-
www.ahrq.gov/sites/default/files/2025-03/smith-werner-carayon-report.pdf
January 01, 2025 - Domains of Patient
Safety
Population
(Fall, UTI)
Process or
Outcome
Measures
Fall Fall Process … )62
Fall Fall Outcome Repeat fall within 30 days of index ED visit (uses our previously published
definitions … Impact of fall prevention on nurses and care of fall
risk patients. … Development and implementation of a pharmacy fall prevention program. … Tool 3I: Medication Fall Risk Score and Evaluation Tools.
-
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
-
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
-
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.
-
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
-
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
-
psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
November 17, 2021 - The author suggests strategies to identify patients at high risk for falls, improve fall-related training
-
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
-
cds.ahrq.gov/sites/default/files/cds/artifact/127731/ASPIRE_ExerciseGuidanceForFallPrevention_Flow_0.pdf
July 18, 2023 - Yes
NoPatients 65+ Not qualified for
recommendation
Yes
No
Fall Risk Assessment
Resulted with At … Risk for Fall
(finding) SNOMED
code129839007
Patient has fall risk
conditions
Foundation Exercise
-
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
-
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
-
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
-
psnet.ahrq.gov/node/837070/psn-pdf
May 11, 2022 - The
author suggests strategies to identify patients at high risk for falls, improve fall-related training … patient-falls-operating-room-setting-analysis-reported-safety-events
https://psnet.ahrq.gov/primer/falls
https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
-
psnet.ahrq.gov/node/45980/psn-pdf
January 01, 2020 - issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-
patient-falls
Fall … use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
https://psnet.ahrq.gov/issue/fall-prevention-acute-care-hospitals-randomized-trial
-
www.uspreventiveservicestaskforce.org/home/getfilebytoken/75ftPGW4rZ-3tdMQPstvDg
August 01, 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 im-
proves fall outcomes is limited. … Will my patient fall? JAMA.
2007;297:77-86. [PMID: 17200478]
11. … 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.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/monthly.html
October 01, 2017 - 7
7
0
27
0
0
0
Table 7 (continued)
Day of Week
Shift
Other
Fall … Thursday
Friday
Saturday
Sunday
Days
Evenings
Nights
Room Change Within 30 Days of Fall … Date
Total Residents Who Fell
Total Residents With >1 Fall
Total Falls
Unit A
# falls
-
psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients
April 24, 2018 - August 9, 2023
Assessment of a wearable fall prevention system at a Veterans Health Administration … December 7, 2022
Fall prevention with the Smart Socks System reduces hospital fall rates … March 16, 2022
Inpatient fall prevention: use of in-room Webcams.
-
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
-
psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
January 04, 2010 - December 15, 2011
Adopting the Fall Tailoring Interventions for Patient Safety (TIPS) … program to engage older adults in fall prevention in a nursing home. … 2016
View More
Related Resources
6-PACK programme to decrease fall … December 19, 2012
Fall prevention in hospitals: an integrative review.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
October 01, 2014 - medical events that can cause what looks like or also involves a fall, such as a stroke or seizure. … a fall or near fall. … Develop participants' knowledge and skills in preventing falls and fall-related injuries. … P is less likely to fall? … P's temperature, Paul asks about his father's condition and the fall.