Call to action: addressing pediatric fall safety in ambulatory environments.

Stephanie Benning; Rhonda Wolfe; Monica Banes; Leah Moten; Toni Lynch; Marlene Walden; Mary D Gordon

Study

Call to action: addressing pediatric fall safety in ambulatory environments.

December 1, 2021

Benning S, Wolfe R, Banes M, et al. J Pediatr Nurs. 2021;61:372-377.

View more articles from the same authors.

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 the pediatric ambulatory care setting. Three categories of barriers and interventions were identified: equipment and furniture, environment, and people.

PubMed citation

Available at

Related Resources From the Same Author(s)

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children.

June 30, 2021

Associations between safety outcomes and communication practices among pediatric nurses in the United States.

January 19, 2022

Evaluation of a second victim peer support program on perceptions of second victim experiences and supportive resources in pediatric clinical specialties using the second victim experience and support tool (SVEST).

November 3, 2021

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

The Broselow tape as an effective medication dosing instrument: a review of the literature.

October 10, 2012

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Addressing systemic racism in nursing homes: a time for action.

April 14, 2021

Education and training of nurses in the use of advanced medical technologies in home care related to patient safety: a cross-sectional survey.

March 24, 2021

A call to action: next steps to advance diagnosis education in the health professions.

June 8, 2022

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative.

September 2, 2020

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety.

September 21, 2022

Making care better in the pediatric intensive care unit.

January 30, 2019

Can a targeted educational approach improve situational awareness in paramedicine during 911 emergency calls?

June 8, 2022

Journal Article

Study

Patient Safety Innovations

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

April 7, 2022

ESPEN guideline on hospital nutrition.

February 9, 2022

A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad.

January 12, 2022

Addressing mistreatment of providers by patients and family members as a patient safety event.

February 16, 2022

September 15, 2021

Understanding the cognitive work of nursing in the acute care environment.

October 19, 2005

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

June 16, 2021

Absence or presence: silent discourse in the operating room and impact on surgical team action.

November 11, 2020

Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action.

September 21, 2022

Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study.

June 8, 2022

Patient Safety Innovations

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

April 7, 2022

Second victims among baccalaureate nursing students in the aftermath of a patient safety incident: an exploratory cross-sectional study.

September 22, 2021

Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis.

November 18, 2020

Quantifying nursing workflow in medication administration.

January 9, 2008

Smartphone distraction during nursing care: systematic literature review.

April 7, 2021

Situation awareness and the mitigation of risk associated with patient deterioration: a meta-narrative review of theories and models and their relevance to nursing practice.

December 1, 2021

Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues.

December 8, 2021

Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.

August 14, 2019

Novel telephone-based interactive voice response system for incident reporting.

November 17, 2021

Modifications to medical emergency team activation criteria and implications for patient safety: a point prevalence study.

March 24, 2021

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department.

May 25, 2022

Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool.

January 25, 2023

Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients?

September 1, 2021

Increasing naloxone prescribing in the emergency department through education and electronic medical record work-aids.

April 21, 2021

Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

November 28, 2018

Body mass index category and adverse events in hospitalized children.

July 27, 2022

Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study.

October 21, 2020

The impact of the built environment on patient falls in hospital rooms: an integrative review.

June 16, 2021

Hospital inpatient falls across clinical departments.

September 1, 2021

Relationship between nurse burnout, patient and organizational outcomes: systematic review.

August 18, 2021

Exploration of a rapid response team model of care: a descriptive dual methods study.

September 21, 2022

Organisational factors associated with safety climate, patient satisfaction and self-reported medicines adherence in community pharmacies.

June 17, 2020

Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports.

November 3, 2021

The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: a critical role for subjective advocates.

July 14, 2021

Adverse events associated with patient isolation: a systematic literature review and meta-analysis.

January 19, 2022

Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic.

January 12, 2022

Improving timely recognition and treatment of sepsis in the pediatric ICU.

May 27, 2020

"My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system.

August 4, 2021

Ensuring primary care diagnostic quality in the era of telemedicine.

October 27, 2021

COVID-19: an emerging threat to antibiotic stewardship in the emergency department.

October 21, 2020

Safety in pediatric hospice and palliative care: a qualitative study.

September 23, 2020

Gender biases in estimation of others' pain.

April 28, 2021

Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program.

February 1, 2023

Implementing universal suicide risk screening in a pediatric hospital.

August 18, 2021

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.

October 21, 2020

The justification for strike action in healthcare: a systematic critical interpretive synthesis.

April 27, 2022

Debrief it all: a tool for inclusion of Safety-II.

April 14, 2021

Development and implementation of a suicide prevention checklist to create a safe environment.

