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161. AHRQ’s Toolkit Helped Vanderbilt University Hospital Substantially Reduce Patient Falls | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/news/newsroom/case-studies/201616.html
     November 01, 2016 - AHRQ tools in its falls-reduction program, including "Overview: The Problem of Falls, Challenges of Fall … After a successful fall-prevention pilot in three units, the 746-adult-bed hospital implemented the program … implement the program hospital-wide, the quality improvement team also used the AHRQ toolkit to create a fall … mandatory all-day training session taught unit leaders about overall quality improvement principles and fall … our monthly leadership meetings, three or four units give progress reports on their unit’s status for fall

162. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
     March 03, 2008 - • Procedure within 48 hours of fall (Y/N). • Use of assistive devices (Y/N). … • Did the patient call for help prior to the fall? … • Were family members or visitors present at the time of the fall? … Notify receiving areas of high fall risk, e.g., radiology. 10. … An assisted fall occurs when a patient is being accompanied by a care provider and begins to fall, typically

163. Hospital Resources | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/about.html
     December 01, 2017 - Fall Prevention in Hospitals Training Program AHRQ developed the Fall Prevention in Hospitals Training … and learn how to overcome the challenges associated with developing, implementing, and sustaining a fall … Falls in Hospitals Each year, somewhere between 700,000 and 1,000,000 people in the United States fall … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … toolkit focuses on overcoming the challenges associated with developing, implementing, and sustaining a fall

164. Appendix C8: Fall Interventions Plan Sample | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
     December 01, 2017 - Resources by Setting Long Term Care Resources Injuries Appendix C8: Fall … The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C8: Fall … Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … December 2017 Page originally created February 2010 Internet Citation: Appendix C8: Fall

165. Implementing Opioid Risk Screening for Older Adults Using Automated Patient Reminders in an Electronic Health Record Case Study (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-risk-screening.pdf
     December 15, 2023 - improvement (QI) lead at Pearl Family Medicine, recognized the need to implement an opioid misuse and fall-risk … screeners linked to the annual wellness visits of older adults on LTOT: the STEADI tool for assessing fall … patients (60+): 30% 1 MD = Medical Doctor; PA = Physician Assistant. 2 The STEADI algorithm for fall … implementation progress, the Pearl team selected rates of older adults with opioid-related risk/ fall … ▶ Stopping Elderly Accidents, Deaths & Injuries (STEADI) tool for assessing fall risk.

166. NPSD Dashboards | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/npsd/data/dashboard/index.html
     October 01, 2023 - Falls Dashboard Details the extent of harm due to falls, the presence of fall assistance, presence … of fall assistance by patient harm, type of fall injury, and fall location.     … This new dashboard includes new analyses by age, deeper explorations of common activities prior to fall … risk factors to prevent falls and/or mitigate harm from falls, as well as the ability to filter by fall

167. Fallpxtool3G (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3g.docx
     January 29, 2013 - 3G: STRATIFY Scale for Identifying Fall Risk Factors Background: This tool can be used to identify risk … evaluation of evidence based risk assessment tool (STRATIFY) to predict which elderly inpatients will fall … questions below and count the number of “Yes” answers. 1 Did the patient present to hospital with a fall … or has he or she fallen on the ward since admission (recent history of fall)?

168. The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx.html
     March 01, 2023 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … to assist nursing facilities in providing individualized, person-centered care, and improving their fall … Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

169. Fallpxtool3B (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3b.docx
     January 01, 2006 - Scheduled Rounding Protocol Background: Hourly rounds are an opportunity to ensure that universal fall … These rounds integrate fall prevention activities with the rest of a patient’s care. … For example, components of the fall risk factor assessment can be added, such as a brief mental status … protocol can be used by staff nurses, nursing assistants, and the unit manager to ensure that universal fall

170. Reducing Patient Falls with Evidence-based Tools | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/funding/grantee-profiles/grtprofile-dykes.html
     September 01, 2022 - In the United States, up to a million hospitalized patients fall annually; approximately 30 percent of … Her assessment found that the evidence-based toolkit reduced hospital falls by 15 percent and fall-related … and provide primary care clinicians with standards-based software tools to prevent patient falls, as “fall … AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls TIPS: A Patient-Centered Fall

