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61. 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/implmatls.html
    November 01, 2017 - The team is expected to use the Self-Assessment Worksheet to help understand current fall prevention … Yes No The Hendrick II Fall Risk Model |__| |__| Timed Get Up and Go Test |__| … Yes |__|   No  |__|   Do you investigate why the fall occurred? … Agree to Use On-Time Fall Prevention   2. … Review Fall Incidence As required 16.

62. Chapter 1. Introduction and Program Overview | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man1.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … About 1 in 3 of those who fall will fall two or more times in a year. … Extrinsic fall risk factors Environmental hazards. Unsafe equipment. … The first is through an immediate response to residents who fall. … of fall risk and related injuries. 4.

63. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
    April 23, 2008 - fall-related injuries … fall Pre-coaching (%) (N = 33) Post-coaching (%) (N = 29) Shift during which fall occurred … /diagnosis 21 75 Fall risk 61 82 Interval of fall risk reassessment 30 54 Type of fall (anticipated … Impact of the PFQ project on fall prevention efforts (continued) PFQ project on fall prevention effort … Impact of the PFQ project on fall prevention efforts (continued) PFQ project on fall prevention effort

64. Appendix B1: The FMP Self-Assessment Tool (Text Description) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb1txt.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … of resident investigation of fall circumstances documentation of fall immediate intervention … Data collected after each fall? (If fall is unwitnessed, give credit for investigation.) … fall?                     … Nurse notes reference fall and show increased monitoring for 72 hours after fall?          

65. Session 1 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess3.html
    October 01, 2014 - Three of every four nursing center residents fall each year. … Is it a fall? … Residents may not be strong enough to counter the tendency to fall. … Loss of strength in the lower limbs is especially common in residents who fall. … likely to be injured in a fall.

66. 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/quarterlysum.html
    November 01, 2017 - Unsafe Behaviors Mental: Cognitive Impairment Gait and Balance Instability Fall … : 8-30 Days Fall: 31-180 Days Psychoactive Medications Other High-Risk Medications … Acute Mental Status Change Behavior: New Unsafe New Gait/Balance or Device Order New Fall … With Major Injury Fall With Minor Injury Total Residents Who Fell … Total Residents With >1 Fall Total Falls Apr-11 # falls 3 13 11 3

67. 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/faclevel.html
    November 01, 2017 - Unsafe Behaviors Mental: Cognitive Impairment Gait and Balance Instability Fall … : 8-30 Days Fall: 31-180 Days Psychoactive Medications Other High-Risk Medications … Mental Status Change Behavior: New Unsafe New Gait/Balance or Device Order New Fall … With Major Injury Fall With Minor Injury Total Residents Who Fell … Total Residents With >1 Fall Total Falls Unit A # falls 6 35 30

68. Chartbook on Patient Safety (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-chartbook-2020.pdf
    January 01, 2020 - FALL The Fall event type in CFER-H V1.2 collects reports of Incidents involving a fall. … Fall Assistance 62.0% 38.0% Fall considered unassisted Fall known to be assisted Note: The … FALL. … ) of Fall Incidents. … Extent of Harm Extent of Harm Fall Assistance Fall Assistance Fall Assistance by Extent of Harm

69. Implementation Steps and Timeline - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspximplsteps.pdf
    June 02, 2025 - Step 4: Introduce On-Time Fall Prevention The On-Time Facilitator provides technical assistance via … Step 15: Review Fall Incidence The Facilitator works with the team to generate QI monitoring reports … that identify fall rates to provide feedback to the Change Team and support reporting requirements. … Agree to Use On-Time Fall Prevention 2. … Review Fall Incidence As required 16.

70. Appendix B. Forms and Training Materials (Appendix Contents) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Assessment Unsafe Behavior Worksheet FMP Entry Log Primary Care Provider Fax Report and Orders Fall … Interventions Plan Fall Interventions Monitor Staff Materials Pre and Posttests for Inservice … and/or Interventions Resources Letter to Primary Care Providers Ways Families Can Help Reduce Fall

71. Appendix A. References and Equipment Sources | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapa.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Restraint Reduction and Fall Prevention. … The Fall Reduction Program. … Falls and Fall Risk: Clinical Practice Guidelines. (1998). American Medical Directors Association. … Fall and injury prevention in older people living in residential care facilities.

