AHRQ Patient Safety Network

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Patient Falls

Origin/Sponsor

•Australia and New Zealand (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (44)

•Newspaper/Magazine Article (1)

•Special or Theme Issue (3)

•Tools/Toolkit (1)

Error Types

•Epidemiology of Errors and Adverse Events (14)

•Active Errors (3)

•Latent Errors (3)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (17)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (15)

•Communication Improvement (9)

•Human Factors Engineering (9)

•Teamwork (2)

•Specialization of Care (3)

•Logistical Approaches (13)

•Culture of Safety (15)

•Technologic Approaches (4)

•Education and Training (8)

Clinical Areas

•Medicine (27)

•Nursing (24)

•Pharmacy (1)

Target Audience

•Health Care Providers (40)

•Health Care Executives and Administrators (51)

•Non-Health Care Professionals (18)

•Patients (2)

Setting of Care

•Hospitals (35)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (8)

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SPECIAL OR THEME ISSUE

Improving Patient Safety.

Home Healthc Nurse. 2007;25:145-224.

BOOK/REPORT

Focus on Patient Safety.

Fitzpatrick J, Stone P, Hinton-Walker P, eds. Annual Review of Nursing Research. New York, NY: Springer; 2006. ISBN: 0826141366.

COMMENTARY

Strategies to improve the patient safety outcome indicator: preventing or reducing falls.

Bright L. Home Healthc Nurse. 2005;23:29-36.

STUDY

Nurses' perceptions of safety culture in long-term care settings.

Wagner LM, Capezuti E, Rice JC. J Nurs Scholarsh. 2009;41:184-192.

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.

STUDY

The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:46-54.

STUDY

Nursing2006 Patient-safety survey report.

Manno M, Hogan P, Heberlein V, Nyakiti J, Mee CL. Nursing. 2006 May;36:54-63.

STUDY

Insights into the climate of safety towards the prevention of falls among hospital staff.

Black AA, Brauer SG, Bell RAR, Economidis AJ, Haines TP. J Clin Nurs. 2011;20:2924-2930.

AUDIOVISUAL

Empowering Better Nursing Care.

Robert Wood Johnson Foundation.

COMMENTARY

Relationships among teams, culture, safety, and cost outcomes.

Brewer BB. West J Nurs Res. 2006;28:641-653.

COMMENTARY

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.

MacLaurin A, McConnell H. J Safety Res. 2011;42:525-535.

STUDY

Nursing care quality and adverse events in US hospitals.

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

REVIEW

Fall prevention in hospitals: an integrative review.

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

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

Influence of unit-level staffing on medication errors and falls in military hospitals.

Breckenridge-Sproat S, Johantgen M, Patrician P. West J Nurs Res. 2012;34:455-474.

STUDY

Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

Effken JA, Carley KM, Gephart S, et al. Int J Med Inform. 2011;80:507-517.

STUDY

Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units.

Bae SH, Mark B, Fried B. Health Care Manage Rev. 2010;35:333-344.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

COMMENTARY

2009 National Patient Safety Goals.

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

STUDY

Review of the Australian Incident Monitoring System.

Spigelman AD, Swan J. ANZ J Surg. 2005;75:657-661.

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