National Healthcare Quality and Disparities Report
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AHRQ Research Studies Date
Topics
- Adverse Events (2)
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- Clinical Decision Support (CDS) (1)
- Decision Making (1)
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- (-) Falls (10)
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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 10 of 10 Research Studies DisplayedZhou S, Kang H, Gong Y
Design a learning-oriented fall event reporting system based on Kirkpatrick model.
Patient fall has been a severe problem in healthcare facilities around the world due to its prevalence and cost. Routine fall prevention training programs are not as effective as expected. Using event reporting systems is the trend for reducing patient safety events such as falls, although some limitations of the systems exist at current stage. The authors of this paper summarized these limitations through literature review, and developed an improved web-based fall event reporting system.
AHRQ-funded; HS022895.
Citation: Zhou S, Kang H, Gong Y .
Design a learning-oriented fall event reporting system based on Kirkpatrick model.
Stud Health Technol Inform 2017;245:828-32..
Keywords: Falls, Health Information Technology (HIT), Patient Safety, Web-Based, Adverse Events
Yao B, Kang H, Miao Q
Leveraging event reporting through knowledge support: a knowledge-based approach to promoting patient fall prevention.
The authors constructed a knowledge base of fall events by combining expert-reviewed fall prevention solutions and then integrating them into a reporting system. The knowledge base enables timely and tailored knowledge support and thus will serve as a prevailing fall prevention tool. This effort holds promise in making knowledge acquisition and management a routine process for enhancing the reporting and understanding of patient safety events.
AHRQ-funded; HS022895.
Citation: Yao B, Kang H, Miao Q .
Leveraging event reporting through knowledge support: a knowledge-based approach to promoting patient fall prevention.
Stud Health Technol Inform 2017;245:973-77.
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Keywords: Adverse Events, Falls, Patient Safety, Prevention
Hoffman GJ, Hays RD, Shapiro MF
The costs of fall-related injuries among older adults: annual per-faller, service component, and patient out-of-pocket costs.
The researchers estimated expenditures for fall-related injuries (FRIs) among older Medicare beneficiaries. Estimated FRI expenditures were $9,389. Inpatient, physician/outpatient, skilled nursing facility, and home health comprised 31, 18, 39, and 12 percent of the total. OOP costs were $1,363. Expenditures for FRIs initially treated in inpatient/ED/outpatient settings were $21,424/$6,142/$8,622.
AHRQ-funded; HS000046.
Citation: Hoffman GJ, Hays RD, Shapiro MF .
The costs of fall-related injuries among older adults: annual per-faller, service component, and patient out-of-pocket costs.
Health Serv Res 2017 Oct;52(5):1794-816. doi: 10.1111/1475-6773.12554.
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Keywords: Elderly, Falls, Healthcare Costs, Medicare, Patient Safety
Patterson BW, Smith MA, Repplinger MD
Using chief complaint in addition to diagnosis codes to identify falls in the emergency department.
The researchers compared incidence of falls in an emergency department (ED) cohort using a traditional International Classification of Diseases, Ninth Revision (ICD-9) code-based scheme and an expanded definition that included chief complaint information. They concluded that identifying individuals in the ED who have fallen based on diagnosis codes underestimates the true burden of falls.
AHRQ-funded; HS024558.
Citation: Patterson BW, Smith MA, Repplinger MD .
Using chief complaint in addition to diagnosis codes to identify falls in the emergency department.
J Am Geriatr Soc 2017 Sep;65(9):E135-E40. doi: 10.1111/jgs.14982.
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Keywords: Falls, Emergency Medical Services (EMS), Emergency Department
Dykes PC, Duckworth M, Cunningham S
Pilot testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.
Patient falls during an acute hospitalization cause injury, reduced mobility, and increased costs. The laminated paper Fall TIPS Toolkit (Fall TIPS) provides clinical decision support at the bedside by linking each patient's fall risk assessment with evidence-based interventions. The investigators examined strategies to integrate this evidence into clinical practice. They concluded that engaging hospital and clinical leadership is critical in translating evidence-based care into clinical practice. They address and detail barriers to adoption of the protocol to provide guidance for spread to other institutions.
AHRQ-funded; HS025128.
Citation: Dykes PC, Duckworth M, Cunningham S .
