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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess2.html
October 01, 2014 - The resident may have had a fall and may have a broken bone or have worsening arthritis with increased … Falls Risk
A fall is defined as "involuntarily coming to rest on a lower surface," whether it is an … There are many things that can cause a fall, including things in the environment (like lighting, slippery … have difficulty breathing at night due to chronic lung problems, snoring, or pneumonia and may never fall … Falls —Watch the resident when doing things that could result in a fall (e.g., reaching for objects when
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20141022_cg/4_dale-shaller_closing.pdf
June 12, 2015 - • Health Plan Database Submission & Reporting
• Data Submission: Summer 2015
• Report Results: Fall
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manwsa.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/wysiwyg/cahps/news-and-events/events/webinars/hcbs-2021-webcast-technical-assistance.pdf
January 01, 2021 - Monday, September 13th
2:00-3:00pm EST
HCBS CAHPS Webinars
Wednesday, July 28th
3:00-4:00pm EST
Fall
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www.ahrq.gov/topics/medical-errors.html
Topic: Medical Errors
Medical errors can occur anywhere in the health care system--in hospitals, clinics, surgery centers, doctors' offices, nursing homes, pharmacies, and patients' homes--and can have serious consequences. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. AHRQ has sponsore…
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb8txt.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/ontime/prevhosp/ereports.html
September 01, 2017 - contributing to transfer risk: use of oxygen, catheter or ostomy, any pressure ulcer other than stage I, fall … Fall risk or previous fall in last 90 days.
Late-loss ADL score ≥12. … neurological, gastrointestinal/genitourinary, endocrine/metabolic/nutrition, wound and skin, injury (fall … related or not fall related), musculoskeletal, abnormal labs or anemia, fever/possible infection, malaise … injury
Non-fall-related injury
Abnormal labs
Fever/possible infection
Malaise/fatigue
Potential
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/factraining-slides.html
October 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Text version of slide presentation.
Slide 1: Overview of On-Time
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Facilitator Training
Overview of On-Time
Slide 2: On-Time Fall…
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www.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroupmeeting-notes-july2022.pdf.pdf
November 03, 2022 - Reviewing revised
resource and hope to post in the Fall. … Additional supporting material are anticipated in Fall 2022.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
February 01, 2023 - Assessing the Health and Welfare of the HCBS Population
Table 15A: Outcome Indicators by County Demographics
Previous Page Next Page
Table of Contents
Assessing the Health and Welfare of the HCBS Population
Introduction
HCBS Population
Availability and Use of State Medicaid HCBS
Outcome Indi…
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www.ahrq.gov/funding/training-grants/pcor/index.html
July 01, 2015 - AHRQ's PCORTF projects fall within one of the following categories:
Training and Career Development
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/7_Dale_Shaller_slides_72-75.pdf
November 01, 2014 - Data Submission: Summer 2014
Adult and Child Medicaid, CHIP 5.0
Report Medicaid and CHIP Results: Fall
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www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
January 01, 2024 - that 3.3% of the over three million HHC
patients studied had reports of emergent care related to a fall … age.46, 48 The elderly not only have a high incidence of falling (35-40% of elders in
the community fall … each year) but also have a high incidence of serious injuries when they do fall, and even minor falls … each year) but also a high incidence of serious injuries when
they do fall, and even minor falls can … Fall events among people with stroke living in the community: Circumstances of
falls and characteristics
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2023-rev.pdf
January 01, 2023 - An
example of additional detail from the Fall module would be the type of injury sustained in a
fall … distinct modules of the CFER-H (e.g., Blood or Blood Product, Device or
Medical/Surgical Supply, Fall … Incidents can be reported for any EVENT TYPE, but Incident is the
only REPORT TYPE possible for Fall … As Incident is the only REPORT TYPE possible for Fall, Healthcare-Associated
Infection, Perinatal, … )
• Near fall – loss of balance that does not result in a fall
Medication or Other Substance
• Adverse
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www.ahrq.gov/cahps/surveys-guidance/item-sets/PCMH/Development-PCMH-Survey.html
November 01, 2020 - Medical Home Item Set
The development of the Patient-Centered Medical Home Item Set began in the fall
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
October 20, 2021 - cognitively tested
draft items
Obtained input from
- SOPS TEP
- DX Safety TEP
Conducted
pilot study
Fall … examine
the reliability and construct validity of the items, retaining only
the best items
46
Fall … Fall 2020 Pilot Study
Participating Medical Offices
Results
Composite Measure Results
Testing and
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www.ahrq.gov/sops/surveys/nursing-home/nursing-home-2/index.html
November 01, 2024 - Timeline The SOPS Nursing Home Survey 2.0 is being pilot tested in Fall 2024, with an expected release
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www.ahrq.gov/research/findings/final-reports/index.html?page=3
January 01, 2024 - Safety, Older Adults Publication Date: June 2020
Developing Biomechanical Models from Initiated Fall … 888539 ) Principal Investigators: Morse and Merryweather Grant Number: R03 HS 26264 Topic(s): Fall
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www.ahrq.gov/research/findings/final-reports/index.html?page=2
January 01, 2024 - Diagnostic Safety Publication Date: July 2021
Generalizability and Spread of an Evidenced-based Fall … Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) ( application/pdf 400632
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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-Prologue_Henriksen_Vol1.pdf
June 02, 2025 - a case-control study to determine risk factors for falls in a cancer center, use of a
computerized fall