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  1. www.ahrq.gov/patient-safety/settings/hospital/resource/transform.html
    December 01, 2017 - Patient Falls Patient falls, which are common in hospitals, can result in serious injuries, extend … Patient falls can be avoided. … Poor placement of handrails and small door openings are two primary causes of patient falls. … Interventions for the Prevention of Falls in Older Adults: Systematic Review of Meta-Analysis of Randomized … A Collaborative Occupational Therapy and Nursing Approach to Falls Prevention in Hospital Inpatients.
  2. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
    April 01, 2025 - Improving Fall Detection and Prevention AHRQ also funded projects exploring strategies for the detection … and prevention of patient falls in a variety of healthcare environments … role of the built environment (architecture, interior design, engineering) in the acquisition and prevention … 00024i-2 [Contract] Understanding the Role of Healthcare Facility Design in the Acquisition and Prevention … Examples of Project Findings Reducing Hospital-Associated Infections Improving Fall Detection and Prevention
  3. psnet.ahrq.gov/issue/advances-prevention-and-control-hais
    August 20, 2018 - Book/Report Advances in the Prevention and Control of HAIs. … Citation Text: Advances in the Prevention and Control of HAIs. … A recent AHRQ WebM&M perspective reviews how infection prevention fits into a safety program. … December 10, 2024 Environmental Cleaning for the Prevention of Healthcare-Associated … December 24, 2008 Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care
  4. psnet.ahrq.gov/issue/nurses-experience-decision-making-processes-missed-nursing-care-qualitative-study
    May 11, 2022 - July 11, 2018 Nurses' harm prevention practices during admission of an older person to … August 10, 2022 Barriers and enablers to nurses' use of harm prevention strategies for … The impact of safety culture, quality of care, missed care and nurse staffing on patient falls … June 28, 2023 Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023
  5. psnet.ahrq.gov/issue/creating-highly-reliable-health-care-how-reliability-enhancing-work-practices-affect-patient
    January 12, 2022 - employees mechanisms to recommend organizational change, is associated with fewer medication errors and falls … Resources From the Same Author(s) Evaluation of clinical practice guidelines on fall prevention … October 21, 2010 Talking about falls: a qualitative exploration of spoken communication … of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention
  6. psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
    January 03, 2017 - Related Resources From the Same Author(s) Is it possible to identify risks for injurious falls … December 21, 2014 Fall prevention implementation strategies in use at 60 United States … December 9, 2020 The tension between promoting mobility and preventing falls in the hospital … July 10, 2017 In-hospital sequelae of injurious falls in 24 medical/surgical units in … March 13, 2019 Effects of an intervention to increase bed alarm use to prevent falls
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46041/psn-pdf
    September 20, 2017 - economic analysis estimated the impact of nurse-sensitive adverse events—including pressure ulcers, falls … more than 1300 excess hospital days per year, and they advocate for more resources for adverse event prevention … psnet.ahrq.gov/issue/nurse-working-conditions-and-patient-safety-outcomes https://psnet.ahrq.gov/primer/falls
  8. www.ahrq.gov/sites/default/files/wysiwyg/patients-consumers/prevention/lifestyle/women-over-50.pdf
    March 01, 2014 - Vitamin D to Avoid Falls. … If you are 65 or older and have a history of falls, mobility problems, or other risks for falling, … ask your doctor about taking a vitamin D supplement to help reduce your chances of falling. … The USPSTF is an independent group of national experts in prevention and evidence-based medicine.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46261/psn-pdf
    July 18, 2018 - Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention … Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a Patient-Centered Fall Prevention … issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall Patient falls … In this study, researchers describe the implementation of an inpatient fall prevention toolkit at two … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program https://psnet.ahrq.gov/issue
  10. www.ahrq.gov/sites/default/files/publications/files/interimhacrate2013_0.pdf
    October 27, 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. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Evidence-based practice: a falls prevention program that continues to work. … VHA’s national falls collaborative and prevention programs.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43499/psn-pdf
