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321. Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals. | PSNet
     psnet.ahrq.gov/issue/diet-order-entry-registered-dietitians-results-reduction-error-rates-and-time-delays-compared
     September 23, 2020 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation … November 20, 2024 Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety … ): a patient-centered fall prevention toolkit.

322. Primary Care–Relevant Interventions to Prevent Falling in Older Adults: A Systematic Evidence Review for the U.S. Preventive Services Task Force (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/VpT-c4bnmvHFRPyKgPwb2Z
     December 01, 2010 - Limitations: Interventions and methods of fall ascertainment were heterogeneous. … Falling was assessed in a variety of ways (number of fallers, fall rate, time to first fall, and number … There was also a non–statistically significant increase in fall-related fractures. … Efficacy Education alone was not associated with a reduction in fall risk. … The effect of an individualized fall prevention program on fall risk and falls in older people: a randomized

323. New Tools Help Health Providers Reduce Patients' Risk of Falls | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
     September 01, 2015 - Overview Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care Using a Computerized Fall

324. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention - Facilitator Training: Overview of On-Time (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverview-ig.pdf
     June 02, 2025 - staff generally do a good job of investigating and following up after an adverse event, such as a fall …  It is more difficult for staff to identify which residents are at risk for a fall or pressure … we be sure to instruct the nursing assistant to stay close by when she was ambulating to prevent a fall …  Identify resident risk factors that may have caused a fall. … o Postfall Assessment Summary Report identifies the circumstances and context of a fall and provides

325. Impact of the unit-based patient safety officer. | PSNet
     psnet.ahrq.gov/issue/impact-unit-based-patient-safety-officer
     September 19, 2012 - The fall rate among inpatients decreased markedly after the patient safety officer position was begun … September 10, 2013 Inpatient fall prevention: use of in-room Webcams. … October 18, 2011 The cost of serious fall-related injuries at three midwestern hospitals

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46100/psn-pdf
     July 11, 2017 - The authors suggest that immobilizing patients is not the answer to fall prevention and advocate for … /falls https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial

327. The Stoplight Mobility Alert System for safety and prevention of falls in children with physical and cognitive impairments. | PSNet
     psnet.ahrq.gov/innovation/stoplight-mobility-alert-system-safety-and-prevention-falls-children-physical-and
     September 14, 2022 - The SMAS was developed as an adjunct to the existing institutional fall prevention bundle and to address … Based on a fall risk assessment and the patient’s locomotion score (walk, wheelchair, crawl), they are … not require assistance After admission, all patients are placed on a red mobility alert until a fall

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41985/psn-pdf
     October 26, 2016 - The most common adverse events reported were pressure ulcers and fall- related injuries or deaths. … /serious-reportable-events-healthcare-2011-update https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities … https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities

329. Appropriate use of medical interpreters in the breast imaging clinic. | PSNet
     psnet.ahrq.gov/issue/appropriate-use-medical-interpreters-breast-imaging-clinic
     October 16, 2024 - Assessing the effectiveness of engaging patients and their families in the three-step fall … prevention process across modalities of an evidence-based fall prevention toolkit: an implementation … November 3, 2021 Pilot Testing Fall TIPS (Tailoring Interventions for Patient Safety) … : a patient-centered fall prevention toolkit.

330. Demonstrating the value of a standardized cognitive assessment tool through the use of interprofessional rapid safety rounds. | PSNet
     psnet.ahrq.gov/innovation/demonstrating-value-standardized-cognitive-assessment-tool-through-use-interprofessional
     December 02, 2020 - Prior to implementation, the fall rate was 4.9 per 1,000 admissions. … By December 2020, the fall rate was reduced to 0 falls per 1,000 admissions. … February 1, 2023 Fall prevention with the Smart Socks System reduces hospital fall rates

331. Interventions to Prevent Falls in Community-Dwelling Older Adults: USPSTF Recommendation Statement (pdf file)
     www.uspreventiveservicestaskforce.org/home/getfilebytoken/h-w99jVsodSL33kV2h2_qW
     April 17, 2018 - Studies found that exercise improved several fall-related out- comes. … Studies found reductions across sev- eral fall-related outcomes. … falls) but not others (eg, number of persons experiencing a fall). … Falls and fall injuries among adults aged �65 years—United States, 2014. … /clinical-recommendations/all/fall -prevention.html. 2012.

