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psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
December 06, 2017 - March 27, 2013
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/clinicians-perceptions-opioid-error-contributing-factors-inpatient-palliative-care-services
June 01, 2016 - The impact of safety culture, quality of care, missed care and nurse staffing on patient falls … 27, 2024
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
March 03, 2019 - 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/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
November 21, 2012 - November 21, 2012
Root cause analysis of reported patient falls in ORs in the Veterans … January 17, 2019
Root cause analysis of reported patient falls in ORs in the Veterans
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psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
March 20, 2019 - September 28, 2022
A longitudinal study of a multifaceted intervention to reduce newborn falls … Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery
December 15, 2024
Patient falls
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psnet.ahrq.gov/node/41367/psn-pdf
May 09, 2012 - harm-free-care
This initiative seeks to reduce four key sources of harm in hospitals: pressure ulcers, falls
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psnet.ahrq.gov/node/39649/psn-pdf
June 30, 2010 - https://psnet.ahrq.gov/issue/safety
https://psnet.ahrq.gov/issue/negotiating-safety-when-staffing-falls-short
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psnet.ahrq.gov/node/36584/psn-pdf
January 12, 2011 - psnet.ahrq.gov/issue/will-my-patient-fall
The authors assessed the literature to determine risk factors for falls
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psnet.ahrq.gov/issue/investigating-long-term-consequences-adverse-medical-events-among-older-adults
March 24, 2019 - September 27, 2023
Cost of inpatient falls and cost-benefit analysis of implementation … July 31, 2008
Evaluation of a patient-centered fall-prevention tool kit to reduce falls
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psnet.ahrq.gov/node/41882/psn-pdf
November 28, 2012 - design and initial test of a large-scale initiative to track incidents involving
pressure ulcers, 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/35870/psn-pdf
July 23, 2010 - Platform Model as a framework for implementing patient safety initiatives
and apply the model to a falls
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psnet.ahrq.gov/node/35848/psn-pdf
July 21, 2010 - a staff-driven reporting program to collect data on indicators such
as medication errors, patient falls
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psnet.ahrq.gov/node/34632/psn-pdf
March 28, 2005 - These
include protecting patients from hospital-acquired infection, minimizing falls and confusion,
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psnet.ahrq.gov/node/38209/psn-pdf
June 02, 2010 - effects-emergency-department-staff-rounding-patient-safety-and-satisfaction
Regularly scheduled rounds by nursing staff reduced falls
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psnet.ahrq.gov/node/33716/psn-pdf
September 01, 2011 - https://psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
incident is falls … Falls are a classic example of something that there's almost no point in reporting. … It happens often enough that we should probably approach falls almost
the way we approach infection … Falls are a common enough problem at every hospital that you
should stop doing incident reports. … Had they had a history of falls? That's a very structured type of data collection.
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psnet.ahrq.gov/node/40311/psn-pdf
March 23, 2011 - military hospitals, greater nursing experience and skill mix was associated with a
lower incidence of falls
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psnet.ahrq.gov/node/44693/psn-pdf
June 15, 2016 - This website highlights design
considerations for health care facilities that can help reduce noise, falls
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psnet.ahrq.gov/node/838916/psn-pdf
October 26, 2022 - Falling through the cracks: the invisible hospital cleaning
workforce. … Falling through the cracks: the invisible hospital cleaning
workforce. … https://psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
Disinfection … https://psnet.ahrq.gov/issue/falling-through-cracks-invisible-hospital-cleaning-workforce
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/47858/psn-pdf
July 10, 2019 - patients in Ireland found that they were frequently prescribed medications
that increased their risk of falling