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221. AHRQ Signals Intent To Fund Clinics To Improve Care for People With Long COVID | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/newsletters/e-newsletter/852.html
     February 01, 2023 - Patient Falls Using an Evidence-Based Intervention May Reduce Costs Implementing the AHRQ-funded Fall … TIPS Program , an evidence-based fall prevention intervention, was associated with $22 million in savings … Researchers analyzed electronic health record data for 900,635 patients to identify the costs of fall-related … They found that the average total cost of a fall is $62,521 and that the level of injury was not a significant … After implementation of the Fall TIPS intervention, there was a nearly 20 percent reduction in falls

222. Final Progress Report: The National Quality Forum Fall Policy Conference 2008 (pdf file)
     www.ahrq.gov/sites/default/files/2025-02/mcneil-report.pdf
     January 01, 2025 - Final Progress Report: The National Quality Forum Fall Policy Conference 2008 The National Quality … Forum Fall Policy Conference 2008 Principal Investigator: Dwight McNeil Team Members: S. … Innovation in Patient Safety - National: National Coordination Council for Medication Error Reporting and Prevention … The Council was formed to actively promote the reporting, understanding, and prevention of medication … Division, US Pharmacopeia and Secretary, National Coordinating Council for Medication Error Reporting and Prevention

223. Abt Single-Sided Body Template (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/ontimefallpxoverviewmaterialspacket.pdf
     October 16, 2017 - Abt Single-Sided Body Template On-Time Falls Prevention: Overview Materials Packet Samples of four … On-Time Falls Prevention Overview Materials Packet 1 O n-Tim e Falls P revention: E lectronic … 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 … Shift Shift N N D E N N Fall Witnessed? Yes/no N N Y Y N N If yes, who witnessed? … Yes/no Y Y Y N Y Y PT Consult Date 10/4/13 1/16/14 2/11/14 3/6/14 4/17/14 On-Time Falls Prevention

224. Appendix B30: Engineer Cane/Walker Inspection | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapb30.html
     December 01, 2017 - Fall Response Chapter 3. Data Collection and Analysis Using TRIPS Chapter 4. … _ → ___ Tighten the loose bolts and screws. ___ Replace the missing hardware. ___ Ask the Fall … Prevention Therapist to replace a wooden cane if it is cracked or weak.

225. 139-Nv-Hap-Prevention-Essential-One-Pager (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/139-nv-hap-prevention-essential-one-pager.docx
     October 01, 2024 - NV-HAP Prevention Essential Practices1-4 Practice routine oral care.4,5-8 Staphylococcus aureus is a … early mobilization.5,7,9 Conduct early mobilization, when possible, but it is important to consider fall … Healthcare- Associated Pneumonia (NV-HAP) Prevention: Essential Practices | 2 AHRQ Safety Program for … MRSA Prevention | ICU & Non-ICU Non-Ventilator Healthcare-Associated Pneumonia (NV-HAP) Prevention: … Non-ventilator health care-associated pneumonia (NV-HAP): Best practices for prevention of NV-HAP.

226. Patient Safety Awareness Week | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/news-events/psaw-2021/index.html
     July 01, 2022 - Recent Releases Fall TIPS: A Patient-Centered Fall Prevention Toolkit .

227. Generic Dashboard Data 2024 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2024.xlsx
     January 01, 2024 - Contributing Factors by Event Type Gen_5 Contributing Factors by Report Type Gen_6 Near Miss Prevention … Fall Other location 23,180 12.3% Fall Outside area (i.e., grounds of this facility) 1,510 0.8% Fall … Fall Supervisor/Support 130 0.1% Fall Multiple 3,187 3.6% Fall Other: Please specify 75,274 85.8% … Gen_7 Near Miss Prevention Actions within Event Types Event Type Near Miss Prevention Action Event … 17.1% Multiple Other: Please specify 22 10.4% NOTE: Percentages shown are the percentage of near miss prevention

228. Chapter 2. Fall Response | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man2.html
     December 01, 2017 - 24 hours after a fall. … Investigate Fall Circumstances If fall circumstances are not investigated at the time of the incident … In other words, an intercepted fall is still a fall. … A fall without injury is still a fall. … Fall to floor (witnessed).

229. Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/studies/index.html?page=360
     January 01, 2024 - prevention toolkit. … The use of electronic decision support that tailors fall prevention strategy to patient-specific risk … factors, known as Fall T.I.P.S (Tailoring Interventions for Patient Safety), has proven to be an effective … A paper version of the Fall T.I.P.S toolkit was developed primarily for hospitals that do not have the … Iterative user centered design for development of a patient-centered fall prevention toolkit.