    September 03, 2014 - Older folks in hospitals: the contributing factors and recommendations for incident prevention. … Older folks in hospitals: the contributing factors and recommendations for incident prevention. … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident- prevention … retrospective review of incident reports at a tertiary care hospital revealed that errors related to falls … https://psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
  12. psnet.ahrq.gov/issue/morbidity-and-mortality-caused-noncompliance-california-hospital-licensure-immediate
    May 19, 2021 - interventions to reduce duration and variability in delays to identification of serious injury after falls … Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls … March 16, 2022 Root cause analysis using the prevention and recovery information system … Related Resources Perspectives on Safety Suicide Prevention … Interview In Conversation with Edwin Boudreaux about Suicide Prevention
  13. psnet.ahrq.gov/issue/mindful-path-nursing-accuracy-quasi-experimental-study-minimizing-medication-administration
    March 03, 2019 - Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls … Related Resources Patient Safety Innovations Preventing Falls … Through Patient and Family Engagement to Create Customized Prevention Plans May 31, 2023 … August 26, 2020 Organisational strategies to implement hospital pressure ulcer prevention … December 30, 2014 Detection and prevention of medication errors using real-time bedside
  14. psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
    May 19, 2013 - September 20, 2023 Evaluation of a patient-centered fall-prevention tool kit to reduce … falls and injuries: a nonrandomized controlled trial. … December 2, 2020 Cost of inpatient falls and cost-benefit analysis of implementation … of an evidence-based fall prevention program. … February 13, 2013 Fall prevention in hospitals: an integrative review.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837675/psn-pdf
    July 13, 2022 - dashboard-design-identify-and-balance-competing-risk-multiple-hospital- acquired-conditions Many interventions targeting healthcare-acquired condition reduction and prevention … risks of multiple conditions (catheter-associated urinary tract infections, pressure injuries, and falls … dashboard-design-identify-and-balance-competing-risk-multiple-hospital-acquired-conditions https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program https://psnet.ahrq.gov/issue
  16. www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb30.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix B30: … Engineer Cane/Walker Inspection Previous Page Next Page Table of Contents The FallsFalls Engineer Instructions Engineer Cane Inspection Resident Name: _____________ … ___ Tighten the loose bolts and screws. ___ Replace the missing hardware. ___ Ask the Fall Prevention
  17. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
    January 01, 2007 - According to the Centers for Disease Control and Prevention, public health surveillance is “…the ongoing … conducted active surveillance.19 The medical literature contains numerous studies of fall causation and prevention … in a statewide falls-prevention collaborative. … Right after that, we saw a decrease in falls.” … Centers for Disease Control and Prevention.
  18. psnet.ahrq.gov/issue/keeping-each-patient-safe
    September 21, 2005 - These include protecting patients from hospital-acquired infection, minimizing falls and confusion, and … October 24, 2018 Fall Prevention in Hospitals Training Program. … See More About The Topic Health Care Providers Nosocomial Infections Patient Falls
  19. psnet.ahrq.gov/issue/internet-things-healthcare-patient-safety-empirical-study
    March 18, 2020 - connect and exchange data with other devices, such as RFID technology) is effective at reducing patient falls … 2020 Patient safety culture as a space of social struggle: understanding infection prevention … March 29, 2023 Fall prevention with the Smart Socks System reduces hospital fall rates … February 10, 2021 Effects of an intervention to increase bed alarm use to prevent falls
  20. psnet.ahrq.gov/issue/nurse-reported-bullying-and-documented-adverse-patient-events-exploratory-study-us-hospital
    November 11, 2020 - examined the association between nurse-reported bullying and nurse-sensitive patient outcomes (patient falls … Download Citation Related Resources From the Same Author(s) Do falls … medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention … January 19, 2022 Fall prevention implementation strategies in use at 60 United States