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201. Chapter 4. Long Term Management | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … Immediate response for those who fall in the facility is described in Chapter 2 . … Select and individualize interventions on the Fall Interventions Plan. 1. … Past fall history including TRIPS data. Input from family and resident. … After 3 months with no fall, monitor monthly. Update Fall Interventions Plan as needed.

202. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
     May 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Final Report … High-Performance Work Practices in CLABSI Prevention Interventions: Executive Summary. … Project Scan Findings The project scan was completed in fall 2010. … CLABSI Prevention Focus We found that all of the sites’ CLABSI prevention efforts focused on three … Advances in the Prevention and Control of HAIs: Studying HAI Prevention Efforts to Learn From Experience

203. Prologue: Laying the Foundation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Prologue_Henriksen_Vol1.pdf
     June 02, 2025 - a case-control study to determine risk factors for falls in a cancer center, use of a computerized fall … Affairs to reduce emergency airway management difficulties, a statewide effort to encourage falls prevention

204. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/sops/bibliography/index.html?page=3
     January 01, 2025 - Improving hospital safety culture for falls prevention through interdisciplinary health education. … The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: A quasi-experimental

205. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/hac-cost-report2017.pdf
     November 01, 2017 - Falls Fall during an inpatient admission, with or without injury, whether or not fall was assisted. … in the community and 2) articles studied the impact of fall- prevention programs and protocols on the … All of the later studies’ estimates fall between $40,000 and $80,000. … The cost of serious fall-related injuries at three Midwestern hospitals. … National Action Plan for ADE prevention.

206. Draft Final Report Estimating the Additional Hospital Inpatient Cost and Mortality Associated with Selected Hospital Acquired Conditions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/pfp/hac-cost-report2017.pdf
     November 01, 2017 - Falls Fall during an inpatient admission, with or without injury, whether or not fall was assisted. … in the community and 2) articles studied the impact of fall- prevention programs and protocols on the … All of the later studies’ estimates fall between $40,000 and $80,000. … The cost of serious fall-related injuries at three Midwestern hospitals. … National Action Plan for ADE prevention.

207. Appendix D. Falls Engineer Instructions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapd.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … If the resident cannot reach it, she may try to get up by herself or lean over and fall. … A resident is likely to fall if the chair moves during transfer. … Reason: Uneven pavement, moving cars or any other unsafe conditions may cause residents to fall when … If a chair moves while the resident is getting in or out of it, a fall is likely.

208. Table 14B: Outcome Indicators by State Supply of Health Care Providers | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 14B: Outcome Indicators by State Supply of Health Care Providers Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid H…

209. Table 16B: Outcome Indicators by State Socioeconomic Status | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 16B: Outcome Indicators by State Socioeconomic Status Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outco…

210. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
     February 01, 2023 - Assessing the Health and Welfare of the HCBS Population Table 15B: Outcome Indicators by State Demographics Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indic…

211. SOPS Bibliography | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/sops/bibliography/index.html?page=3
     January 01, 2025 - Improving hospital safety culture for falls prevention through interdisciplinary health education. … The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: A quasi-experimental

212. AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/ereport-handouts.html
     June 01, 2017 - neurological/psychological, gastrointestinal/genitourinary, endocrine/nutritional/metabolic, wound and skin, fall-related … and non-fall-related injury, musculoskeletal, other changes not specified elsewhere, or treatment not … Cellulitis |___| Edema |___| Infected wound or decubitus |___| Jaundice |___| Rash Fall-Related … Injury |___| Major injury |___| Minor injury Non-Fall-Related Injury |___| Major injury … |___| Diabetes |___| Dysrhythmias |___| Electrolyte imbalance |___| Fever |___| Fall

213. 109-Performing-Premortem-Project-Assessment-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/109-performing-premortem-project-assessment-fg.docx
     April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Mini Presentation: Performing a Premortem Project … telescope that could look into the future and let you see what is going to happen with your MRSA and SSI prevention … times to meet again and look forward in time to imagine how all the progress you have achieved might fall … No. 25-0029 April 2025 Premortem Assessment Tool | 1 AHRQ Safety Program for MRSA Prevention | Surgical

214. Final Progress Report: Team-Based Safe Opioid Prescribing (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/parchman-report.pdf
     January 01, 2024 - of opioids for chronic pain, such as those recently released by the Center for Disease Control and Prevention … Six Building Blocks of Team-Based Opioid Management Northwest Regional Primary Care Association Fall … /streamline-2016-fall/addressing-the-opioid-epidemic PRESENTATIONS/ OTHER DISSEMINATION continued … Rural Primary Care WhidbeyHealth Medical Center, January 2018 Presentation Baldwin Opioid abuse prevention … opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention

215. Patient Safety and Quality Areas | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/areas.html
     February 01, 2018 - Healthcare Infections Team Training Falls Pressure Ulcers Diagnostic Safety Blood Clot Prevention

216. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/vtguide/appb2.html
     January 01, 2020 - Variation: AT9 does not endorse extended duration prophylaxis for those with scores >8 unless they fall … VTE prevention guidelines for medical inpatients: mind the (implementation) gap. … VTE prevention guidelines for medical inpatients: mind the (implementation) gap. … Prevention of VTE in nonsurgical patients. … She generally is able to ambulate within her home with a walker, but is admitted with fall precautions

217. Appendix B: Risk Assessment Models, Protocols, and Order Sets (continued) | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appb2.html
     January 01, 2020 - Variation: AT9 does not endorse extended duration prophylaxis for those with scores >8 unless they fall … VTE prevention guidelines for medical inpatients: mind the (implementation) gap. … VTE prevention guidelines for medical inpatients: mind the (implementation) gap. … Prevention of VTE in nonsurgical patients. … She generally is able to ambulate within her home with a walker, but is admitted with fall precautions

218. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
     November 30, 2013 - Injury Major injury Minor injury Non-Fall-Related Injury Major injury Minor injury Musculoskeletal Joint … problems COPD CVA Dehydration Dementia Depression Diabetes Dysrhythmias Electrolyte imbalance Fever Fall … Psych/Neurological Gastrointestinal/Genitourinary Endocrine/Metabolic/Nutrition Wound & Skin Injury: Fall … Injury Non-Fall-Related Injury Abnormal Lab Results Fever / Possible Infection Malaise/Fatigue Potential … rate) Enables clinicians to track patterns, follow up on areas of decline, and monitor progress of new prevention

219. 1 Preventablehospitaledvisits-Overview-Ig (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/1_preventablehospitaledvisits-overview-ig.pdf
     June 02, 2025 - On-Time Facilitator Training Overview is for training Facilitators who have not had pressure ulcer prevention … 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 … • Prevention Plan. … This section asks about types of prevention care planning discussed at staff meetings.

220. Making Health Care Safer II, Executive Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/services/quality/patientsftyupdate/ptsafetysum.pdf
     March 01, 2013 - Examples include most fall prevention programs, VTE prophylaxis, and medical history abbreviations … Examples include some fall prevention programs, many clinical pharmacist interventions, and participation … Moderate Infection Control Barrier precautions, patient isolation, and routine surveillance for the prevention … urinary tract infections; brief review Common/ Moderate Moderate-to- high Low Low Moderate/ Moderate Prevention