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Decreasing Falls in Acute Care Medical Patients: An Integrative Review

Rowan, Leslie MSN, RN, CNL, CWCN, CFCN; Veenema, Tener Goodwin PhD, MPH, MS, RN, FAAN

doi: 10.1097/NCQ.0000000000000244
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Falls in acute care medical patients are a complex problem impacted by the constantly changing risk factors affecting this population. This integrative literature review analyzes current evidence to determine factors that continue to make falls a top patient safety problem within the medical unit microsystem. The goal of this review is to develop an evidence-based structure to guide process improvement and effective use of organization resources.

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Nursing Excellence and Innovation, Nursing Service, Washington DC Veterans Affairs Medical Center (Ms Rowan); and Department of Acute and Chronic Care, Johns Hopkins University School of Nursing, Baltimore, Maryland (Dr Veenema).

Correspondence: Leslie Rowan, MSN, RN, CNL, CWCN, CFCN, Nursing Excellence and Innovation, Nursing Service, Washington DC Veterans Affairs Medical Center, 50 Irving St NW, Washington DC 20422 (Leslie.rowan@va.gov).

The authors thank Dr Karen L. Spencer for her assistance.

The authors declare no conflicts of interest.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jncqjournal.com).

Accepted for publication: October 24, 2016

Published ahead of print: February 6, 2017

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