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An Analysis of Patient Falls and Fall Prevention Programs Across Academic Medical Centers

Williams, Tamara MSN, RN; Szekendi, Marilyn PhD, RN; Thomas, Stephen BA

doi: 10.1097/NCQ.0b013e3182a0cd19

UHC conducted an analysis of more than 25 000 patient fall reports entered into the UHC Patient Safety Net incident reporting tool. Gaps were found in the completion of fall risk assessments, the ability of tools to accurately assess risk, and prevention strategies in particular inpatient units and emergency department. Common factors in falls resulting in major harm or death included age more than 80 years, altered mental status, ambulation (often without assistance), toileting, and diuretics and anticoagulants.

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UHC, Chicago, Illinois.

Correspondence: Tamara Williams, MSN, RN, Patient Safety Research, UHC, 155 North Wacker Drive, Chicago, IL 60606 (

Authors have no conflicts of interest and no funding sources to disclose.

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Accepted for publication: June 17, 2013

Published ahead of print: July 9, 2013

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins