{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:21:35Z","timestamp":1769127695292,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Cough syncope, an infrequent condition causing sudden transient unconsciousness from coughing, elevates hospitalized patients' fall risk with severe complications. A 59\u2010year\u2010old male admitted for pneumonia and suspected cough syncope fell post\u2010cough in the restroom, resulting in subarachnoid hemorrhage. Root cause analysis revealed that there are systemic gaps in clinical nursing: lack of targeted nursing protocols, training, educational materials, poor medical and nursing staff communication, and suboptimal environment. Interventions included developing nursing guidelines, enhancing staff training, creating multi\u2010format health education, optimizing interdisciplinary communication via a mobile system, and improving environmental safety. Subsequent 22 patients had no falls, with 100% nurse competency and reduced hospitalization duration. This highlights the value of root cause analysis in mitigating fall risks for such patients, while multi\u2010center research and long\u2010term follow\u2010up are needed.<\/jats:p>","DOI":"10.1002\/ccr3.71873","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:03:31Z","timestamp":1768395811000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of Root Cause Analysis in Improving Care for Falls Associated With Cough Syncope"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0603-5565","authenticated-orcid":false,"given":"Fei","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine Affiliated Hospital of Hebei University  Baoding Hebei Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yanling","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Affiliated Hospital of Hebei University  Baoding Hebei Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lan","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Oral and Ophthalmic Affiliated Hospital of Hebei University  Baoding Hebei Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Respiratory Medicine Affiliated Hospital of Hebei University  Baoding Hebei Province China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,14]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2013.10.020"},{"issue":"10","key":"e_1_2_15_3_1","first-page":"957","article-title":"Application and Clinical Analysis of ROSE Rule in Emergency Syncope Patients","volume":"14","author":"Mu H.","year":"2019","journal-title":"Chinese Journal of Emergency Resuscitation and Disaster Medicine"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/imj.15641"},{"issue":"4","key":"e_1_2_15_5_1","first-page":"268","article-title":"Analysis of 15 Cases of Cough Syncope Syndrome and Literature Review","volume":"24","author":"Zhang M.","year":"2025","journal-title":"Chinese Journal of Respiratory and Critical Care Medicine"},{"issue":"3","key":"e_1_2_15_6_1","first-page":"101","article-title":"Research Progress in Nursing Care of Cough Syncope Syndrome","volume":"37","author":"Wang F.","year":"2022","journal-title":"Journal of Nursing Science"},{"issue":"2","key":"e_1_2_15_7_1","article-title":"Root Cause Analysis: Unraveling Common Laboratory Challenges","volume":"16","author":"Srinivasaragavan D.","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2017.01.050"},{"key":"e_1_2_15_9_1","volume-title":"Guidelines for Fall Prevention in the Elderly","author":"Bureau of Disease Prevention and Control, Ministry of Health","year":"2011"},{"key":"e_1_2_15_10_1","volume-title":"Nursing Standards for Fall Risk Assessment and Prevention in Hospitalized Patients","author":"National Health Commission of the People's Republic of China","year":"2023"},{"issue":"17","key":"e_1_2_15_11_1","first-page":"151","article-title":"One Case of Cough Syncope Syndrome","volume":"14","author":"Lin S. 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