72. Appendix C8: Fall Interventions Plan Sample | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt8.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C8: Fall … Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

73. Selected Best Practices and Suggestions for Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d4e_combo_psi08-postophipfx-bestpractices.pdf
    May 20, 2016 - Approximately 73%- 90% of hip fractures result from a fall.1 Preventing falls is key to preventing hip … Prevention Protocol Use a standardized fall prevention protocol to help reduce falls and associated … o Communicate patient fall risk to all caregivers. … Fall management guideline. Hamilton, NJ: Health Care Association of New Jersey; 2012. 16. … Fall prevention: assessment, diagnoses, and intervention strategies.

74. A Model of Care Delivery to Reduce Falls in a Major Cancer Center (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kline_32.pdf
    March 03, 2008 - • Procedure within 48 hours of fall (Y/N). • Use of assistive devices (Y/N). … • Did the patient call for help prior to the fall? … • Were family members or visitors present at the time of the fall? … Notify receiving areas of high fall risk, e.g., radiology. 10. … An assisted fall occurs when a patient is being accompanied by a care provider and begins to fall, typically

75. Module 3: Falls Prevention and Management | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3.html
    March 01, 2019 - Objectives Session 1     Introduction     A Safe and Enjoyable Environment     Knowing When a Fall … Risk Factors for Falls Session 2     Limiting Falls that Cause Injury     Assessing and Decreasing Fall … Risk     Responding to a Near Fall or Fall     After a Fall Conclusion     In Summary     Pearls

76. Hospital Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/hospital/resource/about.html
    December 01, 2017 - Fall Prevention in Hospitals Training Program AHRQ developed the Fall Prevention in Hospitals Training … and learn how to overcome the challenges associated with developing, implementing, and sustaining a fall … Falls in Hospitals Each year, somewhere between 700,000 and 1,000,000 people in the United States fall … Fall prevention involves managing a patient's underlying fall risk factors and optimizing the hospital's … toolkit focuses on overcoming the challenges associated with developing, implementing, and sustaining a fall

77. Final Progress Report: Safety Outcomes of Obese Residents in US Nursing Homes (pdf file)
    www.ahrq.gov/sites/default/files/2024-05/felix-report.pdf
    January 01, 2024 - Overall, 21.1% of residents experienced a fall. … Overall, 6.9% of residents experienced a fall with an injury. … who were class 3 obese were 34.2% less likely to fall (SE=0.01, p<0.001). … 19.9% less likely to fall (SE=0.01, p<0.000). … Being underweight increased the odds of experiencing a fall, fall with injury, or pressure ulcer but

78. Abt Single-Sided Body Template (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverviewmaterialspacket.pdf
    June 02, 2025 - 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 or “not known” 6:35 a.m. 5:35 a.m. 7:15 a.m. 6:50 … Shift Shift N N D E N N Fall Witnessed? Yes/no N N Y Y N N If yes, who witnessed? … Location Fall location: room; bathroom; hallway; dining room; activities; therapy; beauty parlor; … Walking Walking Toileting Toileting Potential Causes of Fall Unknown Behavior – agitation

79. 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/highrisk.html
    October 01, 2017 -     Mental: Unsafe Behaviors Mental: Cognitive Impairment Gait and Balance Instability Fall … : 8-30 Days Fall: 31-180 Days Psychoactive Medications Other High-Risk Medications Resident … Status Change Behavior: New Unsafe New Gait/ Balance or Device Order New Fall

80. Sampleransferandintakenotes (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/sampleransferandintakenotes.pdf
    June 02, 2025 - neurological/psychological, gastrointestinal/genitourinary, endocrine/nutritional/metabolic, wound and skin, fall-related … and non-fall-related injury, musculoskeletal, other changes not specified elsewhere, or treatment not … diabetes Wound & Skin  Cellulitis  Edema  Infected wound or decubitus  Jaundice  Rash Fall-Related … Injury  Major injury  Minor injury Non-Fall-Related Injury  Major injury  Minor injury Musculoskeletal … Dehydration  Dementia  Depression  Diabetes  Dysrhythmias  Electrolyte imbalance  Fever  Fall