Patient activation related to fall prevention: a multisite study

Taylor L Christiansen; Stuart Lipsitz; Maureen Scanlan; Shao Ping Yu; Mary Ellen Lindros; Wai Yin Leung; Jason S. Adelman; David W. Bates; Patricia C. Dykes

Study

Patient activation related to fall prevention: a multisite study

February 19, 2020

Christiansen TL, Lipsitz S, Scanlan M, et al. Jt Comm J Qual Patient Saf. 2020.

View more articles from the same authors.

The Fall TIPS (Tailoring Interventions for Patient Safety) program has been shown to be effective in preventing inpatient falls through formal risk assessment and tailored patient care plans. This study demonstrated that patients with access to the Fall TIPS program are more engaged and feel more confident in their ability to prevent falls than those who were not exposed to the program.

PubMed citation

Available at

Related Resources From the Same Author(s)

Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial.

December 2, 2020

Assessing the effectiveness of engaging patients and their families in the three-step fall prevention process across modalities of an evidence-based fall prevention toolkit: an implementation science study.

March 27, 2019

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

February 1, 2023

Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.

August 9, 2017

Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care.

May 4, 2022

Benefits and risks of using smart pumps to reduce medication error rates: a systematic review.

October 22, 2014

Mixed results in the safety performance of computerized physician order entry.

April 21, 2010

Implementation, evaluation, and recommendations for extension of AHRQ Common Formats to capture patient- and carepartner-generated safety data.

July 11, 2018

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

May 15, 2013

Are we heeding the warning signs? Examining providers' overrides of computerized drug–drug interaction alerts in primary care.

January 22, 2014

Caregiver perspectives on safety in home dementia care.

February 6, 2008

Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population.

August 3, 2022

Fall prevention in acute care hospitals: a randomized trial.

November 10, 2010

Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study.

May 24, 2017

The effect of provider characteristics on the responses to medication-related decision support alerts.

July 15, 2015

Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety.

July 10, 2019

Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist counseling.

March 6, 2019

COVID-19 and patient safety: time to tap into our investment in high reliability.

May 12, 2021

A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors.

June 27, 2018

User-centered collaborative design and development of an inpatient safety dashboard.

September 20, 2017

A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement.

May 25, 2016

Mixed-methods evaluation of real-time safety reporting by hospitalized patients and their care partners: the MySafeCare application.

June 13, 2018

Evaluation of medication-related clinical decision support alert overrides in the intensive care unit.

May 10, 2017

The Veterans Affairs National Quality Scholars Program: a model for interprofessional education in quality and safety.

August 22, 2012

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

April 6, 2016

Association of display of patient photographs in the electronic health record with wrong-patient order entry errors.

December 2, 2020

Health information exchange and patient safety.

November 7, 2007

Effect of number of open charts on intercepted wrong-patient medication orders in an emergency department.

May 30, 2018

Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center

January 15, 2020

The safety of inpatient health care.

January 25, 2023

Medical errors recovered by critical care nurses.

June 2, 2010

A model of recovering medical errors in the coronary care unit.

June 4, 2008

The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.

March 16, 2016

Computerized prescriber order entry–related patient safety reports: analysis of 2522 medication errors.

October 19, 2016

Nursing management of medication errors.

January 30, 2008

Weekend versus weekday admission and mortality from myocardial infarction.

March 28, 2007

Unintended adverse consequences of introducing electronic health records in residential aged care homes.

October 2, 2013

A safe practice standard for barcode technology.

June 3, 2015

Safety-I, Safety-II and resilience engineering.

November 6, 2015

Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury to surgical patients.

November 14, 2007

A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts.

December 7, 2022

The use of computers for clinical care: a case series of advanced US sites.

March 6, 2005

Contributing factors for pediatric ambulatory diagnostic process errors: Project RedDE.

July 15, 2020

Impact of implementing alerts about medication black-box warnings in electronic health records.

January 19, 2011

DEEP SCOPE: a framework for safe healthcare design.

October 13, 2021

November 15, 2017

Effect of bar-code technology on the safety of medication administration.

May 12, 2010

Impact of vendor computerized physician order entry in community hospitals.

February 22, 2012

Physicians' needs in coping with emotional stressors: the case for peer support.

March 29, 2012

Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics.

September 23, 2020

Effects of a night-team system on resident sleep and work hours.

December 14, 2011

Unexpected hypoglycemia in a critically ill patient.

March 15, 2006

Computerized physician order entry and medication errors: finding a balance.

