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psnet.ahrq.gov/node/72670/psn-pdf
January 27, 2021 - The authors recommend systems-level changes to improve fall
prevention practices, such as use of electronic … issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
https://psnet.ahrq.gov/primer/falls … https://psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
https: … //psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study … https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
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psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
May 05, 2021 - While falls are common in older adults, there was a 31% increase in death due to falls in the U.S. … Interviews with 22 physicians identified patient reluctance to report falls and inconsistent assessment … , and documentation of falls made it challenging to consider falls when prescribing medications. … perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023
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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 … psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
https://psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and … https://psnet.ahrq.gov/issue/understanding-role-facility-design-acquisition-and-prevention-healthcare-associated … https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/designing-safety-icu
https://psnet.ahrq.gov
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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. … Let's shift a little bit to other proposed prevention
strategies, particularly in environmental ones … 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?
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psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals
February 02, 2011 - Study
Influence of unit-level staffing on medication errors and falls in military … Influence of unit-level staffing on medication errors and falls in military hospitals. … This study found that staff category and patient acuity were associated with medication errors and falls … Influence of unit-level staffing on medication errors and falls in military hospitals. … June 16, 2010
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/revitalizing-established-rapid-response-team
September 23, 2020 - July 5, 2017
Cost of inpatient falls and cost-benefit analysis of implementation of an … evidence-based fall prevention program. … November 16, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce … falls and injuries: a nonrandomized controlled trial. … November 6, 2015
Patient activation related to fall prevention: a multisite study
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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 … Article
Study
The Stoplight Mobility Alert System for safety and prevention … of falls in children with physical and cognitive impairments. … interventions to reduce duration and variability in delays to identification of serious injury after falls
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psnet.ahrq.gov/issue/challenge-risk-prevention-home-healthcare-interview-study-nurses-municipal-care
August 21, 2024 - Study
The challenge of risk prevention in home healthcare-an interview study with … The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. … The challenge of risk prevention in home healthcare—an interview study with nurses in municipal care. … Community Offers Seniors Onsite Health Care Coordination and Support, Reducing Hospital Admissions and Falls … About The Topic
Home Care
Home Nursing
Medical Complications
Pressure Ulcers
Patient Falls
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psnet.ahrq.gov/issue/health-economic-evaluation-infection-prevention-and-control-program-are-quality-and-patient
June 02, 2021 - Study
Health economic evaluation of an infection prevention and control program: … Health economic evaluation of an infection prevention and control program: are quality and patient safety … This analysis of a Canadian regional health authority's HAI prevention program found that over a 4-year … January 2, 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/node/45739/psn-pdf
July 02, 2017 - psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-
wrong-thing
Falls … Although limited
evidence supports fall prevention strategies, the use of certain high-risk medications … Investigators examined 328 falls and found that more than 60% of the older
patients who fell had received … incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta … https://psnet.ahrq.gov/issue/interventions-preventing-falls-acute-and-chronic-care-hospitals-systematic-review-and-meta
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psnet.ahrq.gov/node/48085/psn-pdf
June 19, 2019 - The health system sought to prevent
pressure ulcers, adverse drug events, falls with injury, health … reducing-preventable-harm-hospitals
https://psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets … https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/primer/falls … psnet.ahrq.gov/primer/leadership-role-improving-safety
https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
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psnet.ahrq.gov/issue/selling-soap
March 06, 2005 - January 13, 2021
Improving hospital safety culture for falls prevention through interdisciplinary … Related Resources
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023 … Impact of patient safety climate on infection prevention practices and healthcare worker
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - The authors conclude that elderly patients experience higher rates of falls, preventable adverse drug … October 12, 2011
View More
Related Resources
Talking about falls … communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention … April 6, 2022
Potentially inappropriate medications and their effect on falls during … perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls
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psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
August 04, 2021 - The authors recommend systems-level changes to improve fall prevention practices, such as use of electronic … September 7, 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce … falls and injuries: a nonrandomized controlled trial. … and Quality of Long Term Care
September 1, 2011
Utilization of the Seniors Falls … Investigation Methodology to identify system-wide causes of falls in community-dwelling seniors.
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psnet.ahrq.gov/issue/enhancing-patient-safety-and-outcomes-safe-patient-handling-connection
September 23, 2021 - This virtual session will summarize current evidence and highlight best practices to prevent falls … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Term Care
September 1, 2011
Applying High Reliability Principles to Infection Prevention … See More About
Online Education
Nursing
Latent Errors
Pressure Ulcers
Patient Falls
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psnet.ahrq.gov/issue/call-action-addressing-pediatric-fall-safety-ambulatory-environments
June 30, 2021 - Patient falls represent a significant cause of patient harm. … While most research on falls focus on the in-patient setting, this study reviewed research evidence … and findings from environmental assessments to provide recommendations for reducing risk of falls in … June 8, 2010
Ounce of prevention: to reduce errors, hospitals prescribe innovative designs … Topic
Ambulatory Clinic or Office
Non-Health Care Professionals
Pediatrics
Patient Falls
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psnet.ahrq.gov/issue/deep-scope-framework-safe-healthcare-design
August 18, 2021 - August 18, 2021
Artificial intelligence for identifying the prevention of medication … Related Resources
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023 … of falls in children with physical and cognitive impairments. … Hospitals
Facility and Group Administrators
Quality and Safety Professionals
Patient Falls
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psnet.ahrq.gov/issue/using-orgahead-computational-modeling-program-improve-patient-care-unit-safety-and-quality
June 22, 2011 - Related Resources
Patient Safety Innovations
Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans
May 31, 2023 … September 26, 2016
Partnering to prevent falls: using a multimodal multidisciplinary … August 14, 2013
Falls prevention at Mayo Clinic Rochester: a path to quality care.
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psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
May 02, 2012 - October 19, 2022
Cost of inpatient falls and cost-benefit analysis of implementation … of an evidence-based fall prevention program. … February 1, 2023
Evaluation of a patient-centered fall-prevention tool kit to reduce … falls and injuries: a nonrandomized controlled trial. … December 2, 2020
Patient activation related to fall prevention: a multisite study
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psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
September 23, 2020 - Commentary
Complexity bias in the prevention of iatrogenic injury: why specific harms … Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. … Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. … May 13, 2020
Assessment of nursing home reporting of major injury falls for quality measurement … See More About The Topic
Hospitals
Policy Makers
Nosocomial Infections
Patient Falls