevent falls in these high-risk
individuals.
-
psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
November 21, 2018 - three main patient safety areas markedly influenced by the environment: HAIs, medication safety, and falls … Patient Falls
It is widely accepted that the physical environment—including environmental features, … Because most studies in this area have involved multifaceted-interventions to reduce falls ( 17-19 ), … Hendrich and colleagues ( 20 ) found that most falls occurred when patients attempted to get out of bed … The impact of healthcare environmental design on patient falls.
-
psnet.ahrq.gov/node/836812/psn-pdf
March 30, 2022 - used as part of larger efforts to improve patient safety have
included initiatives to reduce patient falls … organizational efforts
have included identifying reasons for diagnosis and treatment delays, reducing patient falls … mortality from transfusion errors, and restructuring hospital policies and processes to prevent patient falls … Using tools to assess and prevent inpatient falls. Jt Comm J Qual Saf. 2003
Jul;29(7):363-8.
-
psnet.ahrq.gov/issue/staffing-teamwork-and-scope-practice-analysis-association-patient-safety-context
September 20, 2017 - highlight the key role of appropriate nurse staffing in reducing the incidence of events such as falls … June 5, 2019
Influence of unit-level staffing on medication errors and falls in military
-
psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
April 24, 2018 - This review found that restraint use and limiting mobility to prevent falls can result in functional … December 8, 2021
Do falls and other safety issues occur more often during handovers when
-
psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
June 21, 2017 - The most common incidents were falls and delayed response to clinical deterioration. … November 21, 2012
Root cause analysis of reported patient falls in ORs in the Veterans
-
psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting
August 12, 2020 - Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
-
psnet.ahrq.gov/issue/back-basics-universal-protocol
March 17, 2021 - November 9, 2022
Root cause analysis of reported patient falls in ORs in the Veterans … December 12, 2018
Root cause analysis of reported patient falls in ORs in the Veterans
-
psnet.ahrq.gov/issue/medication-safety-look-alikesound-alike-drugs-home-care
February 03, 2021 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls … Strategies to improve the patient safety outcome indicator: preventing or reducing falls
-
psnet.ahrq.gov/issue/learning-best
February 22, 2023 - June 17, 2014
Reducing falls and fall-related injuries in mental health: a 1-year multihospital … falls collaborative.
-
psnet.ahrq.gov/node/60267/psn-pdf
March 01, 2021 - Community Offers Seniors Onsite
Health Care Coordination and Support, Reducing Hospital
Admissions and Falls … Programs typically cover five key areas: preventing falls, managing medications, controlling
chronic … Fewer falls: The number of residents experiencing falls declined by 22 percent in the first year after … implementation (30 resident falls the year before implementation, 16 resident falls a year later). … Additionally, the program
saw residences experience a decrease in the number of falls.
-
psnet.ahrq.gov/periodic-issue/periodic-issue-469
December 31, 2024 - Interview
In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls … We spoke with her about falls and fall prevention. … Perspective
The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI … Mossburg, RN, PhD | December 18, 2024
This piece discusses the continuing challenge of preventing falls … and explores strategies for preventing falls and falls with injury in both inpatient and outpatient
-
psnet.ahrq.gov/periodic-issue/periodic-issue-471
December 31, 2024 - Interview
In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls … We spoke with her about falls and fall prevention. … Perspective
The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI … Mossburg, RN, PhD | December 18, 2024
This piece discusses the continuing challenge of preventing falls … and explores strategies for preventing falls and falls with injury in both inpatient and outpatient
-
psnet.ahrq.gov/node/49709/psn-pdf
May 01, 2014 - placement, pivoting, balance correction, and fall recovery more difficult.(5) Though relatively uncommon,
falls … A
number of interventions have been shown to reduce falls in the perianesthesia setting. … https://psnet.ahrq.gov//#references
preanesthesia check, the time out, and communicating the risk of falls … Falls associated with lower-extremity-nerve
blocks: a pilot investigation of mechanisms. … Decreasing falls in the postoperative orthopedic patient with a femoral nerve
block.
-
psnet.ahrq.gov/issue/improving-medication-administration-safety-community-hospital-setting-using-lean-methodology
September 23, 2020 - July 3, 2013
Utilizing quality improvement methods to prevent falls and injury from falls
-
psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making
May 15, 2024 - June 3, 2020
Utilization of the Seniors Falls Investigation Methodology to identify system-wide … causes of falls in community-dwelling seniors.