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21. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/reportguide.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Training Facilitator Training … Slide 1: Introduction to Falls Reports AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention … Slide 2: Falls Prevention Electronic Reports Say: This section will cover each component of On-Time … Falls Prevention, which includes four electronic reports. … We will work through four steps for each of the Falls Prevention Reports.

22. Appendix. Additional Tools and Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3ap.html
    October 01, 2014 - Module 3: Falls Prevention and Management Appendix. … Additional Tools and Resources Previous Page   Table of Contents Module 3: Falls Prevention … Falls: Nursing Standard of Practice Protocol: Fall Prevention. … 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.

23. Conclusion | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3concl.html
    October 01, 2014 - Things to Remember Not every fall is just a fall. There are many risk factors for falls. … Not every fall is just a fall. All falls need to be investigated. … This means that fall prevention requires active thought about each resident's risk factors and interventions … Pearls Awareness is a watchword in falls prevention. … Fall prevention requires active engagement.

24. Final Progress Report: An Intervention to Reduce Falls Among Adults with Intellectual Disability (pdf file)
    www.ahrq.gov/sites/default/files/2024-04/bonardi-report.pdf
    January 01, 2024 - Key Words: intellectual disability, fall prevention Purpose This study was designed as a first step … A secondary purpose is to develop research methods that can be used in future fall-prevention studies … • Evaluate the fidelity of the fall-prevention intervention in selected provider sites/ residential … This research study responded to the gap in evidence-based fall-prevention programs for people with … Bonardi A, Impact of a Fall Injury Prevention Program Among People with Intellectual Disability.

25. Module 3. Falls Prevention | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mgdod3.html
    October 01, 2014 - Falls Prevention Previous Page Next Page Table of Contents Improving Patient Safety … Falls Prevention Appendix 1-A. Suggested Slides for Module 1 Appendix 1-B. … a fall or near fall. … P is less likely to fall? … P's temperature, Paul asks about his father's condition and the fall.

26. Session 2 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod3sess2.html
    October 01, 2014 - play in responding to a nursing center resident's near fall or fall. … Examples of Fall Prevention Interventions To reduce fall risk consider: Things about the environment … Providing education on falls prevention to staff and/or residents. … Falls: Nursing Standard of Practice Protocol: Fall Prevention. … The Vanderbilt Fall Prevention program for long-term care: Eight years of field experience with nursing

27. 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/reports.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Electronic Reports Four types … target followup with staff, provide educational inservices as needed, and develop new or adjust existing prevention … improve prevention practices, implement timely interventions, and identify any need for programmatic … improve prevention practices, implement timely interventions, and identify any need for programmatic … Weekly Fall Risk or Safety Meetings Return to Falls Prevention

28. Making Acute Care More Patient-Centered | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
    June 01, 2020 - Development and validation of a fall prevention knowledge test. … Development and validation of a fall prevention knowledge test . … Validating fall prevention icons to support patient-centered education . … Pilot testing Fall TIPS (Tailoring Interventions for Patient Safety): a patient-centered fall prevention … Iterative user centered design for development of a patient-centered fall prevention toolkit .

29. Final Progress Report: Making Acute Care More Patient Centered, Patient Safety Learning Laboratory (PSLL) (pdf file)
    www.ahrq.gov/sites/default/files/2024-07/bates3-report.pdf
    January 01, 2024 - prevention plan and further reduce fall rates. … /family understand their fall prevention plan? … factors and/or that a fall prevention plan was in place. … three-step fall prevention process, suggesting each can be used to integrate evidence-based fall prevention … Centered Fall Prevention Toolkit.

