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41. How To Manage Change
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_slides_fallprev.pptx
    August 24, 2017 - (Tool 2C) Present the assessment of current fall prevention policies and procedures. … Determine how comprehensive universal fall precautions should be performed. … Determine how incidence data on fall rates and fall prevention care processes will be collected. … Determine how comprehensive universal fall precautions should be performed. … Determine how incidence data on fall rates and fall prevention care processes will be collected.

42. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    November 09, 2017 -  Fall time.  Whether the fall was witnessed. … New Fall. … the fall occurred,  Time at which the fall occurred,  The location of the fall, and  If the … Fall Time. … Fall Location.

43. Fallpxtool3O (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3o.docx
    January 01, 2008 - to investigate each fall. … PATIENT/WITNESS DESCRIPTION OF FALL: 1.1. Can you remember anything about your fall? … Did anyone witness the fall? … What were you doing at the time of the fall? … Prior to fall, were fall prevention measures in place?

44. Pressure Ulcer Prevention Toolkit (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
    August 02, 2017 - Rates and Fall Prevention Practices Measure Fall Rates Key Indicator Who is responsible? … Completion Date for Plan Fall Rates (e.g., falls per 1,000 occupied bed days) are calculated … level of injury Measure Fall Prevention Practices Key Indicator Who is responsible? … Completion Date for Plan Fall risk factor assessment is performed within 24 hours of admission … Staff know definition of fall and definition of injurious fall 5C: Assessing Comprehensive

45. Module 2: How To Manage Change (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module2/module2_fall-prevention.docx
    August 24, 2017 - organizational readiness for change and to maximize the possibility of successful implementation of the Fall … Members who influence the areas involved in fall prevention. … What happens if a patient is found to have risk factors or experiences a fall? … The Fall Knowledge Test (Tool 2E) can be used to achieve this goal. … In addition, they assessed their staff knowledge of fall prevention.

46. AHRQ’s Toolkit Helped Vanderbilt University Hospital Substantially Reduce Patient Falls | Agency for Healthcare Research and Quality
    pcmh.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

47. Module 1: Preventing Falls in Hospitals—Slide Presentation | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/hospital/fall-prevention/workshop/module-1/slides.html
    September 01, 2017 - Prevention in Hospitals Training Program Fall Prevention Program Implementation Guide Fall … Module 5 will discuss how to measure fall rates. Image: Medical papers labeled “fall risk.” … reductions in fall rates. … A 27% to 31% decrease in fall rates was found. … How do you measure fall rates and prevention practices?

48. NPSD Dashboards | Agency for Healthcare Research and Quality
    pcmh.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

49. Hospital Resources | Agency for Healthcare Research and Quality
    pcmh.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

50. AHRQ's Quality & Patient Safety Programs by Setting: Hospital | Agency for Healthcare Research and Quality
    pcmh.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

51. Fallpxtool3N (doc file)
    pcmh.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3n.docx
    January 01, 2008 - Reference: Adapted from the South Australia Health Fall Prevention Toolkit. … prevention strategies. · Provide fall prevention information (Tool 3J). … Hits head or has unwitnessed fall · Assess immediate danger to all involved. … · Review current care plan and implement additional fall prevention strategies. … · Provide fall prevention information (Tool 3J).

52. Reducing Patient Falls with Evidence-based Tools | Agency for Healthcare Research and Quality
    pcmh.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

53. Falls and Injury | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/index.html
    September 01, 2018 - to assist nursing facilities in providing individualized, person-centered care and improving their fall … Improving Quality of Care Each year, somewhere between 700,000 and 1,000,000 people in the United States fall

54. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - for Improving Quality of Care was instrumental in guiding the creation of an initiative entitled "Fall … Initially focused on two medical-telemetry units and eventually expanding to include additional units, fall … The "Fall Free Friday" activities resulted in a 31% decrease in acute care falls from 4th quarter 2022

55. Module 11: Using Root Cause Analysis to Help (pdf file)
    pcmh.ahrq.gov/sites/default/files/attachments/pcpf-module-11-root-cause-analysis.pdf
    September 01, 2015 - 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.

56. Fallpxtool3F (doc file)
    pcmh.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

57. Mississippi Hospital Reduces Patient Falls by 25 Percent Using AHRQ Program | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsroom/case-studies/201801.html
    April 01, 2018 - “There had been some confusion as to whether identifying patients as ‘low fall risk’ was actually the … include bedside commodes, welcome signs in each room from the nurse reminding patients to “call, don’t fall

58. New Data Resource Provides Insights on Factors Related to Falls | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/news/newsletters/e-newsletter/886.html
    October 01, 2023 - Databases (NPSD) provides data on the most common interventions in place among patients who experienced a fall … Access the NPSD Data Spotlight: Patterns of Fall Interventions (PDF, 4.5 MB) and additional NPSD Data

59. Grantee Final Reports: Patient Safety | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/research/findings/final-reports/index.html
    June 01, 2023 - Healthcare Providers (1) Detection/Triggers (1) Diagnostic Safety (1) Disabilities (1) Fall … Medication Safety Publication Date: August 2021 Generalizability and Spread of an Evidenced-based Fall … Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) ( application/pdf 400632

60. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
    pcmh.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/index.html
    February 01, 2018 - SHARE: More topics in this section Patient Safety Patient Safety Research Summaries Patient Safety Resources by Setting Hospital Hospital Labor and Delivery Units Emergency Department Long Term Care Resources Comparati…