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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
April 01, 2025 - 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 … By detecting falls or increased fall risk early with sensors in the home, this new
technology can act … University of
Utah
Salt Lake City, Utah
R18 HS25606
[Grant]
Reconfiguring the
Patient Room as a Fall … AHRQ Investments
Examples of Project Findings
Reducing Hospital-Associated Infections
Improving Fall
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www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
January 01, 2024 - Mailings began in August 2003 and continued
throughout the fall of 2003, before the initiation of the … received GRAM™-triggered RAP-
Med Reports for all patients in the intervention arm who triggered the fall … The first two are conceptually based on the premise that a recent fall
may indicate an environment prone … in 2003,
continuing through the intervention year 2004), the proportion of residents triggering the fall … Discussion:
Our findings may reflect in part that delirium, rather than a fall, is more likely caused
-
www.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.
-
www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/apd.html
October 01, 2017 - QIS/Instructor
All participants
2C: Current Process Analysis
15
Assessing current fall … : Action Plan
2:10–2:25
15
Break
2:25–3:50
15
Module 5: How To Measure Fall … Rates and Fall Prevention Practices
Introduction
QIS/Instructor—facilitated group discussion
-
www.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)?
-
www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Each measure has a range of answer options that fall into three columns:
BELOW TARGET
OK
ON TARGET … Each measure has a range of answer options that fall into three columns:
BELOW TARGET
OK
ON TARGET
-
www.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.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb3.html
February 01, 2023 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/impguide.html
November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Implementation of the Falls Prevention Reports
Note: This part of the training consists of interactive exercises and does not have any slides. If you are not part of a formal training, please read all these materials, prin…
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fallspxmanapb19.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb18.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4.
-
www.ahrq.gov/cahps/surveys-guidance/home/index.html
November 01, 2023 - Consortium began the process by conducting a literature review and issuing a call for measures in the fall … field test data and submitted the revised survey to the Centers for Medicare & Medicaid Services in the fall
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/intro.html
October 01, 2014 - improve patient safety, create a more resident-centered environment, and reduce the number of falls and fall-related
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facility-transfer.html
September 01, 2017 - Transfer
Transfers That Result in
Observation Stays
or ED Visits or Hospital Visits
Fall-Related … Injury
Non-Fall-Related
Injury
Abnormal
Lab
Fever/Possible
Infection
Malaise
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/transform.pdf
January 01, 2020 - By 2020 the estimated annual cost of fall injuries for older
people will exceed $30 billion.7,8 Now that … Validation of the Hendrich II Fall
Risk Model: A Large Concurrent Case/Control Study of Hospitalized
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb20.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man6.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4.
-
www.ahrq.gov/topics/maternal-health.html
January 01, 2023 - The papers fall under two typesâa "call to action" or a "state of the science."
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb9.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt7.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4.