July 6, 2005

John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital.

March 6, 2005

The frequency and significance of discrepancies in the surgical count.

August 27, 2008

Digital health and patient safety.

April 27, 2016

A leadership initiative to improve communication and enhance safety.

January 26, 2011

Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention in a nursing home.

February 17, 2021

Patterns of communication breakdowns resulting in injury to surgical patients.

April 11, 2007

Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study.

June 6, 2018

Risk from delayed or missed care and non-COVID-19 outcomes for older patients with chronic conditions during the pandemic.

June 8, 2022

Electronic health records and malpractice claims in office practice.

December 3, 2008

Significant reduction in preanalytical errors for nonphlebotomy blood draws after implementation of a novel integrated specimen collection module.

December 14, 2016

Inpatient EHR user experience and hospital EHR safety performance.

October 4, 2023

High nursing staff turnover in nursing homes offers important quality information.

March 10, 2021

Patient safety indicators during the initial COVID-19 pandemic surge in the United States.

March 27, 2024

Patient and physician experience with interhospital transfer: a qualitative study.

May 29, 2019

The vulnerabilities of computerized physician order entry systems: a qualitative study.

December 9, 2015

Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support.

July 10, 2013

Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.

January 20, 2010

Variation in surgical time-out and site marking within pediatric otolaryngology.

January 26, 2011

Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application.

September 17, 2008

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

May 26, 2010

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

April 29, 2009

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

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

Patient perspectives of patient–provider communication after adverse events.

August 10, 2005

Do patient safety indicators explain increased weekend mortality?

September 2, 2015

Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.

December 11, 2013

Can electronic clinical documentation help prevent diagnostic errors?

March 31, 2010

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.

November 7, 2018

Medication administration errors by nurses: adherence to guidelines.

January 30, 2013

Improving safety and eliminating redundant tests: cutting costs in U.S. hospitals.

September 30, 2009

National efforts to improve health information system safety in Canada, the United States of America and England.

January 30, 2013

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

June 15, 2011

Evaluation and certification of computerized physician order entry systems.

November 22, 2006

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

Framework for analysing risk and safety in clinical medicine.

July 17, 2013

Framework for analysing risk and safety in clinical medicine.

July 17, 2013

The investigation and analysis of critical incidents and adverse events in healthcare.

May 25, 2005

Adherence to black box warnings for prescription medications in outpatients.

February 22, 2006

Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation.

January 4, 2012

Patient safety: latex allergy.

January 4, 2006

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

February 13, 2008

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

May 4, 2011

Risk of wrong-patient orders among multiple vs singleton births in the neonatal intensive care units of 2 integrated health care systems.

September 4, 2019

Diagnostic errors in primary care pediatrics: Project RedDE.

November 29, 2017

Quality and safety: learning from the past and (re)imagining the future.

March 29, 2023

Association of hospital public quality reporting with electronic health record medication safety performance.

October 6, 2021

Improving safety with information technology.

March 6, 2005

Related Resources

Validity of 16 AHRQ Patient Safety Indicators to identify in-hospital complications: a medical record review across nine Swiss hospitals.

January 10, 2024

Challenge Competition: Impact of Patient Safety Tools.

December 12, 2023

NPSD Data Spotlight: Patterns of Fall Interventions.

November 15, 2023

Adverse Events.

November 8, 2023

Staying safe while getting well.

August 16, 2023

The challenge of risk prevention in home healthcare-an interview study with nurses in municipal care.

July 12, 2023

Patient falls while under supervision: trends from incident reporting.

July 5, 2023

What Happened to Patient Safety.

June 14, 2023

Patient Safety Innovations

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

May 31, 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

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

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

Communicating patient safety information through video and oral formats-a comparison.

April 5, 2023

Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals.

April 5, 2023

Journal Article

Study

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

March 29, 2023

Investigating the mediating effect of patient self-efficacy on the relationship between patient safety engagement and patient safety in healthcare professionals.

March 22, 2023

Patient perception of fall risk and fall risk screening scores.

March 15, 2023

Health care professionals' perceptions of unprofessional behaviour in the clinical workplace.

March 1, 2023

Assessment of patient retention of inpatient care information post-hospitalization.

February 22, 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

Prevent administration of ear drops into the eyes.

December 14, 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

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

See More About The Topic

Hospitals

Quality and Safety Professionals

Hospital Medicine

Nurse Care

Patient Falls

Patient activation related to fall prevention: a multisite study

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

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

Patient activation related to fall prevention: a multisite study

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

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