March 4, 2020

A blinded, prospective study of error detection during physician chart rounds in radiation oncology.

October 14, 2020

Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement.

April 28, 2021

How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey.

December 1, 2021

Emergency department crowding: the canary in the health care system.

November 3, 2021

Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons.

March 2, 2022

Non-technical skills in surgery during the COVID-19 pandemic: an observational study.

March 9, 2022

Enhancing safety in high-risk operations: a multilevel analysis of the role of mindful organising in translating safety climate into individual safety behaviours.

April 14, 2021

Dual surgeon operating to improve patient safety.

September 29, 2021

Fall prevention with the Smart Socks System reduces hospital fall rates.

September 7, 2022

Making polypharmacy safer for children with medical complexity.

April 5, 2023

Nurse well-being: a concept analysis.

August 17, 2022

Safety learning among young newly employed workers in three sectors: a challenge to the assumed order of things.

November 17, 2021

Adverse events associated with home blood transfusion: a retrospective cohort study.

May 12, 2021

Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice.

July 13, 2022

Reporting of health information technology system-related patient safety incidents: the effects of organizational justice.

October 6, 2021

Periodic resuscitation cart checks and nurse situational awareness: an observational study.

March 30, 2022

Interventions and measurements of highly reliable/resilient organization implementations: a literature review.

October 28, 2020

Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative.

August 30, 2006

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

'More than words' - interpersonal communication, cognitive bias and diagnostic errors.

August 11, 2021

Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study.

November 13, 2019

Patient safety culture: the impact on workplace violence and health worker burnout.

February 8, 2023

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

The role of the informal and formal organisation in voice about concerns in healthcare: a qualitative interview study.

June 16, 2021

Nursing and patient safety in the operating room.

January 23, 2008

What are we missing? The quality of intraoperative handover before and after introduction of a checklist.

April 6, 2022

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.

May 5, 2021

Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds.

October 27, 2021

Improving hospital infant safe sleep compliance by using safety prevention bundle methodology.

February 2, 2022

Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature.

June 2, 2021

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study.

November 24, 2021

A smartphone app designed to empower patients to contribute toward safer surgical care: community-based evaluation using a participatory approach.

March 18, 2020

Using participatory design to engage physicians in the development of a provider-level performance dashboard and feedback system.

February 2, 2022

Errors in breast imaging: how to reduce errors and promote a safety environment.

July 7, 2021

Optimizing situation awareness to reduce emergency transfers in hospitalized children.

October 20, 2021

Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia.

August 10, 2022

The influence of the availability heuristic on physicians in the emergency department.

November 17, 2021

Structural racism and health inequities in the USA: evidence and interventions.

April 14, 2017

Related Resources

Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA).

April 10, 2024

Challenge Competition: Impact of Patient Safety Tools.

December 12, 2023

Interview

In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Perspectives on Safety

Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Adverse Health Events in Minnesota: Annual Reports.

September 30, 2023

Perspectives on Safety

Beyond the Pandemic: Creating Total Systems Safety

August 30, 2023

Perspectives on Safety

Interview

In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety

August 30, 2023

Interview

In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

Implementation of medication reconciliation in outpatient cancer care.

August 9, 2023

Associations between self-reported healthcare disruption due to COVID-19 and avoidable hospital admission: evidence from seven linked longitudinal studies for England.

August 9, 2023

Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals.

August 2, 2023

Patient falls while under supervision: trends from incident reporting.

July 5, 2023

Black women's maternal health: insights from community based participatory research in Newark, New Jersey.

June 29, 2023

Structural racism in behavioral health presentation and management.

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment.

April 26, 2023

Patient Safety Innovations

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

March 29, 2023

Few hospitals are willing to bear the cost of providing psychiatric care for kids.

March 22, 2023

Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients.

January 11, 2023

Confronting racism in pediatric care.

January 11, 2023

Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement.

December 7, 2022

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.

November 16, 2022

Patient Safety Innovations

Journal Article

Study

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

November 16, 2022

A longitudinal study of a multifaceted intervention to reduce newborn falls while preserving rooming-in on a mother-baby unit.

October 5, 2022

Exploring care left undone in pediatric nursing.

September 28, 2022

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Association between hospital acquired harm outcomes and membership in a national patient safety collaborative.

August 10, 2022

Clinic design for safety during the pandemic: safety or teamwork, can we only pick one?

May 11, 2022

Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation.

April 20, 2022

See More About The Topic

Ambulatory Clinic or Office

Non-Health Care Professionals

Pediatrics

Patient Falls

Latent Errors

Call to action: addressing pediatric fall safety in ambulatory environments.

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Call to action: addressing pediatric fall safety in ambulatory environments.

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children

eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds.

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site