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Search All Research Studies
AHRQ Research Studies Date
Topics
- Adverse Events (2)
- Elderly (4)
- Electronic Health Records (EHRs) (1)
- Evidence-Based Practice (1)
- (-) Falls (8)
- Healthcare Costs (1)
- Hospitals (2)
- Injuries and Wounds (2)
- Inpatient Care (1)
- Kidney Disease and Health (1)
- Medication (1)
- Nursing Homes (1)
- Patient-Centered Outcomes Research (1)
- Patient Safety (6)
- Prevention (4)
- Risk (1)
- Tools & Toolkits (2)
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 8 of 8 Research Studies DisplayedNaples JG, Kotlarczyk MP, Perera S
Non-tricyclic and non-selective serotonin reuptake inhibitor antidepressants and recurrent falls in frail older women.
This study determined the risk of recurrent falls associated with antidepressants other than tricyclics (TCAs) and selective serotonin reuptake inhibitors (SSRIs) among frail older women. At least 15 percent of women experienced recurrent falls between 0-6 and 6-12 months. At baseline and 6 months, 18.2 percent and 6.9 percent had a non-TCA/non-SSRI antidepressant, respectively. It concluded that non-TCA/non-SSRI antidepressant exposure significantly increased the risk of recurrent falls.
AHRQ-funded; HS023779.
Citation: Naples JG, Kotlarczyk MP, Perera S .
Non-tricyclic and non-selective serotonin reuptake inhibitor antidepressants and recurrent falls in frail older women.
Am J Geriatr Psychiatry 2016 Dec;24(12):1221-27. doi: 10.1016/j.jagp.2016.08.008.
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Keywords: Medication, Elderly, Falls, Patient Safety
Katsulis Z, Ergai A, Leung WY
Iterative user centered design for development of a patient-centered fall prevention toolkit.
The use of electronic decision support that tailors fall prevention strategy to patient-specific risk factors, known as Fall T.I.P.S (Tailoring Interventions for Patient Safety), has proven to be an effective approach for decreasing hospital falls. A paper version of the Fall T.I.P.S toolkit was developed primarily for hospitals that do not have the resources to implement the electronic solution; however, more work is needed to optimize the effectiveness of the paper version of this tool.
AHRQ-funded; HS023535.
Citation: Katsulis Z, Ergai A, Leung WY .
Iterative user centered design for development of a patient-centered fall prevention toolkit.
Appl Ergon 2016 Sep;56:117-26. doi: 10.1016/j.apergo.2016.03.011.
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Keywords: Falls, Tools & Toolkits, Prevention, Patient Safety, Hospitals
Bowling CB, Bromfield SG, Colantonio LD
Association of reduced eGFR and albuminuria with serious fall injuries among older adults.
The researchers studied adverse outcomes in patients on dialysis as a result of falls. They found that among participants with CKD, cumulative 1-year mortality rates among patients with a serious fall and age-matched controls were 21.0% and 5.5%, respectively, and noted that elevated ACR but not lower eGFR was associated with serious fall injuries. They concluded that evaluation for fall risk factors and fall prevention strategies should be considered for older adults with elevated ACR.
AHRQ-funded; HS023009.
Citation: Bowling CB, Bromfield SG, Colantonio LD .
Association of reduced eGFR and albuminuria with serious fall injuries among older adults.
Clin J Am Soc Nephrol 2016 Jul 7;11(7):1236-43. doi: 10.2215/cjn.11111015.
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Keywords: Elderly, Falls, Patient-Centered Outcomes Research, Kidney Disease and Health, Injuries and Wounds
Hoffman GJ, Hays RD, Shapiro MF
Claims-based identification methods and the cost of fall-related injuries among US older adults.
The authors compared expenditures of fall-related injuries (FRIs) using several methods to identify FRIs in administrative claims data. They found that most spending occurred in hospital, outpatient, and skilled nursing facility settings, and that inpatient-treated FRIs were substantially higher when identifying FRI using only e-codes. They concluded that expenditure estimates vary considerably based on the method used to identify FRIs.
