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www.ahrq.gov/action-alliance/resources/type-harm.html
April 01, 2025 - by 25 percent in a cohort of over 100 acute care hospitals in the United States and abroad. … communicate changes in a resident’s condition to prevent and manage falls. … initiative and tools are designed to support healthcare providers treating older adults who are at risk of falling … AHRQ Toolkit for Reducing CAUTI in Hospitals This resource helps hospitals prevent CAUTI in patients … AHRQ Toolkit To Improve Antibiotic Use in Acute Care Hospitals This toolkit provides guidance for hospitals
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psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
January 04, 2010 - Study
Innovation in patient safety: a new task design in reducing patient falls. … Innovation in patient safety: a new task design in reducing patient falls. … Innovation in patient safety: a new task design in reducing patient falls. … September 20, 2023
Reduction in hospital-wide clinical laboratory specimen identification … December 19, 2012
Fall prevention in hospitals: an integrative review.
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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 … A systematic review of falls in hospital for patients with communication disability: Highlighting an … June 24, 2020
Sitters as a patient safety strategy to reduce hospital falls: a systematic … February 26, 2020
Patient education to prevent falls among older hospital inpatients:
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
March 03, 2008 - Injuries sustained as result
of patient falls in a cancer hospital are often severe, due to the nature … Introduction
Patient falls are the most frequently reported adverse event in hospitals and the leading … falls in a
cancer hospital are often severe because of the nature of the underlying medical condition … A high risk for falling was determined by having more than
one risk variable present, as
in the new … Since program implementation, this unit no longer has the most
patient falls in the hospital; at the
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psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
September 14, 2022 - EMERGING INNOVATIONS
The Stoplight Mobility Alert System for safety and prevention of falls in children … A multidisciplinary research team in the inpatient rehabilitation unit at the Texas Children’s Hospital … a United Kingdom hospital. … children's hospital. … Hospitals
Quality and Safety Professionals
Pediatrics
Patient Falls
View More
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psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention
December 02, 2020 - Study
Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based … Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention … Patient falls are associated with poorer clinical outcomes, and increased costs to the health system … eight American hospitals. … December 5, 2013
View More
See More About The Topic
Hospitals
Ambulatory
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psnet.ahrq.gov/node/856592/psn-pdf
January 01, 2024 - Talking about falls: a qualitative exploration of spoken
communication of patients' fall risks in hospitals … Talking about falls: a qualitative exploration of spoken
communication of patients’ fall risks in hospitals … in hospitals. … This study in three orthopedic and three geriatric wards describes multidisciplinary communication about … falls prevention strategies.
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psnet.ahrq.gov/node/47402/psn-pdf
March 13, 2019 - In-hospital sequelae of injurious falls in 24
medical/surgical units in four hospitals in the United … In-Hospital Sequelae of Injurious Falls in 24 Medical/Surgical Units
in Four Hospitals in the United … https://psnet.ahrq.gov/issue/hospital-sequelae-injurious-falls-24-medicalsurgical-units-four-hospitals-united … https://psnet.ahrq.gov/issue/hospital-sequelae-injurious-falls-24-medicalsurgical-units-four-hospitals-united-states … https://psnet.ahrq.gov/issue/hospital-sequelae-injurious-falls-24-medicalsurgical-units-four-hospitals-united-states
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psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals
March 16, 2016 - Newspaper/Magazine Article
Reducing preventable harm in hospitals. … Citation Text:
Reducing preventable harm in hospitals. Bornstein D. New York Times. … hospital-acquired infections, patient falls , and culture change . … hospitals. … June 29, 2016
Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.
