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cds.ahrq.gov/sites/default/files/cds/artifact/127731/ASPIRE_ExerciseGuidanceforFallPreventionIntegration_Flowchart.pdf
July 18, 2023 - EHR service
to obtain patient's
observation info on
fall risk assessment and
conditions
Process … data returned from the
Exercise Guidance for Fall Prevention
CDS Service
Patient demographics, … Fall risk
assesssment
and conditions
Exercise Guidance for
Fall Prevention
CDS Service … Patient demographics,
fall risk assessment
and condition info
Recommendations,
label, … Exercise Guidance for Fall Prevention Integration
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/nMb54adBfgajp8dG87kPcw
April 17, 2018 - Analytic Framework
Community-dwelling
adults aged ≥65 y
High fall risk
Average fall risk
Falls
Fall-related … Because age and other
individual and environmental factors determine risk of fall, con-
trol group fall … injuries due to a fall. … Since this review focused on fall and fall-
related morbidity and mortality, other non–fall-related outcomes … The Whitehorse NoFalls trial: effects on fall rates
and injurious fall rates.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/steps.html
October 01, 2017 - 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.
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/Xm5_jgUrXXGAJe8WJh_9KK
June 01, 2024 - and 10.2% reported a fall-
related injury. … In 2021, 38,742 deaths resulted from fall-related injuries. … • The Centers for Disease Control and Prevention (CDC) has guides on fall prevention interventions. … • The CDC’s STEADI (Stopping Elderly Accidents, Death, and Injuries) initiative helps reduce fall … • The National Institutes of Health provides information on falls and fall prevention.
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www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-risk-screening.pdf
June 02, 2025 - improvement (QI) lead at Pearl
Family Medicine, recognized the need to implement an opioid
misuse and fall-risk … screeners linked to the annual wellness visits of older adults on LTOT: the STEADI tool for
assessing fall … patients (60+): 30%
1 MD = Medical Doctor; PA = Physician Assistant.
2 The STEADI algorithm for fall … implementation progress, the Pearl team selected rates of older adults with opioid-related
risk/ fall … ▶ Stopping Elderly Accidents, Deaths & Injuries (STEADI) tool for assessing fall risk.
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psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
May 24, 2017 - (1) designing a falls prevention and management program; (2) effective interventions for high-risk fall … patients; (3) implementing hip protectors for high-risk fall patients; and (4) educating patients, families … , and staff on falls and fall-injury prevention. … February 8, 2006
WebM&M Cases
Another Fall
April
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digital.ahrq.gov/location/usa-fl-tampa
January 01, 2023 - USA, FL, Tampa
Evaluation and Integration of an Automatic Fall Prediction … assisted living facility residents to see if it was greater in patients who fell the week preceding their fall … as compared to residents who did not fall.
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psnet.ahrq.gov/issue/utilization-seniors-falls-investigation-methodology-identify-system-wide-causes-falls
November 21, 2014 - November 21, 2014
Evaluation of clinical practice guidelines on fall prevention and management
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psnet.ahrq.gov/issue/insights-climate-safety-towards-prevention-falls-among-hospital-staff
February 14, 2017 - This Australian study examines the relationship between safety climate and attitudes toward fall prevention … Related Resources From the Same Author(s)
6-PACK programme to decrease fall … 2014
View More
Related Resources
6-PACK programme to decrease fall … May 4, 2015
Fall prevention in hospitals: an integrative review.
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psnet.ahrq.gov/issue/strength-improvement-recommendations-injurious-fall-investigations-retrospective-multi
August 17, 2022 - Study
Strength of improvement recommendations from injurious fall investigations: … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident … Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident
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psnet.ahrq.gov/node/49392/psn-pdf
April 01, 2003 - Another Fall
April 1, 2003
Bogardus SG. Another Fall. PSNet [internet]. 2003. … Case & Commentary: Part 2
The patient was identified as being a fall risk. … Various strategies are used for fall prevention in the hospital. … for future falls) by
some mechanism may have prevented the second fall. … Do hospital fall prevention programs work? A systematic review.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
December 27, 2021 - Conduct a fall-out analysis to determine why individuals did not receive an indicated service. … A third process you can use with your practices to identify root causes is fall-
out analysis. … Steps for Completing a Fall-Out Analysis
1. … Identify two-to-five patient cases that “fall out” of the performance metric in question.
2. … Example: Using fall-out analysis to improve diabetes care in a federally qualified health center.
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psnet.ahrq.gov/node/854625/psn-pdf
January 01, 2024 - Findings indicate that remote patient monitoring (when combined with standard
fall precautions) can … reduce the incidence of falls and fall-related injuries, as well as decrease fall-related
expenditures
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-IV-rapid-response-patient-family-engagement.pdf
October 01, 2023 - program Fall Tailoring Interventions for Patient Safety;19,20
patient fall self-assessment tool;21 … fall risk factors and developing and following through on a personalized
fall prevention plan.19,20 … One study that reported on the patient fall self-assessment tool noted that adoption
and fall safety … Fall and Injury Prevention. … Fall TIPS: A Patient-Centered Fall
Prevention Toolkit.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb2txt.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … ___________________
Section B
Was the incident:
__ Found on the floor (unwitnessed)
__ Fall … to the floor (witnessed)
__ Near fall (patient lowered to floor by staff/other or stabilized)
__ … Self-reported fall
The cause of the incident was:
__ Lost balance
__ Slipped (specify): __ … Other site (specify):
Was this person in the Falls Management Program at the time of the fall
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psnet.ahrq.gov/node/36584/psn-pdf
January 12, 2011 - Will my patient fall?
January 12, 2011
Ganz DA, Bao Y, Shekelle PG, et al. Will my patient fall? … https://psnet.ahrq.gov/issue/will-my-patient-fall
The authors assessed the literature to determine risk … https://psnet.ahrq.gov/issue/will-my-patient-fall
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digital.ahrq.gov/population/elderly
January 01, 2024 - Reconstruction Decision Support Tool in Diverse Practice Settings
Management of fall … Management of fall risk among older adults in diverse primary care settings. … Project Name
Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall … Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall … Project Name
Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall
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psnet.ahrq.gov/node/73396/psn-pdf
June 16, 2021 - impact-built-environment-patient-falls-hospital-rooms-integrative-review
https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program … https://psnet.ahrq.gov/issue/pilot-testing-fall-tips-tailoring-interventions-patient-safety-patient-centered-fall
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digital.ahrq.gov/principal-investigator/lucero-robert-j
January 01, 2023 - Usability testing of an interoperable computerized clinical decision support tool for fall risk management … Usability testing of an interoperable computerized clinical decision support tool for fall risk management … Project Name
Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - Implementing a Fall Prevention Program
December 1, 2011
Healey F. … Implementing a Fall Prevention Program. PSNet [internet]. 2011. … https://psnet.ahrq.gov/perspective/implementing-fall-prevention-program
Perspective
Throughout the … many of whom have
been admitted because of mobility problems, falls, or injury from falls (1), making fall … Preventing falls and fall-related injuries in hospitals. Clin Geriatr Med.
2010;26:645-692.