AHRQ-funded; HS000046.
Citation: Hoffman GJ, Hays RD, Shapiro MF .
Claims-based identification methods and the cost of fall-related injuries among US older adults.
Med Care 2016 Jul;54(7):664-71. doi: 10.1097/mlr.0000000000000531.
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Keywords: Elderly, Falls, Healthcare Costs, Injuries and Wounds, Patient Safety
Marier A, Olsho LE, Rhodes W
AHRQ Author: Spector WD
Improving prediction of fall risk among nursing home residents using electronic medical records.
To identify individuals at highest risk for falls, the authors applied a repeated events survival model to analyze The Minimum Data Set ( MDS 3.0 and EMR data for 5129 residents in 13 nursing homes within a single large California chain. They found that incorporating EMR data improves ability to identify those at highest risk for falls relative to prediction using MDS data alone.
AHRQ-funded; AHRQ-authored; 290201000031I.
Citation: Marier A, Olsho LE, Rhodes W .
Improving prediction of fall risk among nursing home residents using electronic medical records.
J Am Med Inform Assoc 2016 Mar;23(2):276-82. doi: 10.1093/jamia/ocv061..
Keywords: Falls, Electronic Health Records (EHRs), Risk, Nursing Homes, Prevention
Waters TM, Chandler AM, Mion LC
Use of International Classification of Diseases, Ninth Revision, Clinical Modification, codes to identify inpatient fall-related injuries.
The researchers compared falls and fall-related injuries that a fall evaluator or hospital incident report identified with injuries identified according to discharge ICD-9-CM codes for the same set of inpatient episodes of care. They found that the CMS-targeted ICD-9-CM codes used to identify fall-related injuries in claims data do not always detect the most-serious falls.
AHRQ-funded; HS020627.
Citation: Waters TM, Chandler AM, Mion LC .
Use of International Classification of Diseases, Ninth Revision, Clinical Modification, codes to identify inpatient fall-related injuries.
J Am Geriatr Soc 2013 Dec;61(12):2186-91. doi: 10.1111/jgs.12539..
Keywords: Falls, Elderly, Patient Safety, Inpatient Care, Adverse Events
Clancy CM
AHRQ Author: Clancy CM
Evidence-based toolkit helps organizations reduce patient falls.
This article describes an evidence-based hospital fall-prevention toolkit developed by AHRQ that helps clinicians negotiate the change process at their organization. It was created by a team with expertise both in fall prevention and in organizational change, including staff from the RAND Corporation, ECRI Institute, and Boston University.
AHRQ-authored.
Citation: Clancy CM .
Evidence-based toolkit helps organizations reduce patient falls.
J Nurs Care Qual 2013 Jul-Sep;28(3):195-7. doi: 10.1097/NCQ.0b013e318294a9d1.
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Keywords: Evidence-Based Practice, Falls, Tools & Toolkits, Patient Safety, Prevention
Hempel S, Newberry S, Wang Z
AHRQ Author: Spector WD
Hospital fall prevention: a systematic review of implementation, components, adherence, and effectiveness.
The authors sought to document systematically the implementation, components, comparators, adherence, and effectiveness of published fall prevention approaches in U.S. acute care hospitals. They found that most interventions included multiple components, and the pooled postintervention incidence rate ratio (IRR) was 0.77. They found no systematic association between implementation intensity, intervention complexity, comparator information, or adherence levels and IRR. They concluded that promising approaches exist, but better reporting of outcomes, implementation, adherence, intervention components, and comparison group information is necessary to establish evidence on how hospitals can successfully prevent falls.
AHRQ-authored; AHRQ-funded; 290201000017I.
Citation: Hempel S, Newberry S, Wang Z .
Hospital fall prevention: a systematic review of implementation, components, adherence, and effectiveness.
J Am Geriatr Soc 2013 Apr;61(4):483-94. doi: 10.1111/jgs.12169.
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Keywords: Adverse Events, Falls, Hospitals, Patient Safety, Prevention