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The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide.

Portland, OR: Oregon Patient Safety Commission; 2022. 

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August 17, 2022

Portland, OR: Oregon Patient Safety Commission; 2022. 

Patient falls are common sentinel events. The latest revision of this toolkit shares insights on applying the tenets of root cause analysis to falls investigations.

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Portland, OR: Oregon Patient Safety Commission; 2022. 

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