AHRQ Patient Safety Network

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Patient Falls

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (69)

•Newspaper/Magazine Article (2)

•Special or Theme Issue (4)

•Tools/Toolkit (1)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (29)

•Active Errors (6)

•Latent Errors (5)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (31)

•Legal and Policy Approaches (5)

•Error Reporting and Analysis (32)

•Communication Improvement (13)

•Human Factors Engineering (15)

•Teamwork (3)

•Specialization of Care (5)

•Logistical Approaches (14)

•Culture of Safety (17)

•Technologic Approaches (8)

•Education and Training (12)

Clinical Areas

•Medicine (54)

•Nursing (26)

•Pharmacy (3)

Target Audience

•Health Care Providers (66)

•Health Care Executives and Administrators (84)

•Non-Health Care Professionals (30)

•Patients (6)

Setting of Care

•Hospitals (64)

•Psychiatric Facilities (2)

•Residential Facilities (11)

•Ambulatory Care (13)

•Outpatient Surgery (3)

1 - 20 of 95

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STUDY

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.

CLINICAL GUIDELINE

Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force.

Michael YL, Whitlock EP, Lin JS, Fu R, O'Connor EA, Gold R; US Preventive Services Task Force. Ann Intern Med. 2010;153:815-825.

STUDY

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

STUDY

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.

Haines TP, Hill A-M, Hill KD, et al. Arch Intern Med. 2011;171:516-524.

STUDY

An inpatient fall prevention initiative in a tertiary care hospital.

Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

STUDY

Chronic kidney disease adversely influences patient safety.

Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.

STUDY

Inpatient fall prevention: use of in-room Webcams.

Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports.

Healey F, Scobie S, Oliver D, Pryce A, Thomson R, Glampson B. Qual Saf Health Care. 2008;17:424-430.

STUDY

Innovation in patient safety: a new task design in reducing patient falls.

Tzeng HM, Yin CY. J Nurs Care Qual. 2008;23:34-42.

STUDY

Using root cause analysis to reduce falls with injury in community settings.

Lee A, Mills PD, Neily J. Jt Comm J Qual Patient Saf. 2012;38:366-374.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

BOOK/REPORT

Adverse Health Events in Minnesota: Ninth Annual Public Report.

St. Paul, MN: Minnesota Department of Health; January 2013.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

NEWSPAPER/MAGAZINE ARTICLE

Medication assessment: one determinant of falls risk.

PA-PSRS Patient Saf Advis. March 2008;5:16-18.

REVIEW

Patient safety in dermatology: a review of the literature.

Cao LY, Taylor JS, Vidimos A. Dermatol Online J. 2010;16:3.

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