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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - But the majority of injurious patient falls have clear
intrinsic risk factors. … 18 holes of golf daily as there are falling. … I've seen everything from falling stars to falling leaves to big red signs. … As a policy strategy, do you think falls should have been on that list? … Are all falls preventable because the policy assumes that they are? The answer is no.
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psnet.ahrq.gov/issue/exploring-organizational-context-and-structure-predictors-medication-errors-and-patient-falls
January 22, 2020 - Exploring organizational context and structure as predictors of medication errors and patient falls … Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls. … Strategies to prevent medication errors and patient falls are a continuing focus of ongoing safety … Investigators discovered that structural measures had limited impact on medication errors and falls, … Exploring Organizational Context and Structure as Predictors of Medication Errors and Patient Falls.
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
September 18, 2019 - Study
Using root cause analysis to reduce falls with injury in the psychiatric unit … Using root cause analysis to reduce falls with injury in the psychiatric unit. … Using root cause analysis to reduce falls with injury in the psychiatric unit. … November 6, 2019
Root cause analysis of reported patient falls in ORs in the Veterans … multihospital falls collaborative.
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psnet.ahrq.gov/issue/systematic-review-falls-hospital-patients-communication-disability-highlighting-invisible
April 15, 2016 - Review
A systematic review of falls in hospital for patients with communication disability … A systematic review of falls in hospital for patients with communication disability: Highlighting an … that these populations are often excluded from studies of falls. … However, there is some evidence that communication disability leads to increased risk of falls and the … A systematic review of falls in hospital for patients with communication disability: Highlighting an
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
April 25, 2016 - Study
Using root cause analysis to reduce falls with injury in community settings … Using root cause analysis to reduce falls with injury in community settings. … This study used root cause analysis (RCA) to identify hazards leading to falls among community-dwelling … Using root cause analysis to reduce falls with injury in community settings. … January 17, 2019
Root cause analysis of reported patient falls in ORs in the Veterans
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psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
February 01, 2023 - access to the Fall TIPS program are more engaged and feel more confident in their ability to prevent falls … March 27, 2019
Evaluation of a patient-centered fall-prevention tool kit to reduce falls … Related Resources
Patient Safety Innovations
Preventing Falls … Study
The Stoplight Mobility Alert System for safety and prevention of falls … 16, 2022
A longitudinal study of a multifaceted intervention to reduce newborn falls
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psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
January 17, 2019 - Commentary
Root cause analysis of reported patient falls in ORs in the Veterans Health … Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. … This quality improvement project applied the method to patient falls in Veterans Health Administration … Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. … March 8, 2017
Using root cause analysis to reduce falls with injury in the psychiatric
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psnet.ahrq.gov/issue/applying-root-cause-analysis-improve-patient-safety-decreasing-falls-postpartum-women
August 04, 2021 - Study
Applying root cause analysis to improve patient safety: decreasing falls in … Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. … This Taiwanese study used root cause analysis to identify causal factors for falls in postpartum … Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. … 27, 2024
Patient Safety Innovations
Preventing Falls
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psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients
April 24, 2018 - Study
The impact of adding a 2-way video monitoring system on falls and costs for … The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. … Inpatient falls are a persistent patient safety challenge. … The researchers found that patients admitted after VM implementation had a lower risk of falls. … The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients.
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psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall
December 08, 2021 - Patient falls are an ongoing patient safety concern , yet mitigating falls among inpatients remains … 10, 2024
Patient Safety Innovations
Preventing Falls … November 18, 2020
Partnering to prevent falls: using a multimodal multidisciplinary team … August 14, 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/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
April 16, 2018 - Study
Remote patient monitoring improves patient falls and reduces harm. … Remote patient monitoring improves patient falls and reduces harm. … Inpatient falls are a persistent patient safety concern. … 13-hospital health care system to examine whether remote patient monitoring can reduce inpatient falls … Remote patient monitoring improves patient falls and reduces harm.
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psnet.ahrq.gov/print/pdf/node/866843
January 01, 2024 - Week 2024
Curated Library
Primers
Falls
September, 7 2019
Falls are a common source of patient harm … Web M&Ms
Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. … Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. … Falls
September, 7 2019
Falls are a common source of patient harm in hospitals, and are considered a … https://psnet.ahrq.gov/primer/falls
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psnet.ahrq.gov/issue/assessment-nursing-home-reporting-major-injury-falls-quality-measurement-nursing-home-compare
August 24, 2022 - Emerging Classic
Assessment of nursing home reporting of major injury falls … Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare … This study compared falls with injury data self-reported by nursing homes against those identified in … Medicare claims data and found that falls with injury were substantially underreported by nursing homes … Assessment of nursing home reporting of major injury falls for quality measurement on nursing home compare
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - , with evidence of injury from the falls. … Every time a weak or frail patient walks, he or she may be at risk of falling. … One cannot eliminate all risk of falls, but one can institute measures to prevent falls or
minimize … A multifactorial intervention to reduce the risk of falling among
elderly people living in the community … Risk Factors for Falls in the Hospital
Fall as presenting complaint or history of falls
Mobility impairment
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psnet.ahrq.gov/issue/patient-safety-incidents-describing-patient-falls-critical-care-north-west-england-between
August 04, 2021 - Study
Patient safety incidents describing patient falls in critical care in North … Patient safety incidents describing patient falls in critical care in North West England between 2009 … Patient falls represent a serious source of preventable harm . … Harm to patient or staff occurred in 22% of falls. … Patient safety incidents describing patient falls in critical care in North West England between 2009
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psnet.ahrq.gov/node/866352/psn-pdf
July 24, 2024 - Patient falls in the operating room: why is this still a
problem in 2024? … Patient falls in the operating room: why is this still a problem in 2024? … https://psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
Patient falls are a … This commentary
describes the challenges of using national falls databases to learn from falls occurring … prevention of falls in and around the operating room.
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psnet.ahrq.gov/issue/improving-hospital-safety-culture-falls-prevention-through-interdisciplinary-health-education
December 16, 2011 - Study
Improving hospital safety culture for falls prevention through interdisciplinary … Improving hospital safety culture for falls prevention through interdisciplinary health education. … Patient falls are an ongoing source of preventable harm . … This article describes the implementation of an innovative employee-based education program for falls … Improving hospital safety culture for falls prevention through interdisciplinary health education.
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psnet.ahrq.gov/node/865677/psn-pdf
April 24, 2024 - The impact of adding a 2-way video monitoring system on
falls and costs for high-risk inpatients. … The impact of adding a 2-way video monitoring system on falls and
costs for high-risk inpatients. … inpatients
Inpatient falls are a persistent patient safety challenge. … The
researchers found that patients admitted after VM implementation had a lower risk of falls. … https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
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psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
September 23, 2020 - Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls … Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. … simulation-based team training resulted in higher teamwork scores and lower rates of preventable falls … Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. … More About The Topic
Hospitals
Health Care Providers
Educators
Medicine
Patient Falls
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psnet.ahrq.gov/issue/relationship-between-call-light-use-and-response-time-and-inpatient-falls-acute-care-settings
March 13, 2008 - Study
Relationship between call light use and response time and inpatient falls in … Relationship between call light use and response time and inpatient falls in acute care settings. … As hospitals search for effective interventions to reduce falls, the authors advocate for tracking … Relationship between call light use and response time and inpatient falls in acute care settings. … October 27, 2016
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Related Resources
Patient falls while