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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
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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
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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
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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
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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.
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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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psnet.ahrq.gov/node/72554/psn-pdf
December 09, 2020 - inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
https://psnet.ahrq.gov/primer/falls
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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
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psnet.ahrq.gov/node/844785/psn-pdf
September 11, 2019 - Information flow during pediatric trauma care transitions:
things falling through the cracks. … Information flow during pediatric trauma care transitions:
things falling through the cracks. … https://psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through … https://psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks … https://psnet.ahrq.gov/issue/information-flow-during-pediatric-trauma-care-transitions-things-falling-through-cracks
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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.
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
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psnet.ahrq.gov/issue/selling-soap
March 06, 2005 - January 13, 2021
Improving hospital safety culture for falls prevention through interdisciplinary … Related Resources
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/improving-patient-safety
January 18, 2011 - Strategies to improve the patient safety outcome indicator: preventing or reducing falls … Strategies to improve the patient safety outcome indicator: preventing or reducing falls
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psnet.ahrq.gov/issue/impact-short-notice-accreditation-assessments-hospitals-patient-safety-and-quality-culture
January 10, 2024 - May 22, 2024
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … February 22, 2023
Cost of inpatient falls and cost-benefit analysis of implementation
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psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
January 24, 2024 - January 24, 2024
Reducing falls in hospitalized children and adolescents with cancer … June 7, 2023
A longitudinal study of a multifaceted intervention to reduce newborn falls
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psnet.ahrq.gov/issue/systematic-review-unintended-consequences-clinical-interventions-reduce-adverse-outcomes
November 15, 2023 - June 16, 2019
In-hospital sequelae of injurious falls in 24 medical/surgical units in … Hospitals
Health Care Providers
Medicine
Indwelling Tubes and Catheters
Patient Falls
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psnet.ahrq.gov/periodic-issue/periodic-issue-467
December 18, 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
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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
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psnet.ahrq.gov/issue/preventable-and-mitigable-adverse-events-cancer-care-measuring-risk-and-harm-across-continuum
July 19, 2017 - events included medication errors and hospital-acquired conditions , such as pressure ulcers and falls … Hospitals
Health Care Providers
Medical Oncology
Chemotherapeutic Agents
Patient Falls