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psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops
October 10, 2018 - Newspaper/Magazine Article
Preventing newborn falls and drops. … Citation Text:
Preventing newborn falls and drops. Quick Safety. March 27, 2018;(40):1-2. … Falls are a common patient safety concern for adults but are rarely discussed as a threat to newborn … URL
Cite
Citation
Citation Text:
Preventing newborn falls … 26, 2023
A longitudinal study of a multifaceted intervention to reduce newborn falls
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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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www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
December 01, 2017 - Fall Prevention in Hospitals Training Program
AHRQ developed the Fall Prevention in Hospitals Training … Program to support the training of hospital staff on how to implement AHRQ’s Preventing Falls in Hospitals … Preventing Falls in Hospitals
Each year, somewhere between 700,000 and 1,000,000 people in the United … Research shows that close to one-third of falls can be prevented. … Pressure Injury Prevention in Hospitals Training Program
AHRQ developed the Pressure Injury Prevention
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb26.html
December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B26: … The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Chapter … Falls Engineer Instructions
Accidents in the home are a major cause of injury. … This brochure does not include all potential causes of falls. … References:
The Fall Prevention Project , Southeast Senior Housing Initiative, Baltimore, MD, 1997
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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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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1A_Details_of_literature_review.pdf
January 01, 2012 - "Evidence review on older people's views and experiences of
falls prevention strategies." … Evidence for prevention of injury events in HCBS populations
Falls
• Several strategies have been … "Exercise in the prevention of falls in older people: a systematic
literature review examining the … "Intervention strategies and risk-factor modification for falls prevention. … "Evidence review on older people's views and experiences of
falls prevention strategies."
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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/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/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/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/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/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/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
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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/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/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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
January 01, 2021 - Patient outcome variables
Patient falls and injury falls
• Patient falls/1,000 patient days. … • Injury falls/1,000 patient days. … Fall prevention process variables
• Percent patients who fell assessed at risk for falling. … • Percent patients with fall prevention protocol in place at time of fall. … Hospital trend report for falls per 1,000 patient days.
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www.uspreventiveservicestaskforce.org/uspstf/document/draft-research-plan/vitamin-d-calcium-combined-supplementation-primary-prevention-falls-fractures-communitydwelling-adults
January 12, 2023 - progress
Draft Research Plan
Vitamin D, Calcium, or Combined Supplementation for the Primary Prevention … of Falls and Fractures in Community-Dwelling Adults: Preventive Medication
January 12, 2023
Recommendations … Does supplementation with vitamin D, calcium, or both prevent fractures and falls … Incident falls, including all-cause, low-trauma, and injurious falls (i.e., requiring hospitalization
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www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/2024-11/uspstf-annual-report-congress-2024.pdf
January 01, 2024 - Interventions for Falls
Prevention in Community-
Dwelling Older Adults
Studies are needed that provide … Interventions for Falls Prevention in Community-Dwelling Older Adults
Falls are the leading cause of … ; and 33.8% of adults age 85 years or older reported falling and 13.9%
reported fall-related injuries … .36,37
The USPSTF identified high-priority gaps related to interventions for falls prevention in community … risk for
falls.