Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.

Anne MacLaurin; Heather McConnell

Commentary

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.

February 1, 2012

MacLaurin A, McConnell H. J Safety Res. 2011;42(6):525-535.

View more articles from the same authors.

This piece describes a Canadian safety initiative that aims prevent falls in the long-term care setting.

PubMed citation

Available at

Related Resources From the Same Author(s)

Complexity and safety.

November 2, 2011

Implementation of participatory organizational change in long term care to improve safety.

September 1, 2021

Medication administration errors for older people in long-term residential care.

February 1, 2012

Drive to Deprescribe.

June 23, 2021

For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths.

August 19, 2020

Long-term care nurses' experiences with patient safety incident management: a qualitative study.

August 4, 2021

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.

July 13, 2022

Differences between professionals' views on patient safety culture in long-term and acute care? A cross-sectional study.

September 22, 2021

Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative.

June 24, 2020

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

September 14, 2022

Nurses' perceptions of safety culture in long-term care settings.

July 8, 2009

Making safety training stickier: a richer model of safety training engagement and transfer.

September 15, 2021

Differences between managers’ and safety professionals’ perceptions of upwards influence attempts within safety practice.

July 13, 2022

Detach yourself: the positive effect of psychological detachment on patient safety in long-term care.

September 29, 2021

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.

October 14, 2020

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.

August 25, 2021

HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics.

October 30, 2019

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review.

March 17, 2021

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows.

June 1, 2022

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

October 28, 2020

Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.

March 24, 2021

Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology.

October 5, 2022

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees.

August 25, 2021

Long-term impacts faced by patients and families after harmful healthcare events.

December 15, 2021

Long-term risk of overdose or mental health crisis after opioid dose tapering.

July 13, 2022

Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers.

January 18, 2023

Short- and long-term effects of an electronic medication management system on paediatric prescribing errors.

January 18, 2023

Elderly Falls.

February 1, 2012

Association of unexpected newborn deaths with changes in obstetric and neonatal process of care.

January 20, 2021

Computerized physician order entry with clinical decision support in long-term care facilities: costs and benefits to stakeholders.

November 7, 2007

A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital.

July 14, 2021

Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during the coronavirus disease 2019 (COVID-19) pandemic.

April 5, 2023

Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients?

September 1, 2021

A model for improving health care quality for transgender and gender nonconforming patients.

January 23, 2020

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

April 13, 2022

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services.

July 7, 2021

A new index for obstetrics safety and quality of care: integrating cesarean delivery rates with maternal and neonatal outcomes.

June 1, 2022

Assessment of nursing home reporting of major injury falls for quality measurement on Nursing Home Compare.

February 5, 2020

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

A randomized trial of a multifactorial strategy to prevent serious fall injuries.

July 29, 2020

Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link.

April 5, 2006

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

Community discharge among post-acute nursing home residents: an association with patient safety culture?

June 30, 2021

Intraoperative deaths: who, why, and can we prevent them?

March 9, 2022

Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review.

June 9, 2021

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Exploration of a rapid response team model of care: a descriptive dual methods study.

September 21, 2022

Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance.

March 16, 2022

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

December 2, 2020

More than words: patients' views on apology and disclosure when things go wrong in cancer care.

August 24, 2011

Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology.

November 18, 2020

Improving hospital safety culture for falls prevention through interdisciplinary health education.

December 23, 2020

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used.

June 29, 2022

The doctor was rude, the toilets are dirty. Utilizing 'soft signals' in the regulation of patient safety.

November 4, 2020

Strategies to improve the patient safety outcome indicator: preventing or reducing falls.

April 21, 2005

From tasks to processes: the case for changing health information technology to improve health care.

April 1, 2009

Learning environments, reliability enhancing work practices, employee engagement, and safety climate in VA cardiac catheterization laboratories.

April 6, 2022

Psychometric properties of the perinatal missed care survey and missed care during labor and birth.

January 19, 2022

Managing safety in perioperative settings: strategies of meso-level nurse leaders.

March 15, 2023

Improving timely recognition and treatment of sepsis in the pediatric ICU.

May 27, 2020

An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement.

October 19, 2022

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.

