National Healthcare Quality and Disparities Report
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Search All Research Studies
AHRQ Research Studies Date
Topics
- Adverse Drug Events (ADE) (1)
- Adverse Events (5)
- Case Study (1)
- Elderly (6)
- Electronic Health Records (EHRs) (1)
- Emergency Department (1)
- (-) Falls (11)
- Health Information Technology (HIT) (1)
- Hospitals (1)
- Injuries and Wounds (2)
- Long-Term Care (1)
- Medication (1)
- Nursing Homes (3)
- Patient-Centered Healthcare (1)
- Patient-Centered Outcomes Research (2)
- Patient Safety (6)
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- Provider (1)
- Risk (4)
- Rural Health (1)
- Teams (1)
- U.S. Preventive Services Task Force (USPSTF) (1)
- Urban Health (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 11 of 11 Research Studies DisplayedKang H, Zhou S, Yao B
A prototype of knowledge-based patient safety event reporting and learning system.
In this study, a hierarchical list of contributing factors for patient falls, based on the key contributing factors defined by AHRQ Common Formats 2.0, was established by expert review and discussion. Using the list as an infrastructure, the investigators designed and developed a novel reporting system, where a strategy to identify contributing factors was intended to provide reporters knowledge support, in the form of similar cases and potential solutions.
AHRQ-funded; HS022895.
Citation: Kang H, Zhou S, Yao B .
A prototype of knowledge-based patient safety event reporting and learning system.
BMC Med Inform Decis Mak 2018 Dec 7;18(Suppl 5):110. doi: 10.1186/s12911-018-0688-5..
Keywords: Adverse Events, Patient Safety, Falls
Jayadevappa R, Chhatre S, Newman DK
Association between overactive bladder treatment and falls among older adults.
The purpose of this study was to analyze the risk of falls associated with overactive bladder (OAB) and the effects of OAB treatment on falls among older adult Medicare fee-for-service enrollees. Results showed that a diagnosis of OAB was associated with higher odds of falls compared to those without OAB and that treatment for OAB was associated with lower odds of falls compared to those untreated.
AHRQ-funded; HS024106.
Citation: Jayadevappa R, Chhatre S, Newman DK .
Association between overactive bladder treatment and falls among older adults.
Neurourol Urodyn 2018 Nov;37(8):2688-94. doi: 10.1002/nau.23719..
Keywords: Falls, Elderly, Patient Safety
Noureldin M, Hass Z, Abrahamson K
Fall risk, supports and services, and falls following a nursing home discharge.
The purpose of this study was to examine whether the presence of supports and services have an impact on the relationship between fall-related risk factors and fall occurrence following a nursing-home discharge. The study sample was comprised of 1459 participants in the Minnesota Return to Community Initiative, who had been assisted in achieving a community discharge; 15 percent of participants fell within 30 days of nursing-home discharge. A structural equation model was used to determine relationship between emerging latent variables and falls. Results indicated that use of high-risk medications and fall concerns/history had a direct, positive effect on falling. Receiving supports/services did not have a direct effect on falls, but the authors note that it reduced the effect of high-risk medication use on falling.
AHRQ-funded; HS020224.
Citation: Noureldin M, Hass Z, Abrahamson K .
Fall risk, supports and services, and falls following a nursing home discharge.
Gerontologist 2018 Nov 3;58(6):1075-84. doi: 10.1093/geront/gnx133..
Keywords: Adverse Events, Elderly, Falls, Nursing Homes, Risk
Baernholdt M, Hinton ID
Fall rates in urban and rural nursing units: does location matter?
This paper discusses a study of fall rates in 65 rural hospitals with 222 nursing units and 560 urban hospitals with 4274 nursing units. The authors found that geographic region, unit type, and nurse staffing, education, experience, and outcomes were associated with fall rates.
AHRQ-funded; HS023147.
Citation: Baernholdt M, Hinton ID .
Fall rates in urban and rural nursing units: does location matter?
J Nurs Care Qual 2018 Oct/Dec;33(4):326-33. doi: 10.1097/ncq.0000000000000319..
Keywords: Falls, Patient Safety, Rural Health, Urban Health
Fan T, Erickson EA
AHRQ Author: Fan T
Interventions to prevent falls and fractures in community-dwelling older adults.
This case study addresses the U.S. Preventive Health Service Task Force recommendations and offers a scenario, questions, and answers related to interventions to prevent falls and fractures in community-dwelling older adults.
AHRQ-authored.
Citation: Fan T, Erickson EA .
Interventions to prevent falls and fractures in community-dwelling older adults.
Am Fam Physician 2018 Aug 15;98(4):253-55..
Keywords: Case Study, Elderly, Falls, Injuries and Wounds, Prevention, U.S. Preventive Services Task Force (USPSTF)
Elliott S, Leland NE
Occupational therapy fall prevention interventions for community-dwelling older adults: a systematic review.
The authors of this paper updated and broadened a 2008 systematic review examining the evidence for the effectiveness of fall prevention interventions in improving fall-related outcomes, occupational performance, quality of life, and health care facility readmissions for community-dwelling older adults. They assert that these findings can inform the delivery and integration of fall prevention interventions from acute care to community discharge.
