Fall-related injuries in acute care: reducing the risk of harm.

Mary L. Hook; Shana Winchel

Review

Fall-related injuries in acute care: reducing the risk of harm.

March 7, 2007

Hook ML, Winchel S. Medsurg Nurs. 2006;15(6):370-7, 381.

View more articles from the same authors.

The authors summarize current literature on patient fall injuries and present strategies for preventing and learning from these events.

PubMed citation

Related Resources From the Same Author(s)

Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.

October 19, 2022

Results of an enhanced clinic handoff and resident education on resident patient ownership and patient safety.

March 21, 2018

Dealing honestly with an honest mistake.

January 20, 2010

Patient safety outcomes after two years of an enhanced internal medicine residency clinic handoff.

March 28, 2018

Work-hour restrictions as an ethical dilemma for residents.

May 3, 2006

Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit.

June 24, 2009

Patient safety instruction in US health professions education.

December 21, 2011

How well is quality improvement described in the perioperative care literature? A systematic review.

May 4, 2016

Strategies for improving family engagement during family-centered rounds.

May 29, 2013

Costs associated with surgical site infections in Veterans Affairs hospitals.

July 9, 2014

Reality check for checklists.

August 19, 2009

Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada.

June 13, 2018

Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence.

July 18, 2012

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

May 5, 2010

Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts.

February 17, 2021

What causes prescribing errors in children? Scoping review.

August 28, 2019

High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events.

May 20, 2020

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department.

June 5, 2013

Advanced practice nursing students' identification of patient safety issues in ambulatory care.

April 10, 2013

The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care.

October 8, 2008

Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors.

November 11, 2009

AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses.

October 21, 2009

Critical conversations: a call for a nonprocedural "time out."

April 27, 2011

Remedies sought and obtained in healthcare complaints.

September 7, 2011

Explaining Michigan: developing an ex post theory of a quality improvement program.

August 3, 2011

Implementation of Condition Help: family teaching and evaluation of family understanding.

October 26, 2011

Implementation strategies in the context of medication reconciliation: a qualitative study.

July 14, 2021

Using a potentially aggressive/violent patient huddle to improve health care safety.

January 30, 2019

On the scene at Children's Hospitals and Clinics of Minnesota.

January 14, 2009

Moving toward improved teamwork in cancer care: the role of psychological safety in team communication.

December 14, 2016

Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs.

June 27, 2018

Advancing interprofessional patient safety education for medical, nursing, and pharmacy learners during clinical rotations.

November 30, 2016

Effect of social influences on pharmacists' intention to report adverse drug events.

October 17, 2012

Evidence summary and recommendations for improved communication during care transitions.

June 8, 2016

A literature review of the individual and systems factors that contribute to medication errors in nursing practice.

September 16, 2009

Frailty and potentially inappropriate prescribing in older people with polypharmacy: a bi-directional relationship?

August 31, 2022

The challenge of competency assessment of the late-career practitioner.

February 9, 2022

Collaborating to manage vendor interactions and protect quality of care in the OR.

October 26, 2005

Supporting recovery after adverse events: an essential component of surgeon well-being.

February 10, 2021

Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study.

December 22, 2021

Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications.

March 18, 2009

Patient safety issues in advanced practice nursing students' care settings.

November 9, 2011

Findings from the ISMP Medication Safety Self-Assessment for hospitals.

March 6, 2005

Influencing organisational culture to improve hospital performance in care of patients with acute myocardial infarction: a mixed-methods intervention study.

November 22, 2017

Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital.

August 22, 2007

Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project.

January 30, 2005

Error reduction and performance improvement in the emergency department through formal teamwork training: evaluation results of the MedTeams project.

March 27, 2005

Leading successful rapid response teams: a multisite implementation evaluation.

April 29, 2009

The second victim: a contested term?

December 1, 2021

Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study.

November 18, 2020

I'm sorry: laws that support apologies in health care.

February 5, 2020

Harveian Oration 2018: improving quality and safety in healthcare.

February 13, 2019

Decreasing surgical site infections by developing a high reliability culture.

February 6, 2019

Prescribing errors in hospital practice.

October 3, 2012

Techniques to improve patient safety in hospitals: what nurse administrators need to know.

September 19, 2012

Crew resource management: applications in healthcare organizations.

September 27, 2006

Medication safety: look-alike/sound-alike drugs in home care.

April 27, 2005

Bar-code verification: reducing but not eliminating medication errors.

December 12, 2012

Disclosing errors to patients: perspectives of registered nurses.

January 14, 2009

Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.

December 8, 2010

Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.

August 28, 2013

Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.

October 14, 2009

A program to prevent catheter-associated urinary tract infection in acute care.

June 8, 2016

Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units.

November 6, 2013

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

Effects of a multimodal transitional care intervention in patients at high risk of readmission: the TARGET-READ randomized clinical trial.

