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101. New Tools Help Health Providers Reduce Patients' Risk of Falls | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
     September 01, 2015 - Overview Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care Using a Computerized Fall

102. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     June 02, 2025 - staff generally do a good job of investigating and following up after an adverse event, such as a fall …  It is more difficult for staff to identify which residents are at risk for a fall or pressure … we be sure to instruct the nursing assistant to stay close by when she was ambulating to prevent a fall …  Identify resident risk factors that may have caused a fall. … o Postfall Assessment Summary Report identifies the circumstances and context of a fall and provides

103. Appendix B25: Ways Families Can Help Reduce Fall Risk | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8.html
     December 01, 2017 - Quality Improvement Initiative for Nursing Facilities Appendix B25: Ways Families Can Help Reduce Fall … Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

104. Resources by Safety Topic | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/type-harm.html
     April 01, 2025 - on falls reduction using quality improvement tactics to assist nursing facilities in improving their fall … AHRQ Fall Tailoring Interventions for Patient Safety (TIPS): A Patient-Centered Fall Prevention Toolkit … Organizations can use this report to understand fall prevention strategies. … and Prevention (CDC) Stopping Elderly Accidents, Deaths & Injuries (STEADI) Initiative: Older Adult Fall … Toolkit elements include a program self-assessment, falls notebook, post-fall huddle documents, and more

105. Appendix B3: Fax Alert | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fax.html
     February 01, 2023 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … It is this resident's ______ fall in the past 180 days.

106. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
     January 01, 2022 - Within a given AE, such as a fall, abstractors are instructed to only report the highest severity AE … , such as the most severe fall. … 124 22678 0.5 0.5 – 0.7 Unassisted Fall 105 22678 0.5 0.4 – 0.6 Assisted Fall 19 22678 0.1 0.1 – … 132 26291 0.5 0.4 – 0.6 Unassisted Fall 117 26291 0.5 0.4 – 0.5 Assisted Fall 15 26291 0.1 0.0 – … Fall Assisted Fall Unassisted Fall 5.

107. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
     January 01, 2022 - Within a given AE, such as a fall, abstractors are instructed to only report the highest severity AE … , such as the most severe fall. … 124 22678 0.5 0.5 – 0.7 Unassisted Fall 105 22678 0.5 0.4 – 0.6 Assisted Fall 19 22678 0.1 0.1 – … 132 26291 0.5 0.4 – 0.6 Unassisted Fall 117 26291 0.5 0.4 – 0.5 Assisted Fall 15 26291 0.1 0.0 – … Fall Assisted Fall Unassisted Fall 5.

108. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
     January 01, 2022 - Within a given AE, such as a fall, abstractors are instructed to only report the highest severity AE … , such as the most severe fall. … 124 22678 0.5 0.5 – 0.7 Unassisted Fall 105 22678 0.5 0.4 – 0.6 Assisted Fall 19 22678 0.1 0.1 – … 132 26291 0.5 0.4 – 0.6 Unassisted Fall 117 26291 0.5 0.4 – 0.5 Assisted Fall 15 26291 0.1 0.0 – … Fall Assisted Fall Unassisted Fall 5.

109. Nursing Homes | Agency for Healthcare Research and Quality
     www.ahrq.gov/topics/nursing-homes.html
     Topic: Nursing Homes AHRQ has research, tools and resources for clinicians on topics such as preventing falls and antimicrobial stewardship in nursing homes. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits AHRQ’s S…

110. Final Progress Report: Engineering Safe Care Journeys for Vulnerable Older Adults (pdf file)
     www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
     January 01, 2025 - Domains of Patient Safety Population (Fall, UTI) Process or Outcome Measures Fall Fall Process … )62 Fall Fall Outcome Repeat fall within 30 days of index ED visit (uses our previously published definitions … Impact of fall prevention on nurses and care of fall risk patients. … Development and implementation of a pharmacy fall prevention program. … Tool 3I: Medication Fall Risk Score and Evaluation Tools.

111. Appendix B14: Pre and Posttests for Inservice #2, How to Reduce Falls | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manap14.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … A resident who leans over or slides down while seated in a wheelchair is more likely to fall out of the

112. Appendix B22: Suggestions for Further Assessment and/or Interventions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb22.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Conditions that increase fall risk Cardiac Postural hypotension Arrhythmias Neuropsychiatric

113. Appendix C6: Falls Assessment Report Sample | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt6.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Suggestions for further assessment and/or interventions (X) Medications that could increase fall

114. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/monthly.html
     October 01, 2017 - 7 7 0 27 0 0 0 Table 7 (continued)   Day of Week Shift Other Fall … Thursday Friday Saturday Sunday Days Evenings Nights Room Change Within 30 Days of Fall … Date Total Residents Who Fell Total Residents With >1 Fall Total Falls Unit A # falls

115. Appendix B4: Falls Assessment | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/risk.html
     February 01, 2023 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Once the assessment is complete, proceed to the Fall Interventions Plan and select specific individualized

116. Module 3. Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
     October 01, 2014 - medical events that can cause what looks like or also involves a fall, such as a stroke or seizure. … a fall or near fall. … Develop participants' knowledge and skills in preventing falls and fall-related injuries. … P is less likely to fall? … P's temperature, Paul asks about his father's condition and the fall.

117. Appendix C3: Unsafe Behavior Worksheet Sample | Agency for Healthcare Research and Quality
     www.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

118. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/strat.html
     October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Menu of Implementation Strategies The On-Time Falls Prevention Menu of Implementation Strategies for using reports is a list of potential ways facility teams may choose to integrate the falls risk reports into clinical practice. In addition, t…

119. Final Progress Report: Improving Patient Safety: Health Systems Reporting, Analysis and Safety Improvement Research Demonstrations (pdf file)
     www.ahrq.gov/sites/default/files/2025-05/fraser-dunagan-report.pdf
     January 01, 2025 - Patterns and predictors of inpatient falls and fall injuries in a large academic hospital. … Fall rates and characteristics of inpatients who fall in an urban hospital. … Prospective Comparison of Fall Risk Assessments and Measurement Items. … Differences in Fall Prevention Policies Across Hospital Settings. … An Inservice to Involve Hospital Support Staff in Patient Fall Prevention.

120. Appendix C4: Fax Alert Sample | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt4.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … It is this resident's __2___ fall in the past 180 days.