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Study
Using root cause analysis to reduce falls with injury in the psychiatric unit.
March 21, 2012
Lee A, Mills PD, Watts B. Gen Hosp Psychiatry. 2012;34(3):304-11.
This study reviewed 75 root cause analyses from the Veterans Health Administration system to highlight common activities during falls and frequent contributing factors. Getting up from a bed or chair was the most common activity, whereas environmental hazards and poor communication of fall risk were the most common contributing factors.