May 17, 2023

Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery.

April 11, 2018

Does health care role and experience influence perception of safety culture related to preventing infections?

July 17, 2013

Complexity and challenges of the clinical diagnosis and management of Long COVID.

November 30, 2022

The ageing surgeon: a qualitative study of expert opinions on assuring performance and supporting safe career transitions among older surgeons.

August 21, 2019

The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety.

January 26, 2022

Racial and ethnic disparities in the treatment of chronic pain.

December 29, 2020

Participation in a system-thinking simulation experience changes adverse event reporting.

July 8, 2020

A culture of civility: positively impacting practice and patient safety.

April 25, 2018

Simulation based adverse event reporting system: development and feasibility.

July 30, 2014

Maximizing smart pump technology to enhance patient safety.

July 29, 2015

Reported medication errors after introducing an electronic medication management system.

April 24, 2013

No-fault compensation in New Zealand: harmonizing injury compensation, provider accountability, and patient safety.

January 25, 2006

Cleaning up the discharge process: a number of components—and personnel—are crucial to success.

October 20, 2010

Safety huddles in the PACU: when a patient self-medicates.

April 6, 2011

TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records.

September 11, 2019

Evaluation of harm associated with high dose-range clinical decision support overrides in the intensive care unit.

January 23, 2019

Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls.

May 10, 2017

Potentially preventable 30-day hospital readmissions at a children's hospital.

August 10, 2016

1,300 days and counting: a risk model approach to preventing retained foreign objects (RFOs).

May 23, 2018

Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experience.

November 28, 2007

Operational failures detected by frontline acute care nurses.

March 29, 2017

Medication safety in two intensive care units of a community teaching hospital after electronic health record implementation: sociotechnical and human factors engineering considerations.

March 15, 2017

Diagnostic error in medicine: analysis of 583 physician-reported errors.

November 18, 2009

The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting.

April 6, 2016

Using clinical simulation to study how to improve quality and safety in healthcare.

September 29, 2018

Safety-I, Safety-II and resilience engineering.

November 6, 2015

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

April 27, 2022

After Mid Staffordshire: from acknowledgement, through learning, to improvement.

August 27, 2014

The Food and Drug Administration's initiative for safe design and effective use of home medical equipment.

June 18, 2014

Governance of quality of care: a qualitative study of health service boards in Victoria, Australia.

May 28, 2014

In situ simulation: identification of systems issues.

July 10, 2013

The heart of health care: parents' perspectives on patient safety.

November 28, 2012

Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit.

December 12, 2007

Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.

July 4, 2007

Related Resources

Patient falls while under supervision: trends from incident reporting.

July 5, 2023

Challenge Competition: Impact of Patient Safety Tools.

June 14, 2023

Approaches to improving patient safety in integrated care: a scoping review.

June 14, 2023

Patient Safety Innovations

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges.

February 8, 2023

Interventions to increase patient safety in long-term care facilities-umbrella review.

January 25, 2023

Stigma and healthcare access among transgender and gender-diverse people: a qualitative meta-synthesis.

July 20, 2022

The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff.

April 20, 2022

Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review.

December 8, 2021

Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals.

October 27, 2021

Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings.

June 16, 2021

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.

June 9, 2021

Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design.

November 11, 2020

Effectiveness of double checking to reduce medication administration errors: a systematic review.

September 18, 2019

Organizational learning in hospitals: a realist review.

August 21, 2019

Root cause analysis for hospital-acquired pressure injury.

August 14, 2019

Intentional rounding—an integrative literature review.

August 7, 2019

Organisational learning in hospitals: a concept analysis.

June 19, 2019

Nursing practice with hospitalised older people: safety and harm.

June 5, 2019

Do safety briefings improve patient safety in the acute hospital setting? A systematic review.

June 5, 2019

Medical device-related pressure ulcers: a systematic review and meta-analysis.

March 6, 2019

The role of education in developing a culture of safety through the perceptions of undergraduate nursing students: an integrative literature review.

January 9, 2019

Interventions against bullying of prelicensure students and nursing professionals: an integrative review.

November 21, 2018

Root cause analysis of reported patient falls in ORs in the Veterans Health Administration.

October 24, 2018

Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review.

October 10, 2018

The association between nurse staffing and omissions in nursing care: a systematic review.

July 11, 2018

Managing Alarms in Acute Care Across the Life Span: Electrocardiography and Pulse Oximetry.

June 27, 2018

The nexus of nursing leadership and a culture of safer patient care.

June 13, 2018

Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why.

May 16, 2018

See More About The Topic

Nurses

Health Care Executives and Administrators

Nursing

Patient Falls

Fall-related injuries in acute care: reducing the risk of harm.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Fall-related injuries in acute care: reducing the risk of harm.

Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans

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