Hospital inpatient falls across clinical departments.

Marcin Mikos; Tomasz Banas; Aleksandra Czerw; Bartłomiej Banas; Łukasz Strzępek; Mateusz Curyło

Study

Hospital inpatient falls across clinical departments.

September 1, 2021

Mikos M, Banas T, Czerw A, et al. Int J Environ Res Public Health. 2021;18(15):8167.

View more articles from the same authors.

Patient falls resulting in injury are considered a never event. In this analysis of falls within one hospital, rates and trends varied across six clinical departments. The highest rate of falls was seen in rehabilitation and internal medicine, and the lowest rate in orthopedic and rheumatology. Clinical department, rates, and trends should be considered when implementing fall prevention strategies.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Inpatient telemedicine and new models of care during COVID-19: hospital design strategies to enhance patient and staff safety.

September 15, 2021

Interprofessional and intraprofessional communication about older people's medications across transitions of care.

May 26, 2021

Assessing patient safety culture in hospital settings.

June 2, 2021

Effectiveness of communication interventions in obstetrics--a systematic review.

April 21, 2021

The impact of meaningful use and electronic health records on hospital patient safety.

November 2, 2022

Missing diagnoses during the COVID-19 pandemic: a year in review.

June 23, 2021

DEEP SCOPE: a framework for safe healthcare design.

October 13, 2021

Telemedicine as a medical examination tool during the Covid-19 emergency: the experience of the onco-haematology center of Tor Vergata Hospital in Rome.

December 23, 2020

Communication disparities between nursing home team members.

July 20, 2022

May 4, 2022

The relationship of medical assistants' work engagement with their concerns of having made an important medical error: a cross-sectional study.

July 13, 2022

Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.

November 24, 2021

Surgery is in itself a risk factor for the patient.

June 1, 2022

Self-assessment and learning motivation in the second victim phenomenon.

February 1, 2023

Patients who die by suicide: a study of treatment patterns and patient safety incidents in Norway.

November 9, 2022

Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources.

June 23, 2021

Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology.

April 20, 2022

Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.

June 29, 2022

What has been the impact of Covid-19 on safety culture? A case study from a large metropolitan healthcare trust.

September 2, 2020

Individualized medication review in older people with multimorbidity: a comparative analysis between patients living at home and in a nursing home.

May 25, 2022

The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England.

August 18, 2021

An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management.

February 15, 2023

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

January 25, 2023

The perception of the patient safety climate by health professionals during the COVID-19 pandemic-international research.

August 31, 2022

Safety culture and the positive association of being a primary care training practice during COVID-19: the results of the multi-country European PRICOV-19 Study.

November 16, 2022

Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice?

February 10, 2021

Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety.

August 11, 2021

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.

February 17, 2021

Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.

November 17, 2021

Dashboards for visual display of patient safety data: a systematic review.

October 27, 2021

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

September 7, 2022

What are the implications for patient safety and experience of a major healthcare IT breakdown? A qualitative study.

May 26, 2021

Hospital-acquired functional decline and clinical outcomes in older cardiac surgical patients: a multicenter prospective cohort study.

March 2, 2022

Investigation of mental and physical health of nurses associated with errors in clinical practice.

October 26, 2022

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.

February 15, 2023

Analysis of risk factors for patient safety events occurring in the emergency department.

October 7, 2020

Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department.

September 8, 2021

Acting wisely in complex clinical situations: 'Mutual safety' for clinicians as well as patients.

October 13, 2021

Predicting avoidable hospital events in Maryland.

December 1, 2021

Examining the meaning of the language used to communicate the nursing hand-off.

November 24, 2021

Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.

February 10, 2021

The second victim phenomenon in health care: a literature review.

November 25, 2020

Effect of medication reconciliation at hospital admission on 30-day returns to hospital: a randomized clinical trial.

October 6, 2021

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

February 1, 2023

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

December 1, 2021

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

September 14, 2022

Communication on safe caregiving between community nurse case managers and family caregivers.

April 7, 2021

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

June 16, 2021

The impact of hospital accreditation on the quality of healthcare: a systematic literature review.

October 27, 2021

Personal formularies of primary care physicians across 4 health care systems.

August 4, 2021

Evaluating incident learning systems and safety culture in two radiation oncology departments.

February 16, 2022

Hospital-acquired SARS-CoV-2 infection: lessons for public health.

December 9, 2020

In the eye of the storm: the role of the pharmacist in medication safety during the COVID-19 pandemic at an urban teaching hospital.

December 23, 2020

Patient perceptions of safety in primary care: a qualitative study to inform care.

October 13, 2021

Getting the whole story: integrating patient complaints and staff reports of unsafe care.

