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psnet.ahrq.gov/node/46559/psn-pdf
December 22, 2018 - Effect of promoting high-quality staff interactions on fall
prevention in nursing homes: a cluster-randomized … Effect of Promoting High-Quality Staff Interactions on
Fall Prevention in Nursing Homes: A Cluster-Randomized … -
cluster
Falls represent a significant cause of patient injury in the hospital setting, and evidence … https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
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psnet.ahrq.gov/issue/innovative-approaches-analysing-aged-care-falls-incident-data-international-classification
January 18, 2023 - Study
Innovative approaches to analysing aged care falls incident data: International … Innovative approaches to analysing aged care falls incident data: international classification for patient … Patients in long-term or residential care facilities are at high risk of falls . … Falls requiring hospitalization more often occurred in residents’ bedrooms or communal areas. … Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention
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psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older
March 09, 2022 - perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … Patients and primary care providers described their knowledge and awareness of risk of falls related … 2021
Human-based errors involving smart infusion pumps: a catalog of error types and prevention … January 29, 2020
Patient education to prevent falls among older hospital inpatients:
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psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
March 25, 2020 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … Patient falls represent a significant cause of patient harm . … The authors conclude that earlier OT evaluation may decrease the frequency of falls among older adults … March 30, 2022
Root cause analysis using the prevention and recovery information system … September 14, 2022
The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit:
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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. … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
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psnet.ahrq.gov/node/41411/psn-pdf
October 19, 2012 - Minnesota Hospital Association Statewide Project: SAFE
from FALLS. … Minnesota Hospital Association Statewide Project: SAFE from FALLS. … https://psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-project-safe-falls
This commentary … discusses a state-wide effort to reduce falls, including its implementation strategies,
challenges, … /issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/node/50905/psn-pdf
February 19, 2020 - Patient activation related to fall prevention: a multisite
study
February 19, 2020
Christiansen TL … Patient activation related to fall prevention: a multisite study . … https://psnet.ahrq.gov/issue/patient-activation-related-fall-prevention-multisite-study
The Fall TIPS … Tailoring Interventions for Patient Safety) program has been shown to be effective in
preventing inpatient falls … access to the Fall TIPS program are more engaged and feel more
confident in their ability to prevent falls
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psnet.ahrq.gov/node/46100/psn-pdf
July 11, 2017 - The tension between promoting mobility and preventing
falls in the hospital. … The Tension Between Promoting Mobility and Preventing Falls in the
Hospital. … https://psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
This commentary … The authors suggest that immobilizing
patients is not the answer to fall prevention and advocate for … https://psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
https:/
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psnet.ahrq.gov/node/39255/psn-pdf
February 02, 2011 - The patient who falls: "It's always a trade-off."
February 2, 2011
Tinetti ME, Kumar C. … The patient who falls: "It's always a trade-off". JAMA. 2010;303(3):258-66. … evidence on risk factors for and interventions to reduce falls in
community-dwelling older adults. … The authors also describe how to integrate such prevention strategies
into clinical practice. … https://psnet.ahrq.gov/issue/patient-who-falls-its-always-trade
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psnet.ahrq.gov/node/42493/psn-pdf
August 14, 2013 - Partnering to prevent falls: using a multimodal
multidisciplinary team. … Partnering to prevent falls: using a multimodal multidisciplinary team. … https://psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
This commentary … https://psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
https:/ … /psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/node/37401/psn-pdf
March 28, 2012 - Interventions for preventing falls in acute- and chronic-
care hospitals: a systematic review and meta-analysis … Interventions for preventing falls in acute- and
chronic-care hospitals: a systematic review and meta-analysis … https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic … review-and-meta
This review analyzed relevant literature and determined that the number of patient falls … has not been
reduced by hospital fall prevention programs, although similar efforts appear to be more
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psnet.ahrq.gov/node/40181/psn-pdf
September 25, 2011 - cost-serious-fall-related-injuries-three-midwestern-hospitals
In this study, hospitalized patients experiencing serious injuries from falls … with higher
operational costs and longer lengths of stay, further building an economic case for fall prevention … cost-serious-fall-related-injuries-three-midwestern-hospitals
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
https:// … psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/node/41911/psn-pdf
December 12, 2012 - Effects of an intervention to increase bed alarm use to
prevent falls in hospitalized patients: a cluster … Effects of an intervention to increase bed alarm use to prevent falls in
hospitalized patients: a cluster … https://psnet.ahrq.gov/issue/effects-intervention-increase-bed-alarm-use-prevent-falls-hospitalized-patients … cluster
In this randomized controlled trial, use of a standardized bed alarm system did not reduce falls … https://psnet.ahrq.gov/issue/fall-prevention-hospitals-integrative-review
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psnet.ahrq.gov/node/41241/psn-pdf
June 15, 2012 - 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. … https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
This study … cause analyses from the Veterans Health Administration system to highlight
common activities during falls … /primer/root-cause-analysis
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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psnet.ahrq.gov/node/836995/psn-pdf
April 27, 2022 - interventions to reduce duration and
variability in delays to identification of serious injury after
falls … interventions to reduce duration and variability in delays
to identification of serious injury after falls … mapping to identify opportunities to improve timely diagnosis of serious injury resulting
from inpatient falls … multifactorial-interventions-reduce-duration-and-variability-delays-identification-serious
https://psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review … https://psnet.ahrq.gov/issue/preventing-falls-injury
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psnet.ahrq.gov/node/37685/psn-pdf
March 18, 2010 - Medication assessment: one determinant of falls risk.
March 18, 2010
PA-PSRS Patient Saf Advis. … https://psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk
Drawing on data from the … system, this article describes which medication
classes were most frequently associated with patient falls … and discusses risk assessment and fall
prevention strategies. … https://psnet.ahrq.gov/issue/medication-assessment-one-determinant-falls-risk
https://psnet.ahrq.gov/
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psnet.ahrq.gov/issue/evidence-guiding-practice-reported-versus-observed-adherence-contact-precautions-pilot-study
June 28, 2017 - January 3, 2017
Fall prevention implementation strategies in use at 60 United States … November 30, 2022
In-hospital sequelae of injurious falls in 24 medical/surgical units … March 13, 2019
Effects of an intervention to increase bed alarm use to prevent falls … October 19, 2022
Cost of inpatient falls and cost-benefit analysis of implementation … of an evidence-based fall prevention program.
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psnet.ahrq.gov/issue/will-my-patient-fall
March 13, 2013 - The authors assessed the literature to determine risk factors for falls that can be identified to help … Download Citation
Related Resources From the Same Author(s)
Inpatient fall prevention
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psnet.ahrq.gov/issue/becoming-hand-hygiene-heroes-implementation-infection-prevention-and-control-campaign-patient
June 15, 2016 - Study
Becoming Hand Hygiene Heroes: implementation of an infection prevention and … Becoming hand hygiene heroes: implementation of an infection prevention and control campaign for patient … March 20, 2019
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Related Resources
Reducing falls in hospitalized … of falls in children with physical and cognitive impairments. … March 31, 2021
Applying root cause analysis to improve patient safety: decreasing falls
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psnet.ahrq.gov/node/42061/psn-pdf
October 05, 2015 - Preventing Falls in Hospitals: A Toolkit for Improving
Quality of Care. … https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
This toolkit … information and resources to guide hospitals through process change to implement and
sustain fall prevention … https://psnet.ahrq.gov/issue/preventing-falls-hospitals-toolkit-improving-quality-care
https://psnet.ahrq.gov