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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.
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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
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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
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/assess.html
November 01, 2017 - The team is expected to use the Self-Assessment Worksheet to help understand current fall prevention … changes in care plans, and
Carry out investigations, including root cause analysis, when an injurious fall
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psnet.ahrq.gov/node/47402/psn-pdf
March 13, 2019 - medicalsurgical-units-four-hospitals-united-
states
This prospective observational study found that patients who experienced a fall … This study lends weight to fall prevention as a patient safety priority. … medicalsurgical-units-four-hospitals-united-states
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
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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
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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
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psnet.ahrq.gov/issue/falls-english-and-welsh-hospitals-national-observational-study-based-retrospective-analysis
June 15, 2011 - of falls among inpatients in different hospital environments and identified wide variation in both fall … June 6, 2012
Fall prevention in acute care hospitals: a randomized trial. … September 20, 2011
An inpatient fall prevention initiative in a tertiary care hospital
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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
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/falls-prevention-in-older-adults-counseling-and-preventive-medication-2012
May 15, 2012 - Between 30% and 40% of community-dwelling adults aged 65 years or older fall at least once per year. … The evidence on whether protein supplementation improves fall outcomes is limited. … The effect of an individualized fall prevention program on fall risk and falls in older people: a randomized … Vitamin D supplementation improves neuromuscular function in older people who fall. … Will my patient fall? JAMA . 2007;297:77-86.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manap14.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … A resident who leans over or slides down while seated in a wheelchair is more likely to fall out of the
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digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program/annual-summary/2011
January 01, 2011 - Lessons from the PrU program will also inform the development of an On-Time Fall Prevention Module, which … A yearlong process of workgroup meetings has already informed the standardization of fall documentation … and the development of tools to guide clinical decisionmaking for fall prevention. … teleconference calls to develop health information technology specifications based on the final set of fall … (Achieved)
Design the tools and establish the foundation for a fall prevention implementation effort
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psnet.ahrq.gov/issue/incidence-and-types-preventable-adverse-events-elderly-patients-population-based-review
June 23, 2015 - Resources
Talking about falls: a qualitative exploration of spoken communication of patients' fall … risks in hospitals and implications for multifactorial approaches to fall prevention. … March 29, 2023
Patient perception of fall risk and fall risk screening scores. … May 5, 2021
Modification of potentially inappropriate prescribing following fall-related
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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
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psnet.ahrq.gov/node/73660/psn-pdf
September 01, 2021 - Clinical department, rates, and
trends should be considered when implementing fall prevention strategies … hospital-inpatient-falls-across-clinical-departments
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
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hcup-us.ahrq.gov/db/vars/i10_injury_fall/nedsnote.jsp
May 10, 2015 - NEDS Description of Data Elements
I10_INJURY_FALL - Mechanism of injury: fall … For data prior to the fourth quarter of 2015, the mechanism of injury of fall is stored in the data element … Uniform Values
Variable Description Value Value Description I10_INJURY_FALL Mechanism of injury: fall … 0 No mechanism of injury of fall 1 Mechanism of injury of fall
Top
State
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb22.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … Conditions that increase fall risk
Cardiac
Postural hypotension
Arrhythmias
Neuropsychiatric
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt6.html
December 01, 2017 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … Suggestions for further assessment and/or interventions
(X) Medications that could increase fall
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psnet.ahrq.gov/innovation/catching-those-who-fall-through-cracks-integrating-follow-process-emergency-department
September 09, 2020 - EMERGING INNOVATIONS
Catching those who fall through the cracks: integrating a follow-up process … Citation Text:
Catching those who fall through the cracks: integrating a follow-up process for emergency … URL
Cite
Citation
Citation Text:
Catching those who fall
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/risk.html
February 01, 2023 - Fall Response
Chapter 3. Data Collection and Analysis Using TRIPS
Chapter 4. … Once the assessment is complete, proceed to the Fall Interventions Plan and select specific individualized