July 28, 2021

The safety of health care for ethnic minority patients: a systematic review.

July 29, 2020

Direct oral anticoagulant-related medication incidents and pharmacists' interventions in hospital in-patients: evaluation using Reason's accident causation theory.

December 22, 2021

Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources.

March 3, 2021

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

October 12, 2022

Association of opioid consumption profiles after hospitalization with risk of adverse health care events.

June 2, 2021

Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care.

October 28, 2020

Decreased incidence of cesarean surgical site infection rate with hospital-wide perioperative bundle.

September 29, 2021

Medicines reconciliation in the emergency department: important prescribing discrepancies between the shared medication record and patients' actual use of medication.

March 16, 2022

Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction?

July 27, 2022

Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes.

May 5, 2021

Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals.

January 19, 2022

Influencing a culture of quality and safety through huddles.

November 9, 2022

Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial.

March 17, 2021

Risk factors for clinically relevant deviations in patients' medication lists reported by patients in personal health records: a prospective cohort study in a hospital setting.

March 2, 2022

An evolution of reporting: identifying the missing link.

August 10, 2022

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.

February 16, 2022

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.

April 27, 2022

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA.

September 21, 2022

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates.

March 3, 2021

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Impact of COVID-19 on inpatient clinical emergencies: a single-center experience.

June 9, 2021

Effect of barcode technology on medication preparation safety: a quasi-experimental study.

April 14, 2021

A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies.

January 25, 2023

Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD).

September 15, 2021

How can never event data be used to reflect or improve hospital safety performance?

May 19, 2021

Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review.

May 26, 2021

Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement.

August 25, 2021

Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic.

September 30, 2020

Medication errors in intensive care units: an umbrella review of control measures.

August 17, 2022

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.

April 20, 2022

Linking patient safety culture to quality ratings in the nursing home setting.

December 9, 2020

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.

September 15, 2021

Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system.

December 12, 2021

Smartphone distraction during nursing care: systematic literature review.

April 7, 2021

Optimizing situation awareness to reduce emergency transfers in hospitalized children.

October 20, 2021

COVID-19 and open notes: a new method to enhance patient safety and trust.

July 7, 2021

Understanding complaints made about surgical departments in a UK district general hospital.

August 4, 2021

Eliminating explicit and implicit biases in health care: evidence and research needs.

February 23, 2022

Ariadne Labs.

May 23, 2018

From fable to reality at Parkland Hospital: the impact of evidence-based design strategies on patient safety, healing, and satisfaction in an adult inpatient environment.

February 10, 2021

Measurement matters: changing penalty calculations under the hospital acquired condition reduction program (HACRP) cost hospitals millions.

February 24, 2021

Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions.

June 23, 2021

Reporting of unsafe conditions at an academic women and children's hospital.

September 29, 2021

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

Related Resources

Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study.

February 14, 2024

Unsafe care in residential settings for older adults. A content analysis of accreditation reports.

December 13, 2023

Challenge Competition: Impact of Patient Safety Tools.

December 12, 2023

Patient falls while under supervision: trends from incident reporting.

July 5, 2023

Patient safety trends in 2022: an analysis of 256,679 serious events and incidents from the nation’s largest event reporting database.

May 17, 2023

Medical errors kill thousands of people each year. But are hospitals getting any safer?

May 17, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Sentinel Event Data Summary.

April 4, 2023

Journal Article

Study

Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds.

March 29, 2023

Patient perception of fall risk and fall risk screening scores.

March 15, 2023

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

January 25, 2023

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

January 11, 2023

Using community detection techniques to identify themes in COVID-19-related patient safety event reports.

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

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

September 7, 2022

Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions.

July 13, 2022

Developing and aligning a safety event taxonomy for inpatient psychiatry.

July 13, 2022

Patient falls in the operating room setting: an analysis of reported safety events.

May 11, 2022

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.

April 27, 2022

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

April 20, 2022

Using human factors and ergonomics principles to prevent inpatient falls.

April 20, 2022

Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis.

April 13, 2022

Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.

April 6, 2022

Exploring changes in patient safety incidents during the COVID-19 pandemic in a Canadian regional hospital system: a retrospective time series analysis.

February 23, 2022

Outcomes-based nurse staffing during times of crisis and beyond.

February 16, 2022

DEEP SCOPE: a framework for safe healthcare design.

October 13, 2021

Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals

September 1, 2021

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?

August 25, 2021

See More About The Topic

Hospitals

Quality and Safety Professionals

Patient Falls

Epidemiology of Errors and Adverse Events

Error Analysis

Hospital inpatient falls across clinical departments.

Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds.

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

Hospital inpatient falls across clinical departments.

Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds.

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