Root Cause Analysis of Reported Patient Falls inORs in the Veterans Health Administration

Author:

Soncrant Christina M.,Warner Lisa J.,Neily Julia,Paull Douglas E.,Mazzia Lisa,Mills Peter D.,Gunnar William,Hemphill Robin R.

Publisher

Wiley

Subject

Medical–Surgical

Reference33 articles.

1. List of SREs. National Quality Forum.http://www.qualityforum.org/Topics/SREs/List_of_SREs.aspx. Accessed August 17 2018.

2. Summary data of sentinel events reviewed by The Joint Commission. The Joint Commission.https://www.jointcommission.org/assets/1/18/Summary_4Q_2016.pdf. Updated January 13 2017. Accessed June 12 2018.

3. Preventing Falls and Fall-Related Injuries in Hospitals

4. Falls among adult patients hospitalized in the United States: prevalence and trends;Bouldin EL;J Patient Saf,2013

5. 111th Congress.The Patient Protection and Affordable Care Act. 42 CFR §18001.https://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf. Effective March 23 2010. Accessed August 17 2018.

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