In 2005, the President’s New Commission on Mental Health released

Interviews andfocus groups that are made up patients who have hadfalls or near miss events can provideinvaluable data to drive change in our current patient safety climate (Lipschuetz, 2017).Ultimately, the principle objective in a fall prevention program is to ensure an environment ofsafety for the patient. The initiation of preventative measures for falls by our system may not ownthe power to eliminate falls however; it reveals the group is taking the initiative to institute safetymeasures that will identify patterns of unsafe behaviors and gaps in our current policies andprocedures (Rednak, n.d.).

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