Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations.

The presented research offers an introduction to the use of root-cause analyses in the Veterans Health Administration for identification of falls in veterans with dementia who were referred to or receiving OT. Results identify specific areas for improvement that may be immediately implemented by OTin all health care systems. Such improvements to care may drastically improve patient safety and decrease fall risk in older adults with dementia.

Primary Author and Speaker: Elizabeth Rhodus

Contributing Authors: Elizabeth Lancaster, Mary Duke, and Andrew Harris

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