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Nursing home fall reduction — USMLE Step 3 MCQ

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HardEthics, Patient Safety, Quality Improvement, Systems-Based PracticeNursing home fall reductionUSMLE Step 3

A nursing facility has rising night-shift falls associated with sedating medicines, poor bathroom lighting, and inconsistent assistive-device use. Which intervention is best?

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Correct answer: AImplement a multifactorial fall-prevention bundle targeting the identified risks

The observed risks require a systems intervention addressing medications, environment, and mobility support. Blame, under-reporting, restraints, and additional sedation can worsen safety.

Reference: AHRQ, Patient Safety Primer: Medication Errors: https://psnet.ahrq.gov/primer/medication-errors