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21. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
    June 02, 2025 - Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case … Focus on High Leverage Change: Risk Assessment Creating a Work-Around to Implement Fall … The team chose to focus this project on fall risk. … The QI goal was to identify the patients at highest risk for an adverse event (i.e., fall) before a … For example, a full STEADI fall risk assessment might require up to 20 minutes, which is not feasible

22. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
    December 01, 2017 - P's known fall risk factors? … P's fall risk are important to consider? … Illustration of Fall Response Step One—Evaluate and monitor resident for 24-72 hours after the fall … Step Two—Investigate Fall Mrs. … Interventions Plan Fall Interventions Monitor

23. Appendix C9: Fall Interventions Monitor Sample | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt9.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C9: Fall … Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. …    Room : ______401-A________ Directions: Monitor staff implementation and effectiveness of the Fall

24. Table 4. FMP Progression (Text Description) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4-tabtxt4.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … in facility" and the other reads "History of fall at home, hospital, ALF [assisted living facility], … Beside Box 1 is another grey box that reads "Falls RAP trigger but no fall in past 180 days." … After 3 months with no fall, monitor every 4 weeks and update Falls Intervention Plan as needed." … After 6 months with no fall, review with MDS [Minimum Data Set]/Care Plan and update quarterly."

25. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
    January 01, 2023 - KNOWN TO INCREASE FALL RISK at the time of fall, and PATIENT ACTIVITY PRIOR TO THE FALL. … another patient) ■ Near fall – loss of balance that does not result in a fall. … risk of fall?” … risk of fall?” … injury as a result of the fall?”

26. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
    March 01, 2006 - fall risk assessments, and multifactorial interventions. … Decrease in fall rate, calculated as the average fall rate for the first 3 months of baseline data … risk and of enlisting the patient in fall prevention. … - prevention interventions (54.2 percent) and tracking changes in fall rates or fall-related injury … Using toolkit guidance, posted on nursing units fall prevention tools based on the Morse13 Fall Scale

27. Falls and Injury | Agency for Healthcare Research and Quality
    www.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

28. 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/slides.html
    November 01, 2017 - if the fall was not witnessed). … Fall with major injury=1 and fall with minor injury=0 Fall with major injury=2 and fall with minor … injury=1 Fall with major injury=1 and fall with minor injury=2 Fall with major injury=2 and fall … Date Fall Time Fall Witness Witness Type Witness Name Found By Fall Location Position … Fall Comments Fall Injury Injury Type Major Injury Type Minor Injury Site ROM Upper ROM

29. Abt Single-Sided Body Template (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
    June 02, 2025 - in the last 180 days Source: Fall Assessment Presence of at least one of the following: Fall in last … 8-30 or 31-180 days Source: MDS assessment responses Fall history in last 30 days (J1700A) Fall history … information for each fall with fall date prior to and within 30 days of report date: Day of week on … which the fall occurred, Shift during which the fall occurred, Time at which the fall occurred, The … location of the fall, and If the resident had a room change within 30 days of the fall.

30. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
    January 01, 2024 - fall rates are within the hospital. … Fall Rate Unassisted Fall Rate Repeat Fall Rate Reporting Outcomes Core Team Processes Targeted … Rate (95% CI) Injurious Fall Rate (95% CI) Unassisted Fall Rate (95% CI) Repeat Fall Rate … Association between post-fall huddles and repeat fall rate 14 | P a g e Table 5. … type and fall outcome.

31. | Agency for Healthcare Research and Quality
    www.ahrq.gov/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.

32. | Agency for Healthcare Research and Quality
    www.ahrq.gov/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.

33. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
    November 01, 2017 - Fall time. Whether the fall was witnessed. … New Fall. … Fall with major injury = 1 and fall with minor injury = 0 Fall with major injury = 2 and fall with … Fall Time . … Fall Time .

34. NPSD Data Spotlights | Agency for Healthcare Research and Quality
    www.ahrq.gov/npsd/data/spotlights.html
    February 01, 2025 - Patterns of Fall Interventions  (PDF, 4.5 MB) outlines how the data mining method, Frequent Pattern Mining … It also highlights key findings on frequent fall interventions beyond those presented in the 2022 NPSD … Fall Supplementary analyses.  

35. Appendix. Additional Tools and Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3ap.html
    October 01, 2014 - Falls: Nursing Standard of Practice Protocol: Fall Prevention. … Validation of the Hendrich II Fall Risk Model: A large concurrent case/control study of hospitalized … The Vanderbilt Fall Prevention Program for long-term care: eight years of field experience with nursing … The Timed Up and Go Test for Fall Risk Assessment . accessed July 23, 2015.

36. 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/intro.html
    November 01, 2017 - nursing home team with electronic medical record (EMR)-based tools to effectively monitor resident fall … Clinical reports provide resident and fall risk information staff need to proactively implement care … Reports also provide the facility team with information to assist them in analyzing resident fall risks … The self-assessment will help facilities planning to implement On-Time Fall Prevention to identify … Reports and Implementation Materials Reports Falls High-Risk Report Summary of Fall

37. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
    June 02, 2025 -  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.

38. On-Time Falls Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/packet.html
    November 01, 2017 -   Fall Date Date 10/4/13 1/16/14 2/11/14 2/27/14 3/6/14 4/17/14 Fall Day … Day of week Saturday Thursday Tuesday Thursday Thursday Thursday Fall Time Time … Shift Shift N N D E N N Fall Witnessed? … Location Fall location: room; bathroom; hallway; dining room; activities; therapy; beauty parlor; … Comments Free text             Fall Injury?

39. Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
    January 01, 2024 - Fall risk was reassessed using the Falls Risk Screening tool after 3 months and 6 months. … Fall-tracking Calendars: Each participant had their fall status monitored during the study period with … time of the fall and whether or not the individual sustained an injury. … Table 3 When examining the fall risk factors that are most highly correlated with the fall risk (Falls … Risk of fall for individuals with intellectual disability.

40. Appendix 3-B. Pre/Post-Test Questions and Answers for Module 3 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3b.html
    October 01, 2014 - because of fear of another fall. … The resident can't do as much after the fall. … Which of the following should be reported as a fall or near-fall? … because of fear of another fall. … Answer: d Which of the following should be reported as a fall or near-fall?