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840172/psn-pdf
     November 16, 2022 - The SMAS was developed as an adjunct to the existing institutional fall prevention bundle and to address … Based on a fall risk assessment and the patient’s locomotion score (walk, wheelchair, crawl), they are … does not require assistance After admission, all patients are placed on a red mobility alert until a fall

333. Resources by Safety Topic | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/resources/type-harm.html
     April 01, 2025 - on falls reduction using quality improvement tactics to assist nursing facilities in improving their fall … AHRQ Fall Tailoring Interventions for Patient Safety (TIPS): A Patient-Centered Fall Prevention Toolkit … Organizations can use this report to understand fall prevention strategies. … and Prevention (CDC) Stopping Elderly Accidents, Deaths & Injuries (STEADI) Initiative: Older Adult Fall … Toolkit elements include a program self-assessment, falls notebook, post-fall huddle documents, and more

334. ‘Fear of falling’: how hospitals do even more harm by keeping patients in bed. | PSNet
     psnet.ahrq.gov/issue/fear-falling-how-hospitals-do-even-more-harm-keeping-patients-bed
     October 26, 2011 - March 29, 2023 Fall prevention with the Smart Socks System reduces hospital fall … December 23, 2020 Evaluation of a patient-centered fall-prevention tool kit to reduce … December 2, 2020 Patient activation related to fall prevention: a multisite study

335. Medicare nonpayment, hospital falls, and unintended consequences. | PSNet
     psnet.ahrq.gov/issue/medicare-nonpayment-hospital-falls-and-unintended-consequences
     October 19, 2022 - May 13, 2021 Preventing falls and fall-related injuries in health care facilities. … March 20, 2013 Inpatient fall prevention programs as a patient safety strategy: a systematic

336. Appendix B3: Fax Alert | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/fax.html
     February 01, 2023 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … It is this resident's ______ fall in the past 180 days.

337. Aspire Guidanceforosteoporosisflow (pdf file)
     cds.ahrq.gov/sites/default/files/cds/artifact/66551/ASPIRE_GuidanceForOsteoporosisFlow.pdf
     July 18, 2023 - Guidance for Osteoporosis Patient 65+ Patient is not qualified for recommendation No Patient has fall … Bisphosphonate treatment < 5 years Yes active Bisphosphonate treatment > 5 years Yes General Info on Fall … Risk Handout No No General Info on Fall Risk Handout General Info on Bisphosphonate Handout

338. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-oct-rev.pdf
     January 01, 2022 - Within a given AE, such as a fall, abstractors are instructed to only report the highest severity AE … , such as the most severe fall. … 124 22678 0.5 0.5 – 0.7 Unassisted Fall 105 22678 0.5 0.4 – 0.6 Assisted Fall 19 22678 0.1 0.1 – … 132 26291 0.5 0.4 – 0.6 Unassisted Fall 117 26291 0.5 0.4 – 0.5 Assisted Fall 15 26291 0.1 0.0 – … Fall Assisted Fall Unassisted Fall 5.

339. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report.pdf
     January 01, 2022 - Within a given AE, such as a fall, abstractors are instructed to only report the highest severity AE … , such as the most severe fall. … 124 22678 0.5 0.5 – 0.7 Unassisted Fall 105 22678 0.5 0.4 – 0.6 Assisted Fall 19 22678 0.1 0.1 – … 132 26291 0.5 0.4 – 0.6 Unassisted Fall 117 26291 0.5 0.4 – 0.5 Assisted Fall 15 26291 0.1 0.0 – … Fall Assisted Fall Unassisted Fall 5.

340. Adverse Events Among In-Hospital Medicare Patients in 2021 and 2022: Preliminary Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/quality-measures/qsrs/qsrs-2021-2022-adverse-event-data-report-nov-rev.pdf
     January 01, 2022 - Within a given AE, such as a fall, abstractors are instructed to only report the highest severity AE … , such as the most severe fall. … 124 22678 0.5 0.5 – 0.7 Unassisted Fall 105 22678 0.5 0.4 – 0.6 Assisted Fall 19 22678 0.1 0.1 – … 132 26291 0.5 0.4 – 0.6 Unassisted Fall 117 26291 0.5 0.4 – 0.5 Assisted Fall 15 26291 0.1 0.0 – … Fall Assisted Fall Unassisted Fall 5.