Journal of nursing care quality
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Since 2007, the Minnesota Hospital Association (MHA) has developed, managed, and promoted a statewide fall and injury reduction program to reduce inpatient falls and injuries, SAFE from FALLS. Because of statewide success in reducing falls from 2007-2010, the MHA set the goal in 2010 to eliminate serious fall-related injuries, especially head injuries. The outcomes that large-scale, multifacility health care organizations can have in reducing hospital-based falls resulting in serious injury (25% reduction) are presented, along with lessons learned.
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The rapid response team has been proposed as an effective strategy for reducing failure-to-rescue rates among adult inpatients; however, there is little research evidence to support the recommendation. This exploratory study used survey and administrative data to describe rapid response team characteristics and penetration among hospitals in a large metropolitan area while tracking corresponding failure-to-rescue rates among surgical inpatients over 5 years. The findings are promising and invite further investigation.
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Variability in pain management processes may affect outcomes. Researchers collected pain management documentation from electronic health record systems of 3 hospitals and constructed process and outcome variables. Simple linear regressions revealed that relationships exist between increased pain variability and less frequent assessment and more frequent intervention, identifying targeted areas for improvement. Researchers demonstrated the use of the electronic record output for improvement purposes.