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121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867428/psn-pdf
     December 18, 2024 - The Morse Fall Scale, an inpatient fall risk assessment scale and the basis for the Fall TIPS program … were good at fall prevention. … fall prevention plan and a Fall TIPS sign posted. … As patients’ knowledge of their fall risk factors and plans improves, fall rates decrease. … About Fall TIPS – A Patient-Centered Fall Prevention Toolkit. Accessed October 3, 2024.

122. 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

123. 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.

124. Using a Clinical Decision Support Tool to Improve Fall/Injury Prevention Care Planning (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-training.pdf
     February 15, 2008 - Reviewing the Fall Prevention Process in the EHR Screen all adults for Fall Risk: Hx of Falls Altered … fall ) Continue to screen for development of Risk Factors Focused Fall Risk Assessment … indicates the patient has had a previous fall. … to help you to: • Identify patient-specific fall & fall-related injury risk factors • Talk with patients … Reviewing the Fall Prevention Process in the EHR Reviewing Patient-Specific Fall & Injury Risks Using

125. 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?

126. 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.

127. 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.

128. 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

129. 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

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. 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.

132. 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

133. 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

134. 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 …

135. 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

136. Evaluation of AHRQ's On-time Pressure Ulcer Program | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
     January 01, 2023 - Design the tools and establish the foundation for a fall prevention implementation effort using an approach … Lessons from the On-Time Pressure Ulcer program informed the development of an On-Time Fall Prevention … which uses documentation data elements, actionable reports, and tracking tools to address residents’ fall … A year-long process of meetings informed the standardization of fall documentation and the development … of tools to guide clinical decisionmaking for fall prevention.

137. Evaluation and Integration of an Automatic Fall Prediction System - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r21hs018205-kearns-final-report-2012.pdf
     January 01, 2012 - In a large study of fall risk in nursing homes, French et al.10 identified 18 fall risk factors; the … We hypothesized that the contribution of path tortuosity to fall risk would improve estimates of fall … Fall validation protocol. … predicted the future fall. … Path tortuosity and fall risk.

138. 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.

139. 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.

140. 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 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/u18hs027557-dykes-final-report-2022.pdf
     January 01, 2022 - for addressing pre-identified fall injury risk factors. … risk, and activate fall prevention care planning. … Fall Prevention in Primary Care: The ASPIRE Project. … Fall Prevention in Community Dwelling Older People. … Exercise Guidance for Primary Care Fall Prevention: https://cds.ahrq.gov/cdsconnect/artifact/exercise-guidance-primary-care-fall-prevention