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psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining-lower-fall-rates
July 12, 2018 - Inpatient falls are a pervasive sentinel event that require improvements in processes and the environment … July 1, 2020
Families as partners in hospital error and adverse event surveillance. … April 6, 2022
Improving hospital safety culture for falls prevention through interdisciplinary … December 23, 2020
A systematic review of falls in hospital for patients with communication … August 14, 2013
An inpatient fall prevention initiative in a tertiary care hospital.
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psnet.ahrq.gov/issue/assessing-effectiveness-engaging-patients-and-their-families-three-step-fall-prevention
February 19, 2020 - July 5, 2017
Families as partners in hospital error and adverse event surveillance. … June 12, 2019
In-hospital sequelae of injurious falls in 24 medical/surgical units in … four hospitals in the United States. … hospital settings. … a specialty cardiac hospital.
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package
May 06, 2015 - October 19, 2016
Hand Hygiene Project: Best Practices from Hospitals Participating in … May 24, 2015
Preventing Patient Falls: A Systematic Approach From the Joint Commission … November 1, 2016
Toolkit for Reducing CAUTI in Hospitals. … December 9, 2015
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care … October 5, 2015
Hospital takes a page from Toyota.
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psnet.ahrq.gov/node/50936/psn-pdf
February 26, 2020 - Sitters as a patient safety strategy to reduce hospital
falls: a systematic review. … Sitters as a Patient Safety Strategy to Reduce Hospital Falls. … https://psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review … In general, the researchers found very-low-certainty evidence
that sitters reduce fall risk in acute … https://psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
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psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
June 15, 2016 - two pediatric and obstetrical hospitals. … March 20, 2019
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Related Resources
Reducing falls in hospitalized … March 31, 2021
Applying root cause analysis to improve patient safety: decreasing falls … March 23, 2011
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See More About The Topic
Hospitals
Children's … Hospitals
Obstetrics
Pediatrics
Nosocomial Infections
View More
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psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
August 17, 2022 - Patient falls are considered a never event and can result in serious injury . … This study retrospectively reviewed inpatient falls resulting in injury and the strength of the improvement … in a Canadian regional hospital system: a retrospective time series analysis. … delays to identification of serious injury after falls in hospital inpatients. … August 18, 2021
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See More About The Topic
Hospitals
Long-Term
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psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
February 01, 2012 - hospitals. … The Problems of Detecting Medication Errors in Hospitals. … The Problems of Detecting Medication Errors in Hospitals. … and injury from falls: enhancing resident safety in long-term care. … Hospitals
Quality and Safety Professionals
Hospital Pharmacy
Medication Errors/Preventable
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psnet.ahrq.gov/issue/100k-lives-falling-short
November 11, 2015 - Newspaper/Magazine Article
100K Lives falling short. … Citation Text:
100K Lives falling short. Robeznieks A. … November 11, 2015
Safety in numbers. … April 13, 2016
Reducing preventable harm in hospitals. … Keys to safer hospitals.
June 17, 2010
Fixing America's hospitals.
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psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
May 26, 2016 - Considered a never event for hospitalized patients, falls that result in serious injury remain relatively … May 26, 2016
Sitters as a patient safety strategy to reduce hospital falls: a systematic … May 13, 2021
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care. … November 27, 2012
Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries … April 9, 2009
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries
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psnet.ahrq.gov/issue/examination-technical-efficiency-quality-and-patient-safety-acute-care-nursing-units
December 21, 2017 - errors and falls. … Safety Score, Magnet designation, and healthcare-associated infections in United States hospitals. … September 12, 2016
Influence of unit-level staffing on medication errors and falls in … military hospitals. … care hospital units.
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psnet.ahrq.gov/issue/association-between-electronic-health-record-implementations-and-hospital-acquired-conditions
September 01, 2016 - conditions in pediatric hospitals. … Association between electronic health record implementations and hospital-acquired conditions in pediatric … hospitals. … hospitals. … October 13, 2010
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Related Resources
Reducing falls in
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psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
March 09, 2022 - September 13, 2023
Opioids and falls risk in older adults: a narrative review. … May 25, 2022
Potentially inappropriate medications and their effect on falls during hospital … July 13, 2022
Opioids and falls risk in older adults: a narrative review. … December 27, 2018
Patient education to prevent falls among older hospital inpatients: … December 21, 2014
Fall prevention in acute care hospitals: a randomized trial.
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psnet.ahrq.gov/issue/open-better-care
January 28, 2015 - analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals … at a safety net hospital. … falls: enhancing resident safety in long-term care. … February 13, 2013
Aware in Care. … December 5, 2012
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See More About The Topic
Hospitals
Health
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psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
June 28, 2017 - June 28, 2017
Is it possible to identify risks for injurious falls in hospitalized patients … hospitals: a descriptive study. … November 30, 2022
In-hospital sequelae of injurious falls in 24 medical/surgical units … in four hospitals in the United States. … hospital care: how organizational factors matter.
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psnet.ahrq.gov/issue/hospital-trustees-shift-their-focus-medical-safety
July 30, 2014 - July 30, 2014
Hospitals tie CEO bonuses to safety. … April 27, 2016
Clash in the name of care. … Resources
Perspective
The Ongoing Journey to Prevent Patient Falls … with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls
December 18, 2024 … September 19, 2018
Diagnostic error in acute care.
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psnet.ahrq.gov/issue/implementation-centers-medicare-medicaid-services-nonpayment-policy-preventable-hospital
September 16, 2020 - conditions in rural and nonrural US hospitals. … Conditions in Rural and Nonrural US Hospitals. … Rural hospitals had significantly fewer of these hospital-acquired conditions, except for patient falls … The lower rates in some of these conditions are likely related to rural hospitals generally seeing patients … Conditions in Rural and Nonrural US Hospitals.
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psnet.ahrq.gov/node/33722/psn-pdf
December 01, 2011 - Age in and of itself is not a good predictor of
falls because there are just as many 75-year-olds playing … Many
patients have a change in status that causes them to be at high risk for falling, and it goes undetected … The hospitals and health care
systems who really get it are using the risk factors in just that way. … In today's complex hospital environment, there are so many alarms going off and
nurses are pulled in … Hospital falls is on that list, which implies that they are identifiable and largely preventable.
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psnet.ahrq.gov/issue/effect-external-inspections-safety-acute-hospitals-national-health-service-england-controlled
January 12, 2022 - Study
The effect of external inspections on safety in acute hospitals in the National … The effect of external inspections on safety in acute hospitals in the National Health Service in England … did not improve rates of either pressure ulcers or falls. … The effect of external inspections on safety in acute hospitals in the National Health Service in England … awaiting long-term care in hospital.
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psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
July 07, 2021 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … (i.e., patient falls, pressure injuries, medication administration errors). … Shift‐to‐shift nursing handover interventions associated with improved inpatient outcomes—falls, pressure … October 27, 2010
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See More About The Topic
Hospitals
Nurse
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psnet.ahrq.gov/issue/partnership-patients-pfp-hospital-engagement-network-hen-20-final-report
May 06, 2015 - May 6, 2015
Hand Hygiene Project: Best Practices from Hospitals Participating in the … December 24, 2008
Preventing Patient Falls: A Systematic Approach From the Joint Commission … Related Resources
Patient Safety Innovations
Preventing Falls … Keys to safer hospitals. … December 3, 2008
Hospital-acquired Infections in Pennsylvania.