230. Report Organization | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal1.html
     January 01, 2013 - Based on this success, AHRQ contracted in fall 2008 with HRET to replicate this program nationally, starting … The contract was expanded in fall 2009 to include all 50 States, the District of Columbia, and Puerto … Many States used their regional HAI-prevention work groups developed as a result of the Centers for Disease … Control and Prevention (CDC) American Recovery and Reinvestment Act (ARRA) grants or other mechanisms … These included representatives from the State QIO, State health department, PSO, State infection prevention

231. Resource List - AHRQ Nursing Home Survey (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
     April 01, 2023 - The topic of this package is fall prevention. 2. … Patient Fall Prevention and Management Protocol With Toileting Program http://www.ihi.org/resources/ … a Safety Champion for Every Unit Best Practice Intervention Packages for Fall Prevention Braden Scale … Best Practice Intervention Packages for Fall Prevention 2. … Patient Fall Prevention and Management Protocol With Toileting Program 5.

232. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
     January 01, 2024 - of the National Coordinator for Health Information Technology CDC Centers for Disease Control and Prevention … DLS is working with the CDC Division of Heart Disease and Stroke Prevention, the National Association … : Reducing Fall Risk for Patients of All Age Groups … • Screening Patients for Fall Risk. … • Education for the Patient and Caregiver on Fall Prevention at Home and in the Community.

233. New Tools Help Health Providers Reduce Patients' Risk of Falls | Agency for Healthcare Research and Quality
     www.ahrq.gov/patients-consumers/patient-involvement/patients-risk-of-falls.html
     September 01, 2015 - Overview Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care Using a Computerized Fall

234. High-Performance Work Practices in CLABSI Prevention Interventions | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-hpwpreport/index.html
     August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Next Page Table of Contents … High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings … Types of HAI Prevention Activities Appendix 1. … Comparative qualitative research to explore the role of management practices in facilitating HAI prevention … Project Scan Findings The project scan was completed in fall 2010.

235. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/hacrate2013-refs.html
     October 01, 2015 - Implications for prevention. ADE Prevention Study Group. JAMA 1995;274:29-34. … Atlanta, GA: Centers for Disease Control and Prevention; March 2009. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Fall prevention in acute care hospitals: a randomized trial. JAMA 2010;304(17):1912-8. … VHA’s national falls collaborative and prevention programs.

236. References | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/pfp/interimhac2013-ref.html
     December 01, 2014 - Implications for prevention. ADE Prevention Study Group. JAMA 1995;274:29-34. … Atlanta, GA: Centers for Disease Control and Prevention; March 2009. … Fall and injury prevention (Chapter 10). In: Hughes RG, ed. … Fall prevention in acute care hospitals: a randomized trial. JAMA 2010;304(17):1912-8. … VHA’s national falls collaborative and prevention programs.

237. 2010 Recommendations for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis | Agency for Healthcare Research and Quality
     www.ahrq.gov/chain/practice-tools/practice-guidelines/updated-recommendations-for-glucocorticoid-induced-osteoporosis.html
     March 01, 2017 - 2010 Recommendations for the Prevention and Treatment of Glucocorticoid-Induced Osteoporosis Grossman … American College of Rheumatology 2010 recommendations for the prevention and treatment of glucocorticoid-induced … Expansion of the discussion points relating to behavior modification, monitoring, and prevention counseling … to include: an assessment of fall risk; measurements of height and 25-hydroxyvitamin D; an evaluation … American College of Rheumatology 2010 recommendations for the prevention and treatment of glucocorticoid-induced

238. Beyond Nursing Quality Measurement: The Nation’s First Regional Nursing Virtual Dashboard (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Aydin_2.pdf
     January 01, 2021 - Fall prevention process variables • Percent patients who fell assessed at risk for falling. … • Percent patients with fall prevention protocol in place at time of fall. … The report includes the graph shown, followed by a table listing the actual numeric fall rates for each … and injury fall incidence and rates. … In addition to the “report card” measures discussed above, CalNOC also provides detailed data on fall

239. Generic Dashboard Data 2023 (xls file)
     www.ahrq.gov/sites/default/files/wysiwyg/npsd/Generic_Dashboard_Data_2023.xlsx
     January 01, 2023 - Contributing Factors by Event Type Gen_5 Contributing Factors by Report Type Gen_6 Near Miss Prevention … 85,574 0.6% Fall Other 70,714 85,574 82.6% Fall Human Factors 6,694 85,574 7.8% Fall Mulitple 3,550 … 85,574 4.2% Fall Environment 1,514 85,574 1.8% Fall Supervisor/Support 149 85,574 0.2% Fall Data … Gen_7 Near Miss Prevention Actions within Event Types Event Type Near Miss Prevention Action Count … 22 202 10.9% Multiple Unknown 34 202 16.8% NOTE: Percentages shown are the percentage of near miss prevention

240. Technology for Improving Medication Monitoring in Nursing Homes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Lapane.pdf
     March 09, 2005 - oversedation), and 20 percent were falls.17 In long-term care facilities, more than half of residents fall … The intervention was phased into 13 nursing homes in the fall of 2003, with the full intervention start … Falls and fall prevention in the nursing home. Clin Geriatr Med 1996 Nov;12(4):881–902. 25. … Fall injuries in the elderly. Clin Geriatr Med 1985;1(3):501–12. 28. Monane M, Avorn J. … Causation, correlation, and prevention. Clin Geriatr Med 1996;12 (4):847–58. 29.