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241. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. | PSNet
     psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
     December 02, 2020 - , traumatic brain injury, or stroke) are particularly vulnerable to patient safety events, such as falls … By December 2020, the fall rate was reduced to 0 falls per 1,000 admissions. … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023 … February 1, 2023 Fall prevention with the Smart Socks System reduces hospital fall rates … September 7, 2022 Nurses' harm prevention practices during admission of an older person

242. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Implications for prevention. ADE Prevention Study Group. JAMA 1995;274:29-34. … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Evidence-based practice: a falls prevention program that continues to work. … Preventing falls and eliminating injury at Ascension Health. … VHA’s national falls collaborative and prevention programs.

243. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Implications for prevention. ADE Prevention Study Group. JAMA 1995;274:29-34. … Reduction of falls-related injuries using a hospital inpatient falls prevention program. … Evidence-based practice: a falls prevention program that continues to work. … Preventing falls and eliminating injury at Ascension Health. … VHA’s national falls collaborative and prevention programs.

244. Emergency Department Visits for Injurious Falls among the Elderly, 2006 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb80.pdf
     October 01, 2009 - Arch Phys Med Rehabil 2001;82:1050–6. 2 Centers for Disease Control and Prevention, National Center … for Injury Prevention and Control. … Injury Prevention 2006;12:290–5. 4 Stevens JA. … Falls among older adults—risk factors and prevention strategies. … In: Falls free: promoting a national falls prevention action plan.

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44669/psn-pdf
     January 22, 2016 - Safety standards: implementing fall prevention interventions and sustaining lower fall rates by promoting … Safety Standards: Implementing Fall Prevention Interventions and Sustaining Lower Fall Rates by Promoting … https://psnet.ahrq.gov/issue/safety-standards-implementing-fall-prevention-interventions-and-sustaining … - lower-fall-rates Inpatient falls are a pervasive sentinel event that require improvements in processes … https://psnet.ahrq.gov/issue/preventing-falls-injury https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

246. In Conversation With… Ann L. Hendrich, RN, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-ann-l-hendrich-rn-phd
     February 26, 2025 - 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. … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73660/psn-pdf
     September 01, 2021 - Hospital inpatient falls across clinical departments. … Hospital inpatient falls across clinical departments. … https://psnet.ahrq.gov/issue/hospital-inpatient-falls-across-clinical-departments Patient falls resulting … Clinical department, rates, and trends should be considered when implementing fall prevention strategies … /primer/falls https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

248. Sitters as a patient safety strategy to reduce hospital falls: a systematic review. | PSNet
     psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
     March 08, 2023 - Review Sitters as a patient safety strategy to reduce hospital falls: a systematic … Sitters as a Patient Safety Strategy to Reduce Hospital Falls. … Sitters as a Patient Safety Strategy to Reduce Hospital Falls. … Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … January 27, 2021 Fall prevention implementation strategies in use at 60 United States

249. Clinical Summary: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/dkrTtgpcUKSk7ZxCxL4mcz
     Clinical Summary: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention of Fractures … Community-Dwelling Adults Clinical Summary: Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention … Grade: D Risk Assessment Low bone mass, older age, and history of falls are major risk factors … The USPSTF recommends exercise interventions to prevent falls in community-dw elling older adults at … increased risk for falls; multifactorial interventions may also be effective in some persons as w

250. Abt Single-Sided Body Template (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverviewmaterialspacket.pdf
     June 02, 2025 - Abt Single-Sided Body Template On-Time Falls Prevention: Overview Materials Packet Samples of four … On-Time Falls Prevention Overview Materials Packet 1 O n-Tim e Falls P revention: E lectronic … R eports 2 On-Time Falls High-Risk Report Sample Falls High-Risk Report Unit: _______________ … O n-Tim e Falls P revention: E lectronic R eports 3 Quarterly Summary of Falls Risk Factors by … Prevention: Overview Materials Packet On-Time Falls High-Risk Report Quarterly Summary of Falls Risk

251. Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. | PSNet
     psnet.ahrq.gov/issue/effects-intervention-increase-bed-alarm-use-prevent-falls-hospitalized-patients-cluster
     January 03, 2017 - Study Effects of an intervention to increase bed alarm use to prevent falls in hospitalized … Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster … In this randomized controlled trial, use of a standardized bed alarm system did not reduce falls in … January 3, 2017 In-hospital sequelae of injurious falls in 24 medical/surgical units … March 13, 2019 Fall prevention implementation strategies in use at 60 United States hospitals

252. Evaluation of AHRQ's On-time Pressure Ulcer Program | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
     January 01, 2023 - Health Care Theme Clinical Decision Making Pressure ulcers and injurious falls … Although substantial research has documented that preventing pressure ulcers and falls is possible, these … similar to the On-Time Pressure Ulcer Prevention program, including standardized documentation data … Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall Prevention … nursing home staff to develop timely interventions for at-risk residents to reduce the incidence of falls

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838011/psn-pdf
     January 01, 2023 - Fall prevention with the Smart Socks System reduces hospital fall rates. … Fall prevention with the Smart Socks System reduces hospital fall rates. … https://psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates Fall prevention … sensors that detect when a patient is trying to stand up – reduced fall rates among patients at risk of falls … /primer/falls https://psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study

254. A systematic review of falls in hospital for patients with communication disability: highlighting an invisible population. | PSNet
     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 … that these populations are often excluded from studies of falls. … However, there is some evidence that communication disability leads to increased risk of falls and the … Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention

255. An inpatient fall prevention initiative in a tertiary care hospital. | PSNet
     psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
     October 19, 2022 - Study An inpatient fall prevention initiative in a tertiary care hospital. … An inpatient fall prevention initiative in a tertiary care hospital. … This study describes a fall prevention program that successfully reduced falls and fall-related injury … An inpatient fall prevention initiative in a tertiary care hospital.

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73396/psn-pdf
     June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. … The impact of the built environment on patient falls in hospital rooms: an integrative review. … https://psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review … Decreasing inpatient falls requires improvements in both processes of care and the care environment … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program https://psnet.ahrq.gov/issue

257. Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. | PSNet
     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:

258. Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis. | PSNet
     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

259. Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. | PSNet
     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:

260. Applying root cause analysis to improve patient safety: decreasing falls in postpartum women. | PSNet
     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