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  1. Psn-Pdf (pdf file)

    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
  2. 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
  3. 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
  4. 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.
  5. Psn-Pdf (pdf file)

    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.
  6. 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.
  7. Psn-Pdf (pdf file)

    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.
  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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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.
  15. Psn-Pdf (pdf file)

    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.
  16. 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
  17. 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
  18. Psn-Pdf (pdf file)

    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 fallsFalls associated with lower-extremity-nerve blocks: a pilot investigation of mechanisms. … Decreasing falls in the postoperative orthopedic patient with a femoral nerve block.
  19. 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
  20. 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.

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