30. 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/assess.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Falls Prevention Self-Assessment … 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 … The use of On-Time Falls Prevention not only helps improve risk identification and communication of risk … Falls Prevention Self-Assessment Worksheet Return to Falls Prevention

31. AHRQ Toolkit Helped Madonna Rehabilitation Hospital Reduce Patient Falls by 21 Percent | Agency for Healthcare Research and Quality
    www.ahrq.gov/news/newsroom/case-studies/201804.html
    July 01, 2018 - prevention program. … Fall prevention involves managing a patient's underlying fall risk factors and optimizing a hospital's … “We previously had a falls prevention program in place, but it was definition-driven instead of risk-driven … The AHRQ toolkit also includes guidance on ways to build internal support for a fall prevention program … “We benefitted greatly from the project in helping us improve measures for fall prevention,” Krason said

32. Appendix 3-A. Suggested Slides for Module 3 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
    October 01, 2014 - Slide 10 Responding to a Fall or Near Fall Observe and evaluate. … Slide 11 Examples of Fall Prevention Interventions To prevent falls, you should address: Things … Slide 12 Things to Remember Not every fall is just a fall. … Slide 13 Pearls Awareness is a watchword in falls prevention. … Fall prevention requires active engagement.

33. 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. …  Provide summarized fall data to improve prevention practices, make timely interventions, and identify

34. Appendix B23: Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb23.html
    December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Falls and Fall Risk, AMDA Clinical Practice Guideline. 1998 Web Sites Agency for Healthcare Research … Topic: Patient Safety Alabama Quality Assurance Foundation (AQAF), AQAF Long-Term care fall prevention … Prevention of falls in hospitalized and institutionalized older people. … Fall and injury prevention in older people living in patiential care facilities: a cluster randomized

35. PowerPoint Presentation
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallpxreports.pptx
    October 01, 2017 - 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 with minor … Fall Injury? … 42 Postfall Assessment Summary Report Fall Date Fall Time Fall Witness Witness Type Witness Name Found … Cause of Fall Fall Comments Fall Injury Injury Type Major Injury Type Minor Injury Site ROM Upper ROM

36. Fallspximpl-Handouts (doc file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximpl-handouts.docx
    June 02, 2025 - the fall risk changes or the prevention strategies to the care plan teams or the direct care staff. … Facilitator: Can we spend a few minutes talking about our fall prevention plan and discuss strengths … We look at fall prevention one resident at a time. … Program Champion: Let’s move on now and review the list of meetings in which fall risk and prevention … confirm appropriate interventions are in place for fall prevention.

37. 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/quarterlysum.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Electronic Reports Table … Unsafe Behaviors Mental: Cognitive Impairment Gait and Balance Instability Fall … : 8-30 Days Fall: 31-180 Days Psychoactive Medications Other High-Risk Medications … With Major Injury Fall With Minor Injury Total Residents Who Fell … Total Residents With >1 Fall Total Falls Apr-11 # falls 3 13 11 3

38. 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/faclevel.html
    November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Electronic Reports Table … Unsafe Behaviors Mental: Cognitive Impairment Gait and Balance Instability Fall … : 8-30 Days Fall: 31-180 Days Psychoactive Medications Other High-Risk Medications … With Major Injury Fall With Minor Injury Total Residents Who Fell … Total Residents With >1 Fall Total Falls Unit A # falls 6 35 30

39. Improving Patient Safety in Long-Term Care Facilities, Module 3 (pdf file)
    www.ahrq.gov/sites/default/files/publications/files/ltcmodule3.pdf
    June 01, 2012 - According to the National Center for Injury Prevention and Control, “fall prevention takes a combination … Falls: Nursing Standard of Practice Protocol: Fall Prevention. … Examples of Fall Prevention Interventions To reduce fall risk consider: › Things about the environment … Fall prevention requires active engagement. › You must go beyond an incident report to develop a … Falls: Nursing Standard of Practice Protocol: Fall Prevention.

40. Role of the External Coach in Advancing Research Translation in Hospital-Based Performance Improvement (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Donaldson_87.pdf
    April 23, 2008 - Impact of the coaching intervention on fall prevention protocols Fall prevention protocol characteristics … Impact of the PFQ project on fall prevention efforts PFQ project on fall prevention effort Pre-coaching … Impact of the PFQ project on fall prevention efforts (continued) PFQ project on fall prevention effort … analysis as part of analysis of fall prevention efforts 29 79 New hires (RNs) oriented to fall prevention … Impact of the PFQ project on fall prevention efforts (continued) PFQ project on fall prevention effort