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Search All Research Studies
AHRQ Research Studies Date
Topics
- Adverse Events (4)
- Education: Patient and Caregiver (1)
- Elderly (2)
- Emergency Department (1)
- Emergency Medical Services (EMS) (1)
- (-) Falls (7)
- Healthcare Costs (1)
- Hospitals (3)
- Inpatient Care (1)
- Medication (2)
- Neurological Disorders (1)
- Patient-Centered Healthcare (1)
- Patient Safety (3)
- Prevention (3)
- Provider: Nurse (1)
- Risk (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 7 of 7 Research Studies DisplayedDykes PC, KhasnabishE S, Adkison LE
Use of a perceived efficacy tool to evaluate the FallTIPS program.
The authors assessed nurses' opinions of the efficacy of using the FallTIPS (Tailoring Interventions for Patient Safety) fall prevention program. They found that the nurses who used FallTIPS perceived that efficiencies in patient care compensated for the time spent on FallTIPS. Nurses valued the program, and findings confirmed the importance of patient and family engagement with staff in the fall prevention process.
AHRQ-funded; HS025128.
Citation: Dykes PC, KhasnabishE S, Adkison LE .
Use of a perceived efficacy tool to evaluate the FallTIPS program.
J Am Geriatr Soc 2021 Dec;69(12):3595-601. doi: 10.1111/jgs.17436..
Keywords: Falls, Patient Safety, Prevention, Provider: Nurse, Adverse Events
Hahn EE, Munoz-Plaza CE, Lee EA
Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study.
Investigators explored patient and clinician experiences with and perceptions of deprescribing potentially inappropriate medications in patients with a history of falls. Semi-structured interviews were conducted with primary care physicians from Kaiser Permanente Southern California (KPSC), and guided patient feedback sessions with patient members of the KPSC Regional Patient Advisory Committee. The investigators found that key barriers to deprescribing included primary care physician trepidation about raising a contentious topic and insufficient patient awareness of the potential seriousness of falls. They suggested a need for multifaceted, multilevel deprescribing approaches with clinician training strategies, patient educational resources, and a focus on building trusting patient-clinician relationships.
AHRQ-funded; HS024437.
Citation: Hahn EE, Munoz-Plaza CE, Lee EA .
Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study.
J Gen Intern Med 2021 Oct;36(10):3015-22. doi: 10.1007/s11606-020-06493-8..
Keywords: Elderly, Medication, Falls
Herzig SJ, Rothberg MB, Moss CR
Risk of in-hospital falls among medications commonly used for insomnia in hospitalized patients.
This study investigated the risk of in-hospital falls among patients receiving medications commonly used for insomnia. This retrospective cohort study was conducted at a large academic medical center from January 2007 to July 2013. Adults admitted for a primary psychiatric disorder were excluded. Medications of interest included benzodiazepines, non-benzodiazepine benzodiazepine receptor agonists, trazodone, atypical antipsychotics, and diphenhydramine. Among 225,498 hospitalizations, 37.7% had exposure to at least one of the medication classes of interest with benzodiazepines being the most commonly prescribed. A fall occurred in 1.1% (2,427) of hospitalizations. The rate of falls per 1,000 hospital days was greater among patients with exposure to each of the medications of interest compared to unexposed patients.
AHRQ-funded; HS026215.
Citation: Herzig SJ, Rothberg MB, Moss CR .
Risk of in-hospital falls among medications commonly used for insomnia in hospitalized patients.
Sleep 2021 Sep 13;44(9):zsab064. doi: 10.1093/sleep/zsab064..
Keywords: Falls, Medication, Adverse Events, Risk, Hospitals
Piatkowski M, Taylor E, Wong B
Designing a patient room as a fall protection strategy: the perspectives of healthcare design experts.
This multi-year study aimed to better understand how patient room design can increase stability during ambulation, serving as a fall protection strategy for frail and/or elderly patients. Specifically, the aim of this portion of the study was to ascertain the architect's perspective on designing a room to mitigate the risk of falls, as well as to evaluate the face validity of a predictive algorithm to assess risk in room design using the input of a design advisory council (AC).
AHRQ-funded; HS025606.
Citation: Piatkowski M, Taylor E, Wong B .
Designing a patient room as a fall protection strategy: the perspectives of healthcare design experts.
Int J Environ Res Public Health 2021 Aug 19;18(16). doi: 10.3390/ijerph18168769..
Keywords: Falls, Patient Safety, Prevention, Adverse Events, Inpatient Care
Leung WY, Adelman J, Bates DW
Validating fall prevention icons to support patient-centered education.
Falls with injury are the most prevalent hospital adverse event. The objective of this project was to refine fall risk and prevention icons for a patient-centric bedside toolkit to promote patient and nurse engagement in accurately assessing fall risks and developing a tailored fall prevention plan. The investigators indicated that all 16 icons were refined and used to form the basis for a bedside fall prevention toolkit.
AHRQ-funded; HS023535.
Citation: Leung WY, Adelman J, Bates DW .
Validating fall prevention icons to support patient-centered education.
J Patient Saf 2021 Aug 1;17(5):e413-e22. doi: 10.1097/pts.0000000000000354..
Keywords: Falls, Prevention, Patient Safety, Patient-Centered Healthcare, Education: Patient and Caregiver, Hospitals, Adverse Events
Newgard CD, Lin A, Caughey AB
The cost of a fall among older adults requiring emergency services.
Researchers evaluated medical expenditures to 1 year among community-dwelling older adults who fell and required ambulance transport, including acute versus post-acute periods, the primary drivers of cost, and comparison to baseline expenditures. They found that older adults who fall and require emergency services have increased healthcare expenditures compared with baseline, particularly during the post-acute period. Comorbidities, noninjury medical conditions, fracture type, and surgical interventions were independently associated with increased costs.
AHRQ-funded; HS023796.
Citation: Newgard CD, Lin A, Caughey AB .
The cost of a fall among older adults requiring emergency services.
J Am Geriatr Soc 2021 Feb;69(2):389-98. doi: 10.1111/jgs.16863..
Keywords: Elderly, Falls, Emergency Department, Healthcare Costs, Emergency Medical Services (EMS)
Xu H, Li X, Shi Y
Hospital bed height influences biomechanics during bed egress: a comparative controlled study of patients with Parkinson disease.
Although a significant proportion of patient falls occur during egress from the hospital bed, the biomechanical adaptations during egress from different bed heights are still largely unknown. The purpose of this study was to evaluate the effect of hospital bed height on natural transition during egress in patients with Parkinson disease (PD). The investigators found that low bed height increased demands of balance and postural control during egress which exacerbated the risk of falls for patients with PD.
AHRQ-funded; HS018953; HS025606.
Citation: Xu H, Li X, Shi Y .
Hospital bed height influences biomechanics during bed egress: a comparative controlled study of patients with Parkinson disease.
J Biomech 2021 Jan 22;115:110116. doi: 10.1016/j.jbiomech.2020.110116..
Keywords: Falls, Neurological Disorders, Hospitals