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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxoverview.pptx
October 01, 2017 - PowerPoint Presentation
AHRQ’s Safety Program for
Nursing Homes:
On-Time Falls Prevention
Facilitator Training
Overview of On-Time
On-Time Falls Prevention
Facilitator Training
2-day training provides:
Overview of On-Time.
Instruction on the role of a Facilitator.
Introduction to On-Time reports and implementation…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool1a.docx
January 01, 2004 - There is a growing recognition that organizational change to improve patient safety, including fall prevention … can be completed by all interdisciplinary team members and staff on units preparing to implement the fall … Things “fall between the cracks” when transferring patients from one unit to another
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ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
June 01, 2023 - Massa S, Wu J, Wang C, Peifer H, Lane-Fall MB. … Raiten JM, Lane-Fall M, Gutsche JT, Kohl BA, Fabbro M, Sophocles A, Chern SY, Al-Ghofaily L, Augoustides … Lane-Fall MB, Christakos A, Russell GC, Hose BZ, Dauer ED, Greilich PE, Hong Mershon B, Potestio CP, … Lane-Fall MB, Pascual JL, Peifer HG, Di Taranti LJ, Collard ML, Jablonski J, Gutsche JT, Halpern SD, … Lane-Fall MB, Cobb BT, Cené CW, Beidas RS. Implementation science in perioperative care.
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ce.effectivehealthcare.ahrq.gov/ncepcr/tools/assessments/health-4.html
September 01, 2013 - Alternatively, a patient may identify hearing loss, increased fall risk, depression, or previously unidentified … for the chronic disease diagnoses you evaluated and treated at the visit (e.g., hearing loss, falls/fall
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/index.html
September 01, 2021 - to assist nursing facilities in providing individualized, person-centered care and improving their fall
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/safety-assess.html
October 01, 2020 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - and 3; pain medication management, 42 and 4; medication management in the
pharmacy, 240 and 3; and fall … In
Hospital B, the focus of the human factors visit was failure of staff to adhere to fall prevention … policies and procedures, including use of bed alarms, patient fall risk identifiers, and their staff … we had not explored with staff, by
requesting their feedback, why they were not complying with the fall … These redundancies in reporting interfered with staff compliance with our fall policy and
procedures
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ce.effectivehealthcare.ahrq.gov/sites/default/files/publications/files/interimhacrate2014_2.pdf
November 19, 2015 - The earlier estimates had been wrongly based on
the full cost of a hospital stay that included a fall
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ce.effectivehealthcare.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/tool.html
June 01, 2017 - Can value be measured quantitatively (i.e., decrease in injurious fall rate or maintenance of low injurious … fall rate)?
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/2014FinalHACreport4Web-13Dec2016.pdf
December 01, 2016 - The earlier estimates had been wrongly based on
the full cost of a hospital stay that included a fall
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sdoh/sdoh-environmental-scan.xlsx
April 29, 2021 - Social Context (Y/N) Marked “Y” if the data sources include variables that fall into the Social Context … Economic Context (Y/N) Marked “Y” if the data sources include variables that fall into the Economic Context … Education (Y/N) Marked “Y” if the data sources include variables that fall into the Education SDOH domain … Physical Infrastructure (Y/N) Marked “Y” if the data sources include variables that fall into the Physical … Healthcare Context (Y/N) Marked “Y” if the data sources include variables that fall into the Healthcare
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/nyp-webinar-servati-phase-two-plan.pdf
December 01, 2018 - feedback reports in 6 sites in
November
Continue collection of Elicitation Protocol through the
Fall
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/No_More_CAUTI_Preventing_CAUTI_transcript.docx
May 05, 2015 - We know that the burden of toileting a patient is going to fall primarily on the nursing staff. … That catheter in someone with limited mobility actually acts as a tether and actually increases a fall
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK2_T1-Medical_Care_Referral_Form_Word_doc_for_html_only.doc
June 17, 2014 - Fall
Yes No ?
If Yes:
Witnessed
Yes No ?
Hit head
Yes No ?
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/index.html
August 01, 2022 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=475
January 01, 2024 - Enayati M , Banerjee T , Popescu M A novel web-based depth video rewind approach toward fall … review depth videos captured in hospital rooms to investigate the event chains that led to patient’s fall … videos by means of new visualization techniques to highlight video frames that contain potential risk of fall … A novel web-based depth video rewind approach toward fall preventive interventions in hospitals.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-5-whys.pdf
May 17, 2021 - can be used on their own or as a follow-up to techniques
like the “last 10 patients” chart audit or fall-out
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/pressure-injury/index.html
October 01, 2017 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall … Network Webinars Video
Related AHRQ Resources
Pressure Ulcer Prevention Toolkit
Fall
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool-30day.html
March 01, 2013 - Patient Safety Research Summaries
Patient Safety Resources by Setting
Hospital
Fall … considerably on the pooled data for all hospitals, making it less likely that small hospitals will fall
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/event-summary-leveraging-data-enhance-cr-program.pdf
November 12, 2020 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 1
AFFINITY GROUP DETAILS AT-A-GLANCE
Title Leveraging Data to Enhance Your CR Program
November 12, 2020
Purpose • To explore how CR programs are effectively accessing, monitoring and using
data to benefit their patients and operation…