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  1. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership.pdf
    April 30, 2025 - access hospitals (CAHs) due to a lack of structure of accountability and coordination of fall risk … They standardized the structure and process of fall risk reduction at the organizational level. … Thus, MTS processes predicted fall-related outcomes. … type and fall outcome. … Using a gait belt during an assisted fall decreases the odds of injury.
  2. www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/mcc.html
    May 01, 2025 - Research Special Supplement: The Science of Care for People With Multiple Chronic Conditions The Fall … AHRQ's Research Agenda for Transforming Care for People With Multiple Chronic Conditions  in the  Fall
  3. www.ahrq.gov/teamstepps-program/evidence-base/patients-families.html
    June 01, 2023 - Innovating fall safety: Engaging patients as experts. J Nurs Care Qual. 2020;35(3):220-6.
  4. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-reimagining-healthcare-teams-6.html
    July 01, 2023 - For example, a clinician may recommend a wearable technology to assess a patient’s fall risk. 29 The … be responsible for ensuring the technology is worn, while the AI would provide daily summaries about fall … risk and near falls and notify family members or the clinician if a fall occurs. … In fall 2022, the FDA provided updated guidance on designation of software as a medical device (SaMD)
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/training-tools/transcript-speaking-up.doc
    May 01, 2017 - Narrator: The blood pressure continues to fall. Dr.
  6. www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
    April 01, 2023 - The topic of this package is fall prevention. 2. … It is designed to assist nursing facilities in improving their fall care processes and outcomes through … Patient Fall Prevention and Management Protocol With Toileting Program http://www.ihi.org/resources/ … Best Practice Intervention Packages for Fall Prevention 2. … Patient Fall Prevention and Management Protocol With Toileting Program 5.
  7. www.ahrq.gov/topics/long-term-care.html
    Topic: Long-Term Care AHRQ has toolkits, recommendations, and other resources for long-term care facilities, such as nursing homes and rehabilitation centers, to improve quality, reduce errors, and increase patient safety. AHRQ Research Findings Support Effort to Reduce Pre…
  8. www.ahrq.gov/contact/standards.html
    March 01, 2021 - Publications Clearinghouse The AHRQ Publications Clearinghouse closed in Fall 2018 and we no longer
  9. www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal1.html
    January 01, 2013 - Based on this success, AHRQ contracted in fall 2008 with HRET to replicate this program nationally, starting … The contract was expanded in fall 2009 to include all 50 States, the District of Columbia, and Puerto
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
    November 30, 2013 - /psychological, gastrointestinal/genitourinary, endocrine/nutritional/metabolic, wound and skin, fall … - related and non-fall-related injury, musculoskeletal, other not specified elsewhere) or treatment … Injury  Major injury  Minor injury Non-Fall-Related Injury  Major injury  Minor injury …  Fall risk (based on On-Time Fall Risk indicator or facility-defined source). … related or non-fall related), musculoskeletal, abnormal labs or anemia, fever/possible infection,
  11. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/prescribers-facilitator-guide.docx
    June 01, 2021 - K. ask more questions about the circumstances related to the fall? … resident’s anticoagulation status, which is an important point to share, especially in the setting of a fall … the resident’s vital signs, physical exam, or other symptoms that may have helped to determine if the fall … He also should have asked for basic information following a fall, such as whether she hit her head, if … I think she was at her baseline mental status before the fall, and she seems to be at her baseline now
  12. www.ahrq.gov/topics/patient-experience.html
    Topic: Patient Experience AHRQ's Consumer Assessment of Healthcare Providers and Systems program measures the patient experience, which includes several aspects of healthcare delivery that patients value highly when they seek and receive care, such as getting timely appointments, easy access to information, and goo…
  13. www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
    June 01, 2022 - Each year, somewhere between 700,000 and 1,000,000 people in the United States fall in the hospital. … Care focuses on overcoming the challenges associated with developing, implementing, and sustaining a fall … to assist nursing facilities in providing individualized, person-centered care and improving their fall
  14. www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/menus.html
    February 01, 2022 - Fall-out analysis and Pareto charts: Analyzing why patients "fall-out" of a measure. … Steps for conducting a fall-out analysis. Pareto charts. Steps for creating a Pareto chart.
  15. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-fracture-booklet.pdf
    November 01, 2023 - Hip Replacement Sometimes a hip bone breaks as a result of an accident or a fall. … Other times, the hip bones become very weak and a bone can break on its own, causing a fall. … for Improving Surgical Care and Recovery Call, Don’t Fall! … ■ You may be lightheaded and could fall. ■ Press the call button. … ■ If you have small pets, they can cause you to trip or fall.
  16. www.ahrq.gov/pqmp/implementation-qi/toolkit/h2h/qi-strategies.html
    July 01, 2021 - The Key Driver Diagram included a set of quality improvement strategies that fall into five (5) categories
  17. www.ahrq.gov/patient-safety/settings/hospital/index.html
    February 01, 2025 - Fall TIPS: A Patient-Centered Fall Prevention Toolkit consists of a formal risk assessment and tailored
  18. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/booklets/hip-knee-surgery-booklet.pdf
    November 01, 2023 - ■ Put nightlights in the bathroom and hallways so you don’t fall. … It’s better to have a shoe with a back that’s more secure, so you don’t fall. … Hip or Knee Replacement Surgery Patient Education Guide 17 Call, Don’t Fall! … ■ You may be lightheaded and could fall. ■ Press the call button. A nurse will help you get up. … F Put nightlights in the hallways so you don’t fall.
  19. www.ahrq.gov/ncepcr/tools/obesity/obpcp-tool10.html
    May 01, 2014 - Integrating Primary Care Practices and Community-based Resources to Manage Obesity Tool 10. Sample Brochure Previous Page Next Page Table of Contents Integrating Primary Care Practices and Community-based Resources to Manage Obesity Acknowledgements Support Foreword Oregon Rural Practice-bas…
  20. www.ahrq.gov/hai/pfp/interimhac2013-ap4.html
    December 01, 2014 - The earlier estimates had been wrongly based on the full cost of a hospital stay that included a fall

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