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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
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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."
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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
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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?”
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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.
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www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008
The National Quality … Forum
Fall Policy Conference 2008
Principal Investigator: Dwight McNeil
Team Members: S. … Agency for Healthcare Research and Quality
Grant No: 1R13HS017882-01
2008 National Quality Forum Fall … -16, 2008
Crystal City, VA
Abstract
Purpose: The National Quality Forum’s (NQF’s) 9th Annual Fall … Policy Conference, Healthcare Quality
PURPOSE
The National Quality Forum’s (NQF’s) 9th Annual Fall
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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
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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.
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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.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6txt.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B12: Fall … Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … Room : ____________________
Directions: Monitor staff implementation and effectiveness of the Fall
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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
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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 .
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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.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb6.html
February 01, 2023 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities
Appendix B11: Fall … 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/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?
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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.
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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.
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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?
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - and injurious fall rates. … The fall rate per 1000 patient-days
2. The injurious fall rate per 1000 patient-days
3. … The two primary dependent variables were the fall rate and the injurious fall rate. … and injurious fall rates. … and injurious fall
rates.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb09logtxt.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … Record the date of any fall that occurs after entry. … Resident Name
Date entered into FMP
Fall Dates
Notes