Pilot testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention toolkit.
Jt Comm J Qual Patient Saf 2017 Aug;43(8):403-13. doi: 10.1016/j.jcjq.2017.05.002..
Keywords: Clinical Decision Support (CDS), Decision Making, Evidence-Based Practice, Falls, Hospitals, Injuries and Wounds, Inpatient Care, Patient Safety, Prevention, Risk, Tools & Toolkits
Galambos C, Rantz M, Back J
Older adults' perceptions of and preferences for a fall risk assessment system: exploring stages of acceptance model.
The study aim was to explore the perceptions and preferences of older adults and their family members about a fall risk assessment system. Using a qualitative approach, this study found that there was acceptance of the technology as participants adapted to it. Two themes were present across the five points in time-safety and usefulness. Five stages of acceptance emerged from the data from preinstallation to 2 years postinstallation.
AHRQ-funded; HS018477.
Citation: Galambos C, Rantz M, Back J .
Older adults' perceptions of and preferences for a fall risk assessment system: exploring stages of acceptance model.
Comput Inform Nurs 2017 Jul;35(7):331-37. doi: 10.1097/cin.0000000000000330.
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Keywords: Elderly, Falls, Risk, Patient Safety
Hanlon JT, Zhao X, Naples JG
Central nervous system medication burden and serious falls in older nursing home residents.
The researchers examined the association between CNS medication burden and serious falls in those with a recent fall history. They found that CNS medication burden, approximately 3 + standardized daily doses, was associated with an increased risk of serious falls in nursing home residents with recent fall.
AHRQ-funded; HS023779.
Citation: Hanlon JT, Zhao X, Naples JG .
Central nervous system medication burden and serious falls in older nursing home residents.
J Am Geriatr Soc 2017 Jun;65(6):1183-89. doi: 10.1111/jgs.14759.
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Keywords: Elderly, Falls, Medication, Nursing Homes, Patient Safety
Winters-Stone KM, Moe E, Graff JN
Falls and frailty in prostate cancer survivors: current, past, and never users of androgen deprivation therapy.
This study compared the prevalence of and association between falls and frailty of prostate cancer survivors (PCSs) who were current, past or never users of androgen deprivation therapy (ADT). It concluded that current and past exposure to ADT is linked to higher risk of falls and frailty than no treatment.
AHRQ-funded; HS022981.
Citation: Winters-Stone KM, Moe E, Graff JN .
Falls and frailty in prostate cancer survivors: current, past, and never users of androgen deprivation therapy.
J Am Geriatr Soc 2017 Jul;65(7):1414-19. doi: 10.1111/jgs.14795.
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Keywords: Cancer: Prostate Cancer, Cancer, Falls, Medication, Elderly
Hoffman GJ, Hays RD, Wallace SP
Depressive symptomatology and fall risk among community-dwelling older adults.
The directionality of observed relationship between falls and depressive symptoms (DS) is in need of elaboration given that cross-sectional study designs can yield biased estimates of the DS-falls relationship. This study found that the DS-falls relationship was not significant when use of psychiatric medications, which was positively associated with falls, was included in the model.
AHRQ-funded; HS000046.
Citation: Hoffman GJ, Hays RD, Wallace SP .
Depressive symptomatology and fall risk among community-dwelling older adults.
Soc Sci Med 2017 Apr;178:206-13. doi: 10.1016/j.socscimed.2017.02.020.
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Keywords: Depression, Elderly, Falls, Patient Safety, Risk
Hoffman GJ, Hays RD, Wallace SP
Receipt of caregiving and fall risk in US community-dwelling older adults.
The researchers examined whether receipt of low (0-13 weekly hours) and high levels (>/=14 weekly hours) of informal care or any formal care is associated with lower risk of falls and fall-related injuries (FRI) among community-dwelling older adults. They found that among individuals with >/=3 activities of daily living, fall risks were reduced by 21 percent for those receiving high levels of informal care.
AHRQ-funded; HS000046.
Citation: Hoffman GJ, Hays RD, Wallace SP .
Receipt of caregiving and fall risk in US community-dwelling older adults.
Med Care 2017 Apr;55(4):371-78. doi: 10.1097/mlr.0000000000000677.
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Keywords: Caregiving, Elderly, Falls, Risk, Patient Safety