AHRQ-funded; HS022907.
Citation: Elliott S, Leland NE .
Occupational therapy fall prevention interventions for community-dwelling older adults: a systematic review.
Am J Occup Ther 2018 Jul/Aug;72(4):7204190040p1-40p11. doi: 10.5014/ajot.2018.030494..
Keywords: Elderly, Falls, Patient-Centered Outcomes Research, Prevention
Reiter-Palmon R, Kennel V, Allen J
Good catch! Using interdisciplinary teams and team reflexivity to improve patient safety.
This article considers the role of reflexivity in team innovation implementation and its association with inpatient fall rates. The study it describes examined 16 small rural hospitals in which interdisciplinary teams intended to decrease fall risk were implemented, supported, and evaluated. Team reflexivity was assessed at the start and at the end of the 2-year intervention, and innovation implementation assessed at the end of the intervention. The hospitals reported objective fall event data and patient days throughout the project. Both the theoretical and practical applications of the results are discussed.
AHRQ-funded; HS021429; HS024630.
Citation: Reiter-Palmon R, Kennel V, Allen J .
Good catch! Using interdisciplinary teams and team reflexivity to improve patient safety.
Group & Organization Management 2018 Jun;43(3):414-39. doi: 10.1177/1059601118768163..
Keywords: Teams, Patient Safety, Falls, Prevention, Hospitals, Adverse Events
Dore DD, Zullo AR, Mor V
Age, sex, and dose effects of nonbenzodiazepine hypnotics on hip fracture in nursing home residents.
This study examined the rate of hip fracture in nursing home residents prescribed nonbenzodiazepine hypnotics. A sample of nursing home residents was used and linked to Medicare and Minimum Data Set (2007-2008) data. The rate of hip fracture was higher in residents aged 90 and above, and lower in residents 70 or below. There was no different by sex.
AHRQ-funded; HS022998.
Citation: Dore DD, Zullo AR, Mor V .
Age, sex, and dose effects of nonbenzodiazepine hypnotics on hip fracture in nursing home residents.
J Am Med Dir Assoc 2018 Apr;19(4):328-32.e2. doi: 10.1016/j.jamda.2017.09.015..
Keywords: Injuries and Wounds, Medication, Nursing Homes, Long-Term Care, Adverse Drug Events (ADE), Adverse Events, Falls, Risk, Patient Safety
Patterson BW, Repplinger MD, Pulia MS
Using the Hendrich II Inpatient Fall Risk Screen to predict outpatient falls after emergency department visits.
This study examined the utility of using the Hendrich II Inpatient Fall Risk Screen to predict outpatient falls in elderly patients after emergency department (ED) visits. Individuals aged 65 and older seen in the ED from January 2013 to September 30, 2015 participated in the study. The Hendrich II screen was found to correlate with outpatient falls, but it is likely it would have little utility as a stand-alone fall screen. When the screen was combined with other potential confounders or predictors, the screen performed much better.
AHRQ-funded; HS024558.
Citation: Patterson BW, Repplinger MD, Pulia MS .
Using the Hendrich II Inpatient Fall Risk Screen to predict outpatient falls after emergency department visits.
J Am Geriatr Soc 2018 Apr;66(4):760-65. doi: 10.1111/jgs.15299..
Keywords: Elderly, Falls, Risk, Emergency Department, Electronic Health Records (EHRs), Health Information Technology (HIT), Prevention, Patient Safety, Adverse Events
Thomas KS, Parikh RB, Zullo AR
Home-delivered meals and risk of self-reported falls: results from a randomized trial.
The purpose of this study was to evaluate whether home-delivered meals, and the frequency of delivery, reduces self-reported falls among homebound older adults. The study suggests that daily delivered meals may reduce the risk of falls. Additional work is needed to understand the effect of meals on falls, particularly among previous fallers, a high-risk subgroup.
AHRQ-funded; HS022998.
Citation: Thomas KS, Parikh RB, Zullo AR .
Home-delivered meals and risk of self-reported falls: results from a randomized trial.
J Appl Gerontol 2018 Jan;37(1):41-57. doi: 10.1177/0733464816675421..
Keywords: Elderly, Falls, Patient-Centered Healthcare, Patient-Centered Outcomes Research, Prevention
Cary MP, Hall RK, Anderson AL
Management team perceptions of risks and strategies for preventing falls among short-stay patients in nursing homes.
This study sought to understand and describe strategies reported by members of the nursing home management team used to prevent falls in short-stay nursing home patients. The authors propose interventions that might reduce falls for short-stay patients and could be tested in future research.
AHRQ-funded; HS022134.
Citation: Cary MP, Hall RK, Anderson AL .
Management team perceptions of risks and strategies for preventing falls among short-stay patients in nursing homes.
Health Care Manag 2018 Jan/Mar;37(1):76-85. doi: 10.1097/hcm.0000000000000192..
Keywords: Falls, Nursing Homes, Prevention, Provider, Risk