171. Appendix B. Forms and Training Materials (Appendix Contents) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Assessment Unsafe Behavior Worksheet FMP Entry Log Primary Care Provider Fax Report and Orders Fall … Interventions Plan Fall Interventions Monitor Staff Materials Pre and Posttests for Inservice … and/or Interventions Resources Letter to Primary Care Providers Ways Families Can Help Reduce Fall

172. Fallpxtool2C (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2c.docx
     January 28, 2013 - This tool can be used to describe key processes in your organization where fall prevention activities … Have the Implementation Team identify and define every step in the current process for fall prevention … Identify key processes involving fall prevention. … Examples of processes might include initial fall risk factor assessments (e.g., when does it occur, who … If a process does not exist (for example, there is no process to assess fall risk factors upon admission

173. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
     December 27, 2021 - Conduct a fall-out analysis to determine why individuals did not receive an indicated service. … A third process you can use with your practices to identify root causes is fall- out analysis. … Steps for Completing a Fall-Out Analysis 1. … Identify two-to-five patient cases that “fall out” of the performance metric in question. 2. … Example: Using fall-out analysis to improve diabetes care in a federally qualified health center.

174. Appendix B23: Resources | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb23.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Falls and Fall Risk, AMDA Clinical Practice Guideline. 1998 Web Sites Agency for Healthcare Research … Topic: Patient Safety Alabama Quality Assurance Foundation (AQAF), AQAF Long-Term care fall prevention … Fall and injury prevention in older people living in patiential care facilities: a cluster randomized

175. Appendix B24: Letter to Primary Care Providers | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb24.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Falls Engineer Instructions [Date} [Salutations] RE: Fall Management Program Dear … communication of the results to primary care providers Individualized management plans addressing fall … facility falls coordinator when one of your residents falls recurrently and/or suffers an injurious fall

176. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/index.html
     March 01, 2024 - Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Fall … Fall TIPS: A Patient-Centered Fall Prevention Toolkit consists of a formal risk assessment and tailored … Care focuses on overcoming the challenges associated with developing, implementing, and sustaining a fall … Fall Prevention in Hospitals Training Program supports the training of hospital staff on how to implement … five-module, in-person training curriculum and a series of companion Webinars on specific topics related to fall

177. Fallpxtool3F (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3f.docx
     January 29, 2013 - However, consider checking orthostatic vital signs: After a fall. … Use this tool in conjunction with clinical assessment and a standard assessment of fall risk factors … (e.g., Tool 3H, “Morse Fall Scale for Identifying Fall Risk Factors, or Tool 3G, ‘STRATIFY Scale for … Identifying Fall Risk Factors”) to determine a patient’s risk factors for falls, and then plan care accordingly

178. Appendix B2: Tracking Record for Improving Patient Safety TRIPS (Text Description) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … ___________________ Section B Was the incident: __ Found on the floor (unwitnessed) __ Fall … to the floor (witnessed) __ Near fall (patient lowered to floor by staff/other or stabilized) __ … Self-reported fall The cause of the incident was: __ Lost balance __ Slipped (specify): __ … Other site (specify): Was this person in the Falls Management Program at the time of the fall

179. Abt Single-Sided Body Template (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverviewmaterialspacket.pdf
     October 16, 2017 - Fall Date Date 10/4/13 1/16/14 2/11/14 2/27/14 3/6/14 4/17/14 Fall Day Day of week Saturday Thursday … Tuesday Thursday Thursday Thursday Fall Time Time or “not known” 6:35 a.m. 5:35 a.m. 7:15 a.m. 6:50 … Shift Shift N N D E N N Fall Witnessed? Yes/no N N Y Y N N If yes, who witnessed? … Location Fall location: room; bathroom; hallway; dining room; activities; therapy; beauty parlor; … Walking Walking Toileting Toileting Potential Causes of Fall Unknown Behavior – agitation

180. Appendix B8: Unsafe Behavior Worksheet (Text Description) | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5txt.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Record the date of any fall that occurs after entry. … Resident Name Date entered into FMP Fall Dates Notes                     … Return to Document   Fall Interventions Plan (Text Description) Resident: ____________________ … _______________________________________________     Date: ______________ Return to Document     Fall