-
psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
July 29, 2020 - August 3, 2022
Potentially inappropriate medications and their effect on falls during
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psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
August 13, 2014 - June 19, 2024
Patient falls in the operating room setting: an analysis of reported safety
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digital.ahrq.gov/sites/default/files/docs/page/Dixie%20Baker1.ppt
June 16, 2021 - Senior Scientist/Vice President
SAIC Health Solutions
Falls Church, VA and Rockville, MD
703 575-7209
-
psnet.ahrq.gov/issue/unpacking-complexity-covid-19-fatalities-adverse-events-contributing-factors-single-center
January 25, 2023 - September 27, 2017
Hospital inpatient falls across clinical departments.
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psnet.ahrq.gov/issue/effect-world-health-organization-checklist-patient-outcomes-stepped-wedge-cluster-randomized
June 03, 2020 - single room hospital accommodation associated with differences in healthcare-associated infection, falls
-
psnet.ahrq.gov/issue/polypharmacy-and-potentially-inappropriate-medication-people-dementia-nationwide-study
March 06, 2012 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls
-
psnet.ahrq.gov/issue/systematic-review-effectiveness-strategies-encourage-patients-remind-healthcare-professionals
February 01, 2011 - 27, 2024
Patient Safety Innovations
Preventing Falls
-
psnet.ahrq.gov/node/33823/psn-pdf
January 01, 2017 - is important to recognize conditions that lead to injury, such as a wet floor leading to slips and falls … Slips and falls on wet floor
Planned change to microfiber mop
leaving floor drier than string mop … Attendant cleans &
replaces step stools
Trips &
Falls
Tripping and falling on stools
Step stools … lead
Always have a person at each leg
ready to lift together
Secure electrical
cords
Trips &
Falls … Trips/falls
Explore options (other than blankets)
to cover/secure cords
Check & replace
oxygen tank
-
psnet.ahrq.gov/node/38832/psn-pdf
August 12, 2009 - effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
Implementing an hourly rounding protocol by nurses resulted in a reduction in falls … effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
-
hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
September 01, 2010 - However,
elderly patients ages 85 and over
accounted for one-third of stays for
injurious falls and … eligibles was nearly 2 to 4 times the
rate of stays for non-dual eligibles,
except for injurious falls … For other Medicare beneficiaries, it was injurious falls (1,109 stays per 100,000
enrollees). … Only the rate of stays for injurious falls was higher among non-dual eligible beneficiaries
compared … However, women comprised more than three-quarters of
stays for injurious falls (78 percent), asthma
-
psnet.ahrq.gov/node/38048/psn-pdf
October 03, 2017 - when the last report was published --
were advanced pressure ulcers, retained foreign objects, and falls … psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/primer/falls
-
hcup-us.ahrq.gov/reports/statbriefs/sb156.jsp
May 01, 2013 - ED visits for injury are described based on the external cause of injury (e.g., falls, transport related … For example, over 70 percent of ED visits among persons aged 65 years and older were related to falls … The most common cause was falls (35.7 percent), followed by being struck by an object (18.3 percent) … Although falls were the most common type of injury that resulted in an ED visit for all age groups, falls … The NEDS includes 11 data elements that identify the cause of the injury: cutting, drowning, falling,
-
psnet.ahrq.gov/node/45289/psn-pdf
May 03, 2017 - physicians, nurses, and pharmacists to rate the severity of harm for specific adverse events including falls … psnet.ahrq.gov/issue/measuring-harm-health-care-optimizing-adverse-event-review
https://psnet.ahrq.gov/primer/falls
-
psnet.ahrq.gov/node/45011/psn-pdf
May 25, 2016 - organizations and how to apply them in health
care settings to address various concerns such as patient falls … becoming-high-reliability-organization-operational-advice-hospital-leaders
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
-
psnet.ahrq.gov/node/46451/psn-pdf
September 27, 2017 - The toolkit
focuses on six areas of safety: infections, falls, medication errors, security, injuries … prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
https://psnet.ahrq.gov/primer/falls
-
psnet.ahrq.gov/node/41985/psn-pdf
October 26, 2016 - psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
-
psnet.ahrq.gov/node/46460/psn-pdf
January 17, 2018 - randomized trials, there is a consistent association
between safety culture and patient outcomes such as falls … association-between-organisational-and-workplace-cultures-and-patient-outcomes-systematic
https://psnet.ahrq.gov/primer/culture-safety
https://psnet.ahrq.gov/primer/falls
-
psnet.ahrq.gov/node/47574/psn-pdf
November 21, 2018 - This narrative review
examines how care facility design can reduce health care–associated infections, falls … understanding-role-facility-design-acquisition-and-prevention-healthcare-associated
https://psnet.ahrq.gov/primer/falls
-
psnet.ahrq.gov/node/44872/psn-pdf
February 12, 2016 - and
explores specific areas of focus to reduce harm such as hospital-acquired infections, patient falls … partnership-patients
https://psnet.ahrq.gov/issue/partnership-patients
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
-
psnet.ahrq.gov/node/46270/psn-pdf
April 16, 2018 - impact-restraint-management-bundle-restraint-use-intensive-care-unit
Although physical restraints may be used to protect patients in intensive care units from falls … patient-safety-culture-and-association-safe-resident-care-nursing-homes
https://psnet.ahrq.gov/primer/falls