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psnet.ahrq.gov/issue/remote-patient-monitoring-improves-patient-falls-and-reduces-harm
April 16, 2018 - In this study, researchers analyzed electronic health record (EHR) data from a 13-hospital health care … August 4, 2021
Families as partners in hospital error and adverse event surveillance. … August 9, 2023
Why hospitals still make serious medical errors—and how they are trying … April 17, 2013
View More
See More About The Topic
Hospitals
Nurse Care … Patient Falls
Technologic Approaches
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psnet.ahrq.gov/issue/effect-bedrails-falls-and-injury-systematic-review-clinical-studies
March 15, 2016 - March 15, 2016
Falls in English and Welsh hospitals: a national observational study based … June 17, 2014
Preventable deaths due to problems in care in English acute hospitals: … July 2, 2014
'Global Trigger Tool' shows that adverse events in hospitals may be ten … June 9, 2021
Sitters as a patient safety strategy to reduce hospital falls: a systematic … February 26, 2020
A systematic review of falls in hospital for patients with communication
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psnet.ahrq.gov/issue/using-human-factors-and-ergonomics-principles-prevent-inpatient-falls
November 09, 2022 - the risk for falls. … in Hong Kong. … November 9, 2022
Results and lessons from a hospital-wide initiative incentivised by … hospitals: an underestimated need for patient safety. … April 3, 2013
View More
See More About The Topic
Hospitals
Quality
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psnet.ahrq.gov/node/46483/psn-pdf
October 04, 2017 - Fall Prevention in Hospitals Training Program. … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program
Falls are a primary focus of … quality and patient safety improvement efforts in hospitals. … https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
https://psnet.ahrq.gov … /issue/preventing-falls-hospitals-toolkit-improving-quality-care
https://psnet.ahrq.gov/issue/multicomponent-fall-prevention-strategy-reduces-falls-academic-medical-center
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psnet.ahrq.gov/issue/reducing-falls-hospitalized-children-and-adolescents-cancer-and-blood-disorders-quality
November 16, 2022 - Study
Reducing falls in hospitalized children and adolescents with cancer and blood … Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement … This article describes a multipronged improvement effort to reduce falls in a pediatric hospital. … Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement … a statewide collaborative and changes in hospital safety culture.
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-patterns-fall-interventions.pdf
September 01, 2023 - less severe harm or no harm to patients.8 Also, while analyses in
NPSD focus on hospital events, NPSD … (CFER-H) that describe incidents occurring in
settings other than hospitals. … Based on current fall prevention research, patients with differing risks of
falling would benefit from … 10
hospital setting details that can impact fall risks. … , please see AHRQ’s:
• Preventing Falls in Hospitals Toolkit
• Fall TIPS: A Patient-Centered Fall
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psnet.ahrq.gov/issue/use-standard-risk-screening-and-assessment-forms-prevent-harm-older-people-australian
May 11, 2022 - Use of standard risk screening and assessment forms to prevent harm to older people in Australian hospitals … Improving Diagnostic Safety and Quality
April 26, 2023
In-hospital … sequelae of injurious falls in 24 medical/surgical units in four hospitals in the United States. … December 29, 2014
Patient education to prevent falls among older hospital inpatients: … February 1, 2012
Fall prevention in acute care hospitals: a randomized trial.
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psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients
April 24, 2018 - This study evaluated the impact of video monitoring (VM) plus in-person sitters on falls among high-risk … patients at one academic hospital system. … hospital error and adverse event surveillance. … August 9, 2023
Why hospitals still make serious medical errors—and how they are trying … April 17, 2013
View More
See More About The Topic
Hospitals
Nurse Care
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psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
September 13, 2017 - Falls and falls with injury are significant sources of morbidity and mortality and can have substantial … This study showed that after implementing the Fall TIPS program, falls and falls with injury decreased … in several hospital units resulting in a return on investment of $982,700. … May 29, 2019
Alert burden in pediatric hospitals: a cross-sectional analysis of six academic … harm at a Canadian hospital: an exploratory study.
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psnet.ahrq.gov/node/45592/psn-pdf
October 27, 2016 - Preventing Patient Falls: A Systematic Approach From
the Joint Commission Center for Transforming Healthcare … Falls are a common hazard among both hospitalized and ambulatory patients. … This report summarizes the
results of a collaborative to identify and address the root causes of falls … in hospitals and provides case
studies from the participating organizations to illustrate their experiences … ://psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
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hcup-us.ahrq.gov/reports/statbriefs/sb80.pdf
October 01, 2009 - Elderly patients seen in the ED for injurious falls were less likely to be admitted to the hospital ( … Men, who
5 In 2006, approximately 80,000 hospital stays noting injurious falls were classified … Among the elderly, hospitalizations for fractures due to falls averaged $11,700 in
hospital costs and … Hospital stays for internal organ injuries due to falls averaged
$13,100 in hospital costs and 6.0 days … Types of hospitals included in HCUP
HCUP is based on data from community hospitals, defined as short-term