June 29, 2022

Smartphone distraction during nursing care: systematic literature review.

April 7, 2021

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study.

November 10, 2010

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

August 31, 2011

Seniors managing multiple medications: using mixed methods to view the home care safety lens.

March 2, 2016

Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist.

February 1, 2023

Does responsibility affect the public's valuation of health care interventions? A relative valuation approach to health care safety.

July 1, 2012

Experience of learning from everyday work in daily safety huddles: a multi-method study.

September 14, 2022

A meta-review of methods of measuring and monitoring safety in primary care.

September 15, 2021

Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth.

February 9, 2022

A quality improvement initiative to improve patient safety event reporting by residents.

February 9, 2022

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

March 29, 2023

The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better.

April 27, 2011

Preventing patient positioning injuries in the nonoperating room setting.

August 24, 2022

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

September 7, 2022

Secondary traumatic stress in ob-gyn: a mixed methods analysis assessing physician impact and needs.

July 21, 2021

Measure Dx: implementing pathways to discover and learn from diagnostic errors.

September 28, 2022

'Care left undone' during nursing shifts: associations with workload and perceived quality of care.

August 14, 2013

Sustaining improvement of hospital-wide initiative for patient safety and quality: a systematic scoping review.

February 1, 2023

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist.

July 27, 2022

Team-based approach to improving medication reconciliation rates in family medicine residency clinics.

October 7, 2020

The value of learning from near misses to improve patient safety: a scoping review.

January 25, 2023

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: a comparative cross-sectional study.

June 22, 2022

Zero preventable deaths after traumatic injury: an achievable goal.

July 12, 2017

ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review.

July 14, 2021

Medication reconciliation in ambulatory oncology.

December 5, 2007

The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy.

April 27, 2022

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

December 1, 2021

A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items.

November 30, 2022

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation.

October 5, 2022

Enhancing safety in high-risk operations: a multilevel analysis of the role of mindful organising in translating safety climate into individual safety behaviours.

April 14, 2021

How patients perceive a doctor's caring attitude.

September 24, 2008

Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows.

August 26, 2020

Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution.

November 11, 2020

The relationship between resident physician burnout and its’ effects on patient care, professionalism, and academic achievement: a review of the literature.

October 5, 2022

Are opioid infusions used inappropriately at end of life? Results from a quality/safety project.

July 20, 2022

Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children.

June 30, 2021

Related Resources

Patient Safety Primers

Long-term Care and Patient Safety

April 10, 2024

Patient safety in nursing homes from an ecological perspective: an integrated review.

January 17, 2024

National Healthcare Quality and Disparities Reports.

January 9, 2024

Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis.

November 8, 2023

Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings.

June 7, 2023

Patient Safety Innovations

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

May 31, 2023

Patient Safety Authority Annual Reports.

May 1, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

WebM&M Cases

Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes.

April 26, 2023

Evaluation of effectiveness and safety of pharmacist independent prescribers in care homes: cluster randomised controlled trial.

March 1, 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

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

September 14, 2022

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

August 17, 2022

Iatrogenesis in the context of residential dementia care: a concept analysis.

August 3, 2022

Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults.

July 13, 2022

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

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

April 20, 2022

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

April 6, 2022

Health care safety during the pandemic and beyond--building a system that ensures resilience.

February 23, 2022

Staffing, teamwork and scope of practice: analysis of the association with patient safety in the context of rehabilitation.

December 15, 2021

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

Hospital Compare.

May 13, 2021

In U.S. nursing homes, where Covid-19 killed scores, even reports of maggots and rape don’t dock five-star ratings.

March 24, 2021

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

February 17, 2021

System issues leading to "found-on-floor" incidents: a multi-incident analysis.

January 27, 2021

Omissions of care in nursing homes: a uniform definition for research and quality improvement.

November 18, 2020

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

October 28, 2020

The coronavirus and the risks to the elderly in long-term care.

May 6, 2020

Association of work environment with missed and rushed care: tasks among care aides in nursing homes.

March 11, 2020

See More About The Topic

Hospitals

Long-Term Care

Nurses

Health Care Executives and Administrators

General Internal Medicine

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.

Long-term Care and Patient Safety

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

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.

Long-term Care and Patient Safety

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

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