Evidence map›Paper›PMID 41541049›Full record

ArticleClinical case reports2026

Application of Root Cause Analysis in Improving Care for Falls Associated With Cough Syncope.

Fei Zhu, Yanling Li, Lan Liu, Min Wang

Abstract read
In one paragraph

Article in Clinical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Fei ZhuDepartment of Cardiovascular Medicine Affiliated Hospital of Hebei University Baoding Hebei Province China.ORCID https://orcid.org/0000-0003-0603-5565
Yanling LiDepartment of Respiratory Medicine Affiliated Hospital of Hebei University Baoding Hebei Province China.
Lan LiuDepartment of Oral and Ophthalmic Affiliated Hospital of Hebei University Baoding Hebei Province China.
Min WangDepartment of Respiratory Medicine Affiliated Hospital of Hebei University Baoding Hebei Province China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cough syncope, an infrequent condition causing sudden transient unconsciousness from coughing, elevates hospitalized patients' fall risk with severe complications. A 59-year-old male admitted for pneumonia and suspected cough syncope fell post-cough 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-format 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-center research and long-term follow-up are needed.

Indexed as

cough syncopefallsnursing carepreventionroot cause analysis

Identifiers

PMID41541049
PMCPMC12801390

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.