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psnet.ahrq.gov/issue/root-cause-analysis-hospital-acquired-pressure-injury
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … March 6, 2019
Root cause analysis of reported patient falls in ORs in the Veterans Health
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psnet.ahrq.gov/issue/pediatric-trainee-perspectives-decision-disclose-medical-errors
April 27, 2022 - interventions to reduce duration and variability in delays to identification of serious injury after falls … Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls
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psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Related Resources
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/examining-meaning-language-used-communicate-nursing-hand
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … July 21, 2021
Do falls and other safety issues occur more often during handovers when
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psnet.ahrq.gov/issue/how-providers-can-optimize-effective-and-safe-scribe-use-qualitative-study
November 18, 2020 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … February 7, 2024
Cost of inpatient falls and cost-benefit analysis of implementation
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-prescribing-older-people-version-3
January 12, 2022 - August 18, 2021
Potentially inappropriate medications and their effect on falls during … March 23, 2022
Opioids and falls risk in older adults: a narrative review.
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psnet.ahrq.gov/issue/deprescribing-community-dwelling-older-adults-systematic-review-and-meta-analysis
May 05, 2021 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … July 1, 2020
Sitters as a patient safety strategy to reduce hospital falls: a systematic
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions
January 19, 2022 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … March 6, 2012
Potentially inappropriate medications and their effect on falls during
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.248_slideshow.ppt
September 01, 2011 - common in nursing homes
Prior research has focused on pressure ulcers, adverse drug events (ADEs), and falls … :
Accurate resident identification
Safe medication use
Reconciled medications
Reduced harm from falls … events
Multidisciplinary team meetings can help identify and aggressively manage individuals’ risks for falls … Organizations can monitor their rates of falls, pressure ulcers, infections, unplanned hospitalizations
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psnet.ahrq.gov/issue/avoiding-errors-associated-insulin-therapy
April 06, 2022 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … March 17, 2021
Falling through the cracks: the invisible hospital cleaning workforce.
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psnet.ahrq.gov/issue/adverse-events-0
September 20, 2011 - December 12, 2023
Home Health Agencies Failed To Report Over Half of Falls With Major … About The Topic
Hospitals
Hospital Medicine
Nurse Care
Medical Complications
Patient Falls
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psnet.ahrq.gov/issue/medical-error-what-do-we-know-what-do-we-do
May 06, 2016 - Related Resources
Patient Safety Innovations
Preventing Falls … December 15, 2017
Partnering to prevent falls: using a multimodal multidisciplinary team
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psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
May 06, 2015 - December 24, 2008
Preventing Patient Falls: A Systematic Approach From the Joint Commission … Related Resources
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/6-year-thematic-review-reported-incidents-associated-cardiopulmonary-resuscitation-calls
June 15, 2022 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … interventions to reduce duration and variability in delays to identification of serious injury after falls
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psnet.ahrq.gov/issue/impact-initial-response-covid-19-long-term-care-people-intellectual-disability-interrupted
May 11, 2022 - August 10, 2022
Utilizing quality improvement methods to prevent falls and injury from … falls: enhancing resident safety in long-term care.
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psnet.ahrq.gov/issue/sustaining-gains-7-year-follow-through-hospital-wide-patient-safety-improvement-project
October 19, 2022 - December 8, 2021
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
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psnet.ahrq.gov/issue/long-term-care-healthcare-associated-infections-2021-analysis-17971-reports
July 06, 2022 - July 8, 2009
Utilizing quality improvement methods to prevent falls and injury from falls
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psnet.ahrq.gov/issue/situ-simulation-adoption-new-technology-improve-sepsis-care-rural-emergency-departments
November 10, 2021 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … interventions to reduce duration and variability in delays to identification of serious injury after falls
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psnet.ahrq.gov/issue/adverse-events-and-their-contributors-among-older-adults-during-skilled-nursing-stays
February 17, 2021 - September 14, 2022
Potentially inappropriate medications and their effect on falls during … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls
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psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
May 11, 2022 - The impact of safety culture, quality of care, missed care and nurse staffing on patient falls … June 28, 2023
Patient Safety Innovations
Preventing Falls