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digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision/final-report
January 01, 2023 - Using nursing practices and health IT to reduce fall-related injuries. … Using nursing practices and health IT to reduce fall-related injuries. … Using Nursing Practices and Health IT To Reduce Fall-Related Injuries. … Using Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-related
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psnet.ahrq.gov/issue/roi-fall-prevention-intervention-invest-little-save-lot
September 13, 2017 - Study
ROI for a fall prevention intervention: invest a little, save a lot. … ROI for a fall prevention intervention: invest a little, save a lot. … Fall Tailoring Interventions for Patient Safety ( Fall TIPS ) is an evidence-based program that engages … patients in their own fall prevention program. … ROI for a fall prevention intervention: invest a little, save a lot.
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psnet.ahrq.gov/issue/fall-prevention-implementation-strategies-use-60-united-states-hospitals-descriptive-study
November 11, 2020 - Study
Fall prevention implementation strategies in use at 60 United States hospitals … Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study. … Fall prevention remains a patient safety priority . … This article describes how fall prevention strategies are being implemented and operationalized across … Fall prevention implementation strategies in use at 60 United States hospitals: a descriptive study.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
November 01, 2017 - Fall time.
Whether the fall was witnessed. … New Fall. … Fall with major injury = 1 and fall with minor injury = 0
Fall with major injury = 2 and fall with … Fall Time . … Fall Time .
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psnet.ahrq.gov/issue/inpatient-fall-prevention-initiative-tertiary-care-hospital
October 19, 2022 - Study
An inpatient fall prevention initiative in a tertiary care hospital. … An inpatient fall prevention initiative in a tertiary care hospital. … This study describes a fall prevention program that successfully reduced falls and fall-related injury … An inpatient fall prevention initiative in a tertiary care hospital.
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www.ahrq.gov/npsd/data/spotlights.html
February 01, 2025 - Patterns of Fall Interventions (PDF, 4.5 MB) outlines how the data mining method, Frequent Pattern Mining … It also highlights key findings on frequent fall interventions beyond those presented in the 2022 NPSD … Fall Supplementary analyses.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3ap.html
October 01, 2014 - Falls: Nursing Standard of Practice Protocol: Fall Prevention. … Validation of the Hendrich II Fall Risk Model: A large concurrent case/control study of hospitalized … The Vanderbilt Fall Prevention Program for long-term care: eight years of field experience with nursing … The Timed Up and Go Test for Fall Risk Assessment . accessed July 23, 2015.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/intro.html
November 01, 2017 - nursing home team with electronic medical record (EMR)-based tools to effectively monitor resident fall … Clinical reports provide resident and fall risk information staff need to proactively implement care … Reports also provide the facility team with information to assist them in analyzing resident fall risks … The self-assessment will help facilities planning to implement On-Time Fall Prevention to identify … Reports and Implementation Materials
Reports
Falls High-Risk Report
Summary of Fall
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxreports-ig.pdf
June 02, 2025 - Fall time.
Whether the fall was witnessed. … New Fall. … the fall occurred,
Time at which the fall occurred,
The location of the fall, and
If the … Fall Time. … Fall Location.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/packet.html
November 01, 2017 -
Fall Date
Date
10/4/13
1/16/14
2/11/14
2/27/14
3/6/14
4/17/14
Fall Day … Day of week
Saturday
Thursday
Tuesday
Thursday
Thursday
Thursday
Fall Time
Time … Shift
Shift
N
N
D
E
N
N
Fall Witnessed? … Location
Fall location: room; bathroom; hallway; dining room; activities; therapy; beauty parlor; … Comments
Free text
Fall Injury?
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digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/citation/real-time
January 01, 2023 - Real-Time Locating Systems (RTLS) to improve fall detection
Citation
Bowen ME, Craighead … Real-Time Locating Systems (RTLS) to improve fall detection. … Project Name
Evaluation and Integration of an Automatic Fall Prediction System
Technology
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www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
January 01, 2024 - Fall risk was reassessed using the Falls Risk
Screening tool after 3 months and 6 months. … Fall-tracking Calendars:
Each participant had their fall status monitored during the study period with … time of the fall and whether or not the individual sustained an
injury. … Table 3
When examining the fall risk factors that are most highly correlated with the fall risk
(Falls … Risk of fall for individuals with intellectual disability.
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psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes
August 14, 2024 - Compare five interventions relevant for fall prevention in long-term care settings. … Describe optimal fall prevention care processes in long-term care settings. … She was not enrolled in a fall prevention program because she was not ambulatory. … The cause of death was documented as hip trauma from the fall at the nursing home. … Fall prevention in hospitals and nursing homes: clinical practice guideline.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3b.html
October 01, 2014 - because of fear of another fall. … The resident can't do as much after the fall. … Which of the following should be reported as a fall or near-fall? … because of fear of another fall. … Answer: d
Which of the following should be reported as a fall or near-fall?
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www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
January 01, 2024 - and injurious fall rates. … The fall rate per 1000 patient-days
2. The injurious fall rate per 1000 patient-days
3. … The two primary dependent variables were the fall rate and the injurious fall rate. … and injurious fall rates. … and injurious fall
rates.
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cds.ahrq.gov/taxonomy/term/1176
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psnet.ahrq.gov/issue/effect-promoting-high-quality-staff-interactions-fall-prevention-nursing-homes-cluster
July 13, 2010 - Study
Effect of promoting high-quality staff interactions on fall prevention in nursing … Effect of Promoting High-Quality Staff Interactions on Fall Prevention in Nursing Homes: A Cluster-Randomized … staff training intervention designed to promote improved staff communication and connectivity on a fall … Tailoring Interventions for Patient Safety (TIPS) program to engage older adults in fall prevention … June 20, 2011
WebM&M Cases
Another Fall
April 1,
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www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/spotlights/spotlight-falls-rev.pdf
March 01, 2023 - (DE201)
■ Type of Injury as a Result of Fall (DE204)
■ Patient Activity Prior to Fall (DE207)
■ Risk … Assessment Prior to Fall (DE210)
■ Risk Factor(s) Prior to Fall (DE216)
Further, for the above analyses … Activity Prior to Fall
Figure 4 shows Commonly specified activities prior to fall by age for female … Figure 5 – Risk Assessment Prior to Fall by Age and Sex
Risk Factor(s) Prior to Fall
Figure 6 shows … Activity Prior to Fall
Risk Assessment Prior to Fall
Risk Factor(s) Prior to Fall
Conclusions
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall/citation/cds
January 01, 2023 - Clinical decision support for fall prevention: Defining end-user needs. … Clinical decision support for fall prevention: Defining end-user needs. … Project Name
Shareable, Interoperable Clinical Decision Support for Older Adults: Advancing Fall
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reports.html
November 01, 2017 - 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. … Whether the fall was witnessed. … If the fall was witnessed, the activity the resident was engaged in at the time of the fall.