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121. 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

122. Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety. | PSNet
     psnet.ahrq.gov/issue/fall-risk-and-prevention-agreement-engaging-patients-and-families-partnership-patient-safety
     November 13, 2024 - Commentary Fall risk and prevention agreement: engaging patients and families with … Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety … This improvement project tested strategies to engage care teams in fall prevention, including educating … Fall risk and prevention agreement: engaging patients and families with a partnership for patient safety

123. Sitters as a patient safety strategy to reduce hospital falls: a systematic review. | PSNet
     psnet.ahrq.gov/issue/sitters-patient-safety-strategy-reduce-hospital-falls-systematic-review
     March 08, 2023 - assessing the effectiveness of bedside “sitters”   for agitated patients who appear to be at high fall … In general, the researchers found very-low-certainty evidence that sitters reduce fall risk in acute … All included studies had a least one methodological limitation (such as not defining what consisted a fall … to engage older adults in fall prevention in a nursing home. … January 27, 2021 Fall prevention implementation strategies in use at 60 United States

124. 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?

125. 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.

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72519/psn-pdf
     December 02, 2020 - toolkit (Fall Tailoring Interventions for Patient Safety (Fall TIPS)). … The Fall TIPS toolkit supports nurses in providing tailored, fall-prevention intervention and engages … patients and families in fall prevention efforts. … https://psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall … https://psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall

127. 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

128. 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

129. 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.

130. 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.

131. 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.

132. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet
     psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
     December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries … Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in … Despite successful implementation of the fall prevention bundle, falls occurred just as frequently on … A WebM&M commentary discussed a case involving a fall resulting in injury. … July 5, 2013 Fall prevention in hospitals: an integrative review.

133. Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention Patient-Centered Outcomes Research Findings into Diverse Primary Care Practices (ASPIRE) - Final Report | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/final-report
     January 01, 2023 - Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention … Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall Assessment and Prevention … Project Name Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866728/psn-pdf
     September 18, 2024 - ROI for a fall prevention intervention: invest a little, save a lot. … ROI for a fall prevention intervention: invest a little, save a lot. … Fall Tailoring Interventions for Patient Safety (Fall TIPS) is an evidence-based program that engages … patients in their own fall prevention program. … failure-ensure-patient-safety-leads-patient-falls-nursing-homes https://psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849592/psn-pdf
     May 31, 2023 - After a process of revisions, the team created the Fall TIPS Program. … The patient assessment is based on the Morse Fall Scale,11 which is a validated fall risk assessment … The scale includes the six most common reasons patients in hospitals fall: the patient fall history, … Fall and injury prevention. In: Hughes RG, ed. … Implement fall TIPS: Step 1. Secure buy-in from hospital leadership.

136. 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

137. Preventing Falls With Injury. | PSNet
     psnet.ahrq.gov/issue/preventing-falls-injury
     May 06, 2015 - Multi-use Website Preventing Falls With Injury. Citation Text: Preventing Falls With Injury. Joint Commission Center for Transforming Healthcare; TST. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

138. 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

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846157/psn-pdf
     March 15, 2023 - Patient perception of fall risk and fall risk screening scores. … Patient perception of fall risk and fall risk screening scores. … https://psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores Falls in inpatient … behavior, the lower the fall-risk score. … https://psnet.ahrq.gov/issue/patient-perception-fall-risk-and-fall-risk-screening-scores https://psnet.ahrq.gov

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72756/psn-pdf
     February 17, 2021 - Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in … fall prevention in a nursing home. … fall prevention in a nursing home. … https://psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall … https://psnet.ahrq.gov/issue/adopting-fall-tailoring-interventions-patient-safety-tips-program-engage-older-adults-fall