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61. AHRQ's Safety Program for Nursing Homes: On-Time Falls Prevention Training (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.pdf
    June 02, 2025 - We don’t have a weekly fall risk huddle or weekly fall risk or safety meetings. … be attributed to the fall. … day, location, activity just before the fall, and possible reason for the fall. … engaged in at the time of the fall, and suspected causes of the fall. … If they have had more than one fall, they may fall in similar circumstances and that knowledge may

62. Appendix B12: Fall Interventions Monitor | Agency for Healthcare Research and Quality
    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

63. Using Root Cause Analysis to Reduce Falls in Rural Health Care Facilities (pdf file)
    www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
    March 09, 2008 - The tool allowed them to gather specific data on the fall, including date of fall; cause of fall; restraint … use; whether a fall assessment was completed; whether a fall protocol was in place at the time of the … fall; and the main cause of the fall (Figure 1). … Fall assessment done? Was patient determined to be at risk for a fall? … Was fall protocol in place? What was the main factor associated with the fall?

64. Chapter 5. Information and Training for Staff, Primary Care Providers, and Residents and their Families | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man5.html
    December 01, 2017 - are comprehensive and always reference the fall. … It is best to stay on the topic of fall reduction. … Intrinsic Fall Risk Factors Slide 5. Intrinsic Fall Risk Factors (continued) Slide 6. … Intrinsic Fall Risk Factors (continued) Slide 7. Extrinsic Fall Risk Factors Slide 8. … Staff Strategies to Reduce Fall Risk Slide 12b.

65. Improving Patient Safety in Long-Term Care Facilities, Module 3 (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
    June 01, 2012 - or Fall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 After a Fall . . … Is it a fall? … likely to be injured in a fall. … center resident’s near fall or fall. … Not every fall is just a fall. All falls need to be investigated.

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/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.

67. Appendix B11: Fall Interventions Plan | Agency for Healthcare Research and Quality
    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.

68. 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

69. 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?          

70. 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.

71. The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx.html
    March 01, 2023 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … to assist nursing facilities in providing individualized, person-centered care, and improving their fall … Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4.

72. 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.

73. 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

74. 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

75. 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

76. 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

77. 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.

78. 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

79. 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.

80. 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.