{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:19:27Z","timestamp":1788430767322,"version":"build-2803163510"},"reference-count":6,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T00:00:00Z","timestamp":1788393600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Inpatient falls are a common and preventable source of harm among hospitalized patients. At a Veterans Health Affairs medical center, we implemented a mobility\u2010first, multidisciplinary intervention using sequential Plan\u2010Do\u2010Study\u2010Act cycles, including redesigned activity orders to \u201cmobilize unless contraindicated,\u201d physical therapist\u2010led education, and interdisciplinary fall huddles with rapid feedback. Over 18 months, total falls decreased by 34%, from 7.6 to 5.0 per 1000 bed\u2010days, and injurious falls decreased by 46%, from 2.4 to 1.3 per 1000 bed\u2010days, with no increase in staff injuries. This low\u2010cost, scalable intervention suggests that standardizing mobility assessment, communication, and execution may reduce inpatient falls.<\/jats:p>","DOI":"10.1002\/jhm.70418","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T09:55:47Z","timestamp":1788429347000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Reducing inpatient falls with a mobility\u2010first, multidisciplinary intervention at a VA Medical Center"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6071-1574","authenticated-orcid":false,"given":"Ryan","family":"Duffy","sequence":"first","affiliation":[{"name":"Durham VA Medical Center Durham North Carolina USA"},{"name":"Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Padideh","family":"Imenikashani","sequence":"additional","affiliation":[{"name":"Durham VA Medical Center Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tymeeka","family":"Davis","sequence":"additional","affiliation":[{"name":"Durham VA Medical Center Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven","family":"Fairbanks","sequence":"additional","affiliation":[{"name":"Durham VA Medical Center Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Folake","family":"Ogunmola","sequence":"additional","affiliation":[{"name":"Durham VA Medical Center Durham North Carolina USA"},{"name":"Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Previll","sequence":"additional","affiliation":[{"name":"Durham VA Medical Center Durham North Carolina USA"},{"name":"Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Schneider","sequence":"additional","affiliation":[{"name":"Durham VA Medical Center Durham North Carolina USA"},{"name":"Duke University School of Medicine Durham North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,3]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Fall TIPS: a patient\u2010centered fall prevention toolkit. Agency for Healthcare Research and Quality. Accessed April 16 2026.https:\/\/www.ahrq.gov\/patient-safety\/settings\/hospital\/fall-tips\/index.html"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","first-page":"2847","DOI":"10.1111\/jgs.16773","article-title":"Serious falls in middle\u2010aged veterans: development and validation of a predictive risk model","volume":"68","author":"Womack JA","year":"2020","journal-title":"J Am Geriatr Soc"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","DOI":"10.56305\/001c.82146","article-title":"Relationship between mobility and falls in the hospital setting","volume":"2","author":"Kissane H","year":"2023","journal-title":"J Brown Hosp Med"},{"key":"e_1_2_11_5_1","unstructured":"Age\u2010friendly health systems: guide to using the 4Ms in the care of older adults. 2020 Accessed April 16 2026.www.johnahartford.org"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1093\/ptj\/pzx110","article-title":"Toward a common language for measuring patient mobility in the hospital: reliability and construct validity of interprofessional mobility measures","volume":"98","author":"Hoyer EH","year":"2018","journal-title":"Phys Ther"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1136\/qhc.12.6.458","article-title":"Statistical process control as a tool for research and healthcare improvement","volume":"12","author":"Benneyan JC","year":"2003","journal-title":"BMJ Qual Saf"}],"container-title":["Journal of Hospital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.70418","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jhm.70418","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jhm.70418","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T09:55:48Z","timestamp":1788429348000},"score":1,"resource":{"primary":{"URL":"https:\/\/shmpublications.onlinelibrary.wiley.com\/doi\/10.1002\/jhm.70418"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,3]]},"references-count":6,"alternative-id":["10.1002\/jhm.70418"],"URL":"https:\/\/doi.org\/10.1002\/jhm.70418","archive":["Portico"],"relation":{},"ISSN":["1553-5592","1553-5606"],"issn-type":[{"value":"1553-5592","type":"print"},{"value":"1553-5606","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,3]]},"assertion":[{"value":"2026-05-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jhm.70418"}}