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61. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallspxselfassessment.pdf
    June 02, 2025 - The team is expected to use the Self-Assessment Worksheet to help understand current fall prevention … Does your facility provide training to nursing staff on how to accurately assess for fall risk? … Oriented Mobility Assessment (POMA)   Fall Risk Assessment Tool (FRAT)   Activities-specific … Is the postfall assessment completed immediately after the fall? Yes  No  If no, then when? … Do you investigate why the fall occurred? Yes  No  9.

62. Falls Prevention Self-Assessment Worksheet - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/otimefallspx-implmatls.pdf
    June 02, 2025 - The team is expected to use the Self-Assessment Worksheet to help understand current fall prevention … Does your facility provide training to nursing staff on how to accurately assess for fall risk? … Do you investigate why the fall occurred? Yes  No  9. … Agree to Use On-Time Fall Prevention 2. … Review Fall Incidence As required 16.

63. Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case Study (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-work-around.pdf
    June 02, 2025 - Creating a Work-Around to Implement Fall Risk Screening For Older Adults Using Appointment Notes Case … Focus on High Leverage Change: Risk Assessment Creating a Work-Around to Implement Fall … The team chose to focus this project on fall risk. … The QI goal was to identify the patients at highest risk for an adverse event (i.e., fall) before a … For example, a full STEADI fall risk assessment might require up to 20 minutes, which is not feasible

64. A randomized trial of a multifactorial strategy to prevent serious fall injuries. | PSNet
    psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
    August 04, 2021 - Study A randomized trial of a multifactorial strategy to prevent serious fall injuries … A randomized trial of a multifactorial strategy to prevent serious fall injuries. … The intervention did not result in a significantly lower rate of serious fall injury compared to usual … A randomized trial of a multifactorial strategy to prevent serious fall injuries. … December 16, 2020 Evaluation of a patient-centered fall-prevention tool kit to reduce

65. Appendix C. Case Study and Program Examples | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
    December 01, 2017 - P's known fall risk factors? … P's fall risk are important to consider? … Illustration of Fall Response Step One—Evaluate and monitor resident for 24-72 hours after the fall … Step Two—Investigate Fall Mrs. … Interventions Plan Fall Interventions Monitor

66. Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic review. | PSNet
    psnet.ahrq.gov/issue/evaluation-clinical-practice-guidelines-fall-prevention-and-management-older-adults
    March 09, 2022 - Review Evaluation of clinical practice guidelines on fall prevention and management … Evaluation of clinical practice guidelines on fall prevention and management for older adults: a systematic … Fall prevention in healthcare settings is a patient safety priority . … systematic review found that most clinical practice guidelines provide consistent recommendations for fall … December 21, 2014 Fall prevention in acute care hospitals: a randomized trial.

67. Appendix C9: Fall Interventions Monitor Sample | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt9.html
    December 01, 2017 - The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C9: Fall … Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. …    Room : ______401-A________ Directions: Monitor staff implementation and effectiveness of the Fall

68. A Clinical Decision Support Tool for Preventing Falls | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/clinical-decision-support-tool-preventing-falls
    January 01, 2023 - Fall prevention is possible, but older adults who are at the highest risk of falling need to receive … only furthers the need to address fall prevention in primary care. … (CDS) tool that could quickly and easily guide PCPs to the most effective fall prevention strategies … for individual patients and engage them in the fall prevention decision-making process. … ASPIRE is a shareable, interoperable CDS tool for fall prevention Dr.

69. Table 4. FMP Progression (Text Description) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4-tabtxt4.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … in facility" and the other reads "History of fall at home, hospital, ALF [assisted living facility], … Beside Box 1 is another grey box that reads "Falls RAP trigger but no fall in past 180 days." … After 3 months with no fall, monitor every 4 weeks and update Falls Intervention Plan as needed." … After 6 months with no fall, review with MDS [Minimum Data Set]/Care Plan and update quarterly."

70. Network of Patient Safety Databases Falls Chartbook, 2023 (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook-2023.pdf
    January 01, 2023 - KNOWN TO INCREASE FALL RISK at the time of fall, and PATIENT ACTIVITY PRIOR TO THE FALL. … another patient) ■ Near fall – loss of balance that does not result in a fall. … risk of fall?” … risk of fall?” … injury as a result of the fall?”

71. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
    March 01, 2006 - fall risk assessments, and multifactorial interventions. … Decrease in fall rate, calculated as the average fall rate for the first 3 months of baseline data … risk and of enlisting the patient in fall prevention. … - prevention interventions (54.2 percent) and tracking changes in fall rates or fall-related injury … Using toolkit guidance, posted on nursing units fall prevention tools based on the Morse13 Fall Scale

72. Falls | Effective Health Care (EHC) Program
    effectivehealthcare.ahrq.gov/health-topics/falls

73. Falls and Injury | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/index.html
    September 01, 2018 - to assist nursing facilities in providing individualized, person-centered care and improving their fall … Improving Quality of Care Each year, somewhere between 700,000 and 1,000,000 people in the United States fall

74. Falling Through the Crack (in the Bedrails) | PSNet
    psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
    February 19, 2020 - universal fall precautions. … Fall prevention is a three-step process: (i) screening for fall risk, (ii) identifying interventions … causing the fall) Table 2. … Morse Fall Scale.( 8 ) Morse Fall Scale Item Select Areas of Risk Score 1. … Fall Prevention Best Practices for Hospitalized Patients.( 9,10 ) Fall Prevention Best Practices

75. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/slides.html
    November 01, 2017 - if the fall was not witnessed). … Fall with major injury=1 and fall with minor injury=0 Fall with major injury=2 and fall with minor … injury=1 Fall with major injury=1 and fall with minor injury=2 Fall with major injury=2 and fall … Date Fall Time Fall Witness Witness Type Witness Name Found By Fall Location Position … Fall Comments Fall Injury Injury Type Major Injury Type Minor Injury Site ROM Upper ROM

76. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet
    psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
    May 05, 2021 - Study Potentially harmful medication dispenses after a fall or hip fracture: a mixed … Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly … the prevalence, risk factors, and contributors to potentially harmful medication dispensed after a fall … There were 113,809 patients with a first time fall; 35.4% had high-risk medications dispensed after … their first fall.

77. Evaluation and Integration of an Automatic Fall Prediction System - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/final-report
    January 01, 2023 - Evaluation and Integration of an Automatic Fall Prediction System - Final Report Citation … Evaluation and Integration of an Automatic Fall Prediction System - Final Report. … PDF Evaluation and Integration of an Automatic Fall Prediction System - Final Report … Project Name Evaluation and Integration of an Automatic Fall Prediction System Technology

78. Abt Single-Sided Body Template (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxsamplereports.docx
    June 02, 2025 - in the last 180 days Source: Fall Assessment Presence of at least one of the following: Fall in last … 8-30 or 31-180 days Source: MDS assessment responses Fall history in last 30 days (J1700A) Fall history … information for each fall with fall date prior to and within 30 days of report date: Day of week on … which the fall occurred, Shift during which the fall occurred, Time at which the fall occurred, The … location of the fall, and If the resident had a room change within 30 days of the fall.

79. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
    www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
    January 01, 2024 - fall rates are within the hospital. … Fall Rate Unassisted Fall Rate Repeat Fall Rate Reporting Outcomes Core Team Processes Targeted … Rate (95% CI) Injurious Fall Rate (95% CI) Unassisted Fall Rate (95% CI) Repeat Fall Rate … Association between post-fall huddles and repeat fall rate 14 | P a g e Table 5. … type and fall outcome.

80. Inpatient fall prevention programs as a patient safety strategy: a systematic review. | PSNet
    psnet.ahrq.gov/issue/inpatient-fall-prevention-programs-patient-safety-strategy-systematic-review
    May 26, 2016 - Review Inpatient fall prevention programs as a patient safety strategy: a systematic … Inpatient fall prevention programs as a patient safety strategy: a systematic review. … An institutional approach to fall prevention is discussed in an AHRQ WebM&M perspective . … Inpatient fall prevention programs as a patient safety strategy: a systematic review. … March 3, 2010 Will my patient fall?