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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3obj.html
October 01, 2014 - Module 3: Falls Prevention and Management
Learning and Performance Objectives
Previous Page Next Page
Table of Contents
Module 3: Falls Prevention and Management
Learning and Performance Objectives
Session 1
Session 2
Conclusion
Appendix. Additional Tools and Resources
Know…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … If the resident cannot reach it, she may try to get up by herself or lean over and fall. … A resident is likely to fall if the chair moves during transfer. … Reason: Uneven pavement, moving cars or any other unsafe conditions may cause residents to fall when … If a chair moves while the resident is getting in or out of it, a fall is likely.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereportguide.html
September 01, 2017 - Fall risk (based on On-Time Fall Risk indicator or facility-defined source). … Fall-Related Injury. … Non-Fall-Related Injury. … Fall-related injury.
Non-fall-related injury.
Abnormal labs.
Fever/possible infection. … Fall-related injury.
Non-fall-related injury.
Abnormal labs.
Fever/possible infection.
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www.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.
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www.ahrq.gov/es/topics/index.html
October 01, 2008 - 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.
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www.ahrq.gov/es/topics/index.html?page=0
October 01, 2008 - 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.
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www.ahrq.gov/patient-safety/news-events/psaw-2021/index.html
July 01, 2022 - Recent Releases
Fall TIPS: A Patient-Centered Fall Prevention Toolkit .
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb30.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … _ →
___ Tighten the loose bolts and screws.
___ Replace the missing hardware.
___ Ask the Fall
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www.ahrq.gov/sites/default/files/publications/files/ltcinstructor.pdf
June 01, 2012 - to a fall or near fall. … P is less likely
to fall? … Is it a fall? … Which of the following should be reported as a fall or near-fall?
a. … Which of the following should be reported as a fall or near-fall?
a.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb15.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb16.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4.
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www.ahrq.gov/sites/default/files/2024-12/danforth-report.pdf
January 01, 2024 - included 244,540 patients for delayed
diagnosis of CKD, 113,809 patients for medication use after a fall … analyses included 15 providers for delayed
diagnosis of CKD, 22 providers for medication use after a fall … For analyses of medication use after a fall, we
focused on patients age 65 and older to be consistent … 44%
race/ethnicity other than non-Hispanic White), 113,809 patients for medication use
after a fall … providers for delayed diagnosis of chronic kidney
disease, 22 providers for medication use after a fall
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www.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).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Schade_63.pdf
January 01, 2007 - /accident-related The affected party was a patient, and the
fall was not observed by hospital staff … /accident-related
The affected party was a patient, and the
fall was observed by hospital staff and … causation and prevention; however,
relatively few reports focus on fall rates in institutions, and … rate of 6.1/1,000 patient-days in
medicine and neurology wards.21
We speculate that our reported fall … Calculating fall rates:
Methodological concerns. QRB Qual Rev Bull 1988;
14: 369-371.
17.
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.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
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www.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
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/Data_Submission_Dashboard_Data_2024.xlsx
January 01, 2024 - Other Substance CFER-H V1.1 39,219 14.5%
Medication or Other Substance CFER-H V1.2 507,261 19.7%
Fall … CFER-H V1.1 20,445 7.6%
Fall CFER-H V1.2 269,496 10.5%
Surgery or Anesthesia CFER-H V1.1 25,264 9.4%
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www.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.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/treat-release.html
September 01, 2017 - 14
10
0
Table 4 (continued)
Reason for Transfer
Resident
Injury: Fall … Related
Injury: Not Fall Related
Musculoskeletal Symptoms
Abnormal Labs or Anemia
Fever/Possible
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www.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