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221. Fallpxtool5B (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool5b.docx
     January 29, 2013 - 5B: Assessing Fall Prevention Care Processes Background: This sample protocol illustrates how to evaluate … whether fall prevention care processes are occurring as they should be. … This tool should be used to determine whether your hospital unit is carrying out its fall prevention

222. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
     February 01, 2018 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

223. Opioids in Older Adults Compendium | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/opioids/implementing-what-works/compendium.html
     December 01, 2023 - Implement System Administration Activities - Integrate fall risk assessment Integrate fall risk assessment … Engage with the Patient - Discuss results of fall risk assessment Discuss results of fall risk assessment

224. Data Submission Dashboard (xls file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2023.xlsx
     January 01, 2023 - CFER-H V1.1 39,219 14.5% 2,617,691 Medication or Other Substance CFER-H V1.2 480,612 20.5% 2,617,691 Fall … CFER-H V1.1 20,445 7.6% 2,617,691 Fall CFER-H V1.2 246,758 10.5% 2,617,691 Surgery or Anesthesia CFER-H

225. Appendix B29: Engineer Inspection List | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb9txt.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

226. Appendix B6: Mobility and Transfer Assessment | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/mobility.html
     February 01, 2023 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

227. Fallpxtool3A (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3a.docx
     January 28, 2013 - Pathway for Inpatient Falls Background: The purpose of this tool is to provide an overview of how fall

228. Resources and Tools on Patient and Healthcare Workforce Safety | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/action-alliance/resources/index.html
     April 01, 2024 - Falls Fall TIPS: A Patient-Centered Fall Prevention Toolkit This resource consists of a formal risk … program focus on overcoming the challenges associated with developing, implementing, and sustaining a fall … five-module, in-person training curriculum and a series of companion webinars on specific topics related to fall … to assist nursing facilities in providing individualized, person-centered care and improving their fall

229. NPSD Data Spotlight - Patient Safety and COVID-19: A Qualitative Analysis of Concerns During the Public Health Emergency (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-ptsafety-and-covid-19.pdf
     November 01, 2021 - No other patient safety event was identified in the record (e.g., fall, pressure injury, medication … o Assisted or unassisted fall o Type of injury as a result of fall o Risk assessment prior to fall … o At risk of fall • Healthcare-associated infection o None • Medication and other substance o … Some of these explanatory statements were related to fall and pressure ulcer events, while others were … a limited number of records Type of Event Descriptive Text About the Event Referencing COVID-19 Fall

230. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd.pdf
     November 01, 2023 - Improving Fall Detection and Prevention AHRQ also funded projects exploring strategies for the detection … sensor-based technology designed to unobtrusively monitor patient activity (i.e., related to falls and fall … Firefighting to innovation: using human factors and ergonomics to tackle slip, trip, and fall risks in … By detecting falls or increased fall risk early with sensors in the home, this new technology can act … AHRQ Investments Examples of Project Findings Reducing Hospital-Associated Infections Improving Fall

231. Appendix B7: Wheelchair Seating Assessment | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb4.html
     February 01, 2023 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

232. Appendix B9: FMP Entry Log | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb09log.html
     February 01, 2023 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

233. Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/topics/index.html?page=1
     January 01, 2012 - Falls Each year, somewhere between 700,000 and 1,000,000 people in the United States fall in the hospital … , and about 1.3 million residents in nursing facilities fall.

234. Clinical Informatics and Its Usefulness for Assessing Risk and Preventing Falls and Pressure Ulcers in Nursing Home Environments (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Teigland.pdf
     March 01, 2004 - observed, “Medicare is spending billions to treat preventable (fall) injuries…at an average cost of … Fall intervention programs focused on individuals most at risk can reduce fall rates substantially. … Ginter and Minn suggest that fall prevention programs must focus on resident-specific risk factors … Importantly, the mean fall and pressure ulcer risk scores were similar for all three groups. … • Support committee activities (e.g., quality improvement, fall, and skin care).

235. Appendix C2: Mobility and Transfer Assessment Sample | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt2.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

236. Appendix B8: Unsafe Behavior Worksheet | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb5.html
     February 01, 2023 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

237. Leading Indicators Group: (doc file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool2b.docx
     January 15, 2016 - If you find that your organization has fully operationalized QI processes, connect the fall prevention … If some processes are missing, advocate for them to be put into place in the context of the fall prevention

238. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
     March 09, 2005 - oversedation), and 20 percent were falls.17 In long-term care facilities, more than half of residents fall … The intervention was phased into 13 nursing homes in the fall of 2003, with the full intervention start … Falls and fall prevention in the nursing home. Clin Geriatr Med 1996 Nov;12(4):881–902. 25. … Fall injuries in the elderly. Clin Geriatr Med 1985;1(3):501–12. 28. Monane M, Avorn J.

239. Appendix C3: Unsafe Behavior Worksheet Sample | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt3.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Staff gets there 50% of time before the fall Paint medications—responded well to prescribed analgesic

240. Emergency Department Workflow Diagrams (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cap-toolkit/ed-workflowdiagrams.pdf
     January 01, 2018 - 2 EHR Data Element: Confusion may be selected (structured data) by intake nurse in disability or fall … 2 EHR Data Element: Confusion may be selected (structured data) by intake nurse in disability or fall