Patient falls in the operating room: why is this still a problem in 2024?
Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248.
Patient falls are a never event; every fall should be reported and thoroughly investigated. This commentary describes the challenges of using national falls databases to learn from falls occurring in the periprocedural environment. The authors recommend a national database specific to periprocedural falls and offer suggestions on prevention of falls in and around the operating room.