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41. Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions (pdf file)
    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.

42. NPSD Data Spotlight - Falls: Associated Factors and Clinical Outcomes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
    March 01, 2023 - (DE201) ■ Type of Injury as a Result of Fall (DE204) ■ Patient Activity Prior to Fall (DE207) ■ Risk … Assessment Prior to Fall (DE210) ■ Risk Factor(s) Prior to Fall (DE216) Further, for the above analyses … Activity Prior to Fall Figure 4 shows Commonly specified activities prior to fall by age for female … Figure 5 – Risk Assessment Prior to Fall by Age and Sex Risk Factor(s) Prior to Fall Figure 6 shows … Activity Prior to Fall Risk Assessment Prior to Fall Risk Factor(s) Prior to Fall Conclusions

43. 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/reports.html
    November 01, 2017 - 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. … Whether the fall was witnessed. … If the fall was witnessed, the activity the resident was engaged in at the time of the fall.

44. Appendix B9: FMP Entry Log (Text Description) | Agency for Healthcare Research and Quality
    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

45. Pressure Ulcer Prevention Toolkit (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module5/putoolkit_module5_tools.docx
    June 02, 2025 - Rates and Fall Prevention Practices Measure Fall Rates Key Indicator Who is responsible? … Completion Date for Plan Fall Rates (e.g., falls per 1,000 occupied bed days) are calculated … level of injury Measure Fall Prevention Practices Key Indicator Who is responsible? … Completion Date for Plan Fall risk factor assessment is performed within 24 hours of admission … Staff know definition of fall and definition of injurious fall 5C: Assessing Comprehensive

46. Appendix B24: Letter to Primary Care Providers | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb24.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Falls Engineer Instructions [Date} [Salutations] RE: Fall Management Program Dear … communication of the results to primary care providers Individualized management plans addressing fall … facility falls coordinator when one of your residents falls recurrently and/or suffers an injurious fall

47. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
    October 01, 2017 - 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 with minor … Date Fall Time Fall Witness Witness Type Witness Name Found By Fall Location Position When Found Activity … at Time of Fall Injury Assessment Notes Bleeding Suspected Cause of Fall Fall Comments Fall Injury

48. Generic Dashboard Data 2024 (xls file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
    January 01, 2024 - Fall Other location 23,180 12.3% Fall Outside area (i.e., grounds of this facility) 1,510 0.8% Fall … Communication 1,967 2.2% Fall Data 16 0.0% Fall Environment 1,536 1.8% Fall Human Factors 5,048 5.8% … Fall Supervisor/Support 130 0.1% Fall Multiple 3,187 3.6% Fall Other: Please specify 75,274 85.8% … Harm 38 1.1% Fall Under 18 Male No Harm 1,655 47.1% Fall Under 18 Male Severe Harm * * Fall Under … Harm * * Fall Under 18 Unknown No Harm 307 65.9% Fall Under 18 Unknown Unknown Harm 34 7.3% Fall

49. Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
    January 01, 2024 - The effect of the intervention on patient falls (dichotomized as fall/no fall) and falls with injury … TIPS on fall inpatient acute care fall rates and will publish the results of the evaluation elsewhere … Centered Fall Prevention Toolkit. … Dykes, P.C., et al., Fall TIPS: strategies to promote adoption and use of a fall prevention toolkit. … Dykes, P., et al., Fall TIPS: strategies to promote adoption and use of a fall prevention toolkit.

50. Appendix 3-A. Suggested Slides for Module 3 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
    October 01, 2014 - Three of every four nursing center residents fall each year. … Slide 6 Is it a fall? … Slide 10 Responding to a Fall or Near Fall Observe and evaluate. … Slide 12 Things to Remember Not every fall is just a fall. … Fall prevention requires active engagement.

51. Making Acute Care More Patient-Centered | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
    June 01, 2020 - About Fall TIPS. Fall T.I.P.S.: Tailoring Interventions for Patient Safety. … https://www.falltips.org/about-fall-tips/ . Accessed June 11, 2020. Fall TIPS Successes. … Fall T.I.P.S.: Tailoring Interventions for Patient Safety. … Development and validation of a fall prevention knowledge test. … Pilot testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention

52. Network of Patient Safety Databases Chartbook, 2021 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2021.pdf
    January 01, 2021 - FALL. … FALL, by UNASSISTED OR ASSISTED FALL. … on FALL OBSERVED and WHO OBSERVED THE FALL. … fall?” … Fall Intervention(s) in Place and Used to Prevent Fall Fall Observed Fall Observed Medication

53. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits - Functional Specifications (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxspecs.pdf
    February 01, 2018 - If HREC 3A or 3B is true, then HREC 3 - Fall History is true. 24 HREC 3A (Fall Within 30 Days) Fall … ) Fall: 31-180 Days Postfall Assessment or MDS item J1700B Fall Date If any fall dates are within … For each fall with fall date prior to and within 30 days of fall date, count the number of additional … Date of Fall Fall Date Date 4/17/14 3/6/14 2/27/14 2/11/14 1/16/14 10/4/13 Fall Day Day of week Saturday … fall?

54. Fallspximpl-Handouts (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
    June 02, 2025 - of the team regarding fall risk. … We don’t have a weekly fall risk huddle or weekly fall risk or safety meetings. … be attributed to the fall. … , location, activity just before the fall, and possible reason for the fall. … in at the time of the fall, and suspected causes of the fall.

55. Appendix B23: Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb23.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Falls and Fall Risk, AMDA Clinical Practice Guideline. 1998 Web Sites Agency for Healthcare Research … Topic: Patient Safety Alabama Quality Assurance Foundation (AQAF), AQAF Long-Term care fall prevention … Fall and injury prevention in older people living in patiential care facilities: a cluster randomized

56. AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201804.html
    July 01, 2018 - helps hospitals overcome the challenges associated with developing, implementing, and sustaining a fall … Fall prevention involves managing a patient's underlying fall risk factors and optimizing a hospital's … Using the toolkit, the hospital updated its fall risk assessment system to use more specific risk factors … , which enabled the registered nurses to better identify patients at greatest risk of a fall. … The AHRQ toolkit also includes guidance on ways to build internal support for a fall prevention program

57. Chapter 3. Data Collection and Analysis Using TRIPS | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man3.html
    December 01, 2017 - with two or more falls and fall related serious injuries ( Figure 1 ). … Circumstances of the fall Item 1 asks if the fall was witnessed or unwitnessed or if the resident … Item 3 is the activity at the time of the fall. … Item 4 is staff presence at the time of the fall. … Item 16a asks if the resident had an injury as a result of the fall.

58. Job Aid: Standardized Quality Measures (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/job-aid-standardized-quality-measures.pdf
    June 02, 2025 - Fall-out analysis A fall-out analysis looks for reasons a patient who is in the denominator of a measure … These are the fall-outs. … Document possible reasons for fall-out for each patient on the spreadsheet. …  Were there other reasons for fall-out? Step 4. … Tally how many times each cause of fall-out occurs on a tally sheet.

59. 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/handout.html
    November 01, 2017 - of the team regarding fall risk. … We don’t have a weekly fall risk huddle or weekly fall risk or safety meetings. … be attributed to the fall. … , location, activity just before the fall, and possible reason for the fall. … in at the time of the fall, and suspected causes of the fall.

60. Final Progress Report: The National Quality Forum Fall Policy Conference